知信行模式在2型糖尿病合并高血压患者中的应用及对饮食行为管理的作用  

Application effect and management efficacy on eating behavior of knowledge,belief and action mode in patients with type 2 diabetes mellitus complicated by hypertension

作　　者：翟智华 冯玫[1] 王海玲 Zhai Zhihua;Feng Mei;Wang Hailing(Department of General Practice,Third Hospital of Shanxi Medical University(Shanxi Bethune Hospital),Taiyuan 030032,China;不详)

机构地区：[1]山西医科大学第三医院(山西白求恩医院)全科医学科,太原030032 [2]大同市第一人民医院内科,大同037000 [3]大同市新建康医院心血管内科,大同037000

出　　处：《中国循证心血管医学杂志》2022年第10期1259-1262,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的 探讨知信行模式在2型糖尿病合并高血压患者中的应用及对饮食行为管理的作用。方法选择2020年2月至2022年2月于山西医科大学第三医院与大同市第一人民医院收治的400例2型糖尿病合并高血压患者,按随机数字表法分为观察组和对照组,每组各200例。对照组采用常规管理模式,观察组采用知信行管理模式,均持续接受4周的管理。比较两组管理后的服药依从性及空腹血糖(FBG)、餐后2 h血糖(2 hPG)、收缩压(SBP)、舒张压(DBP)、2型糖尿病患者饮食管理量表评分中知识维度、态度维度、行为维度及总分的变化,并比较患者对管理的满意度。结果 经过管理后,观察组患者服药依从性优良率达93.00%,明显高于对照组的82.50%,差异具有统计学意义(P<0.05);观察组FBG、2 hPG、SBP、DBP结果均低于对照组,差异具有统计学意义(P<0.05);2型糖尿病患者饮食管理量表评分中,观察组知识维度、态度维度、行为维度评分及总分均高于对照组,差异具有统计学意义(P<0.05);观察组对管理的总满意度94.50%,明显高于对照组的85.00%,差异具有统计学意义(P<0.05)。结论 知信行管理模式在2型糖尿病合并高血压患者中的应用效果显著,可积极改善患者饮食行为管理,提高服药依从性,有效控制血糖及血压,值得临床推广。Objective To investigate the application effect and management efficacy on eating behavior of knowledge,belief and action mode in patients with type 2 diabetes mellitus(T2DM) complicated by hypertension.Methods The patients with T2DM complicated by hypertension(n=400) were chosen from the Third Hospital of Shanxi Medical University and the First People’s Hospital of Datong City from Feb.2020 to Feb 2022,and divided,according to random digital table,into observation group and control group(each n=200).The control group was given routine management mode,and observation group was given knowledge,belief and action management mode from 4 weeks.The changes of medication compliance,fasting blood glucose(FBG),2-hour postprandial blood glucose(2-hPBG),systolic blood pressure(SBP),diastolic blood pressure(DBP),and scores and the total score of dimensions of knowledge,attitude and behavior in dietary management scale for T2DM patients were compared between 2 groups,and degree of satisfaction to the managements were compared between 2 groups.Results After management,the excellent compliance rate was 93.00% in observation group and 82.50% in control group(P<0.05).The levels of FBG,2-hPG,SBP and DBP were all lower in observation group than those in control group(P<0.05).In scores of dietary management scale for T2DM patients,the scores and the total score of dimensions of knowledge,attitude and behavior were all higher in observation group than those in control group(P<0.05).The total degree of satisfaction to the managements was 94.50% in observation and 85.00% in control group(P<0.05).Conclusion The application effect of knowledge,belief and action mode is significant in patients with T2DM complicated by hypertension.This mode can actively improve eating behavior management,promote medication compliance,control effectively blood sugar and blood pressure,and is worth to be popularized in clinic.

关 键 词：2型糖尿病 高血压 知信行模式 饮食行为管理 依从性 

分 类 号：R587.1[医药卫生—内分泌]