授权原理结合多阶段改变理论干预糖尿病患者饮食行为对代谢指标的影响研究

发布时间：2018-05-04 04:37

本文选题：授权 + 多阶段改变理论　；参考：《重庆医学》2016年01期

【摘要】：目的探讨运用授权原理及多阶段改变理论结合的教育模式干预糖尿病患者饮食行为对患者代谢指标的影响。方法将218例入住广西医科大学第一附属医院的糖尿病患者分成两组。采用不同的模式干预患者饮食行为,对照组采用传统的教育模式;干预组采用授权原理及多阶段改变理论相结合的教育模式。比较两组患者BMI、血糖、血脂、授权能力、行为改变情况。结果两组患者糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2hPG)、血清总胆固醇(TC)、低密度脂蛋白(LDL)指标及授权能力随时间的变化而改变;干预组的教育模式对FPG、2hPG、TC、TG、LDL指标及授权能力的改善较对照组更明显(P0.05);HbA1c、FPG、2hPG、TG指标及授权能力的分组与时间因素存在交互作用,干预组各指标控制优于对照组(P0.05);干预组患者在干预3、6个月后处于行动阶段及维持阶段的患者高于对照组(P0.05)。结论运用授权原理与多阶段改变理论相结合的教育模式对糖尿病患者进行教育能帮助患者改善血糖、血脂指标,促进患者行为改变及授权能力的提高。
[Abstract]:Objective to explore the influence of dietary behavior of diabetic patients on metabolic indexes by using the educational model of empowerment principle and multi-stage change theory. Methods 218 diabetic patients admitted to the first affiliated Hospital of Guangxi Medical University were divided into two groups. Different models were used to interfere with patients' dietary behavior, while the control group adopted the traditional education model, and the intervention group adopted the educational model of combining the principle of authorization and the theory of multi-stage change. BMI, blood glucose, blood lipid, empowerment, and behavioral changes were compared between the two groups. Results the indexes of HbA1cn, FPGG, 2hPGN, TCU, LDL and the authorized ability of the two groups were changed with time. The educational model of the intervention group had a significant effect on the improvement of the LDL index and the empowerment ability of the FPGG 2hPGN TGN and the grouping and time factors of P0.05HbA1cFPGN 2hPGN TG index and the authorized ability, as compared with the control group, the intervention group had a significant effect on the improvement of the LDL index and the empowerment ability of the intervention group, compared with the control group. The control of each index in the intervention group was better than that in the control group (P 0.05), and that in the intervention group was higher than that in the control group at the stage of action and maintenance after 3 months and 6 months. Conclusion the educational model of combining the principle of authorization with the theory of multi-stage change can help patients with diabetes to improve their blood glucose, blood lipid index, behavior change and empowerment ability.
【作者单位】：广西医科大学第一附属医院老年内分泌;广西医科大学第一附属医院护理部;广西医科大学第一附属医院老年消化科;广西医科大学研究生学院;广西壮族自治区桂林市人民医院护理部;
【基金】：广西科技厅科学研究与技术开发课题(桂科攻1140003A-22)
【分类号】：R473.5

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