Objective To study the effect of trans-theoretical model based nursing intervention on serf-management behavior and blood glucose control of patients with type 2 diabetes mellitus.Methods 198 patients with type 2 diabetes mellitus in Department of Endocrinology of the First Affiliated Hospital of PLA General Hospital during April 2014 to July 2015 were selected as research objects and divided into two groups by random number table method.Patients in observation group were given trans-theoretical model based nursing intervention and conventional nursing intervention,patients in control group were given routine nursing intervention.Before nursing and after nursing of 3,6 months,diabetes self-management behavior scale and diabetes self efficacy scale were used for assessment,fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin levels were determined.Results After nursing of 3,6 months,diet,exercise,medication,blood glucose monitoring,blood sugar processing,foot care score and diet efficiency,exercise efficiency,quit alcohol limit efficiency,drug use efficiency,blood glucose monitoring efficiency,low blood glucose prevention and treatment efficiency,foot nursing efficiency scores of two groups were significantly higher than before nursing,fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin levels of two groups were significantly lower than before nursing,the differences were statistically significant (P ＜ 0.05).After nursing of 3,6 months,diet,exercise,medication,blood glucose monitoring,blood sugar processing,foot care score and diet efficiency,exercise efficiency,quit alcohol limit efficiency,drug use efficiency,blood glucose monitoring efficiency,low blood glucose prevention and treatment efficiency,foot nursing efficiency scores in observation group were significantly higher than those in control group,fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin levels in observation group were significantly lower than those in control group,the differences were statistically significant (P ＜ 0.05).Conclusion Trans-theoretical model based nursing intervention has improvement on self-management behavior and blood glucose control of patients with type 2 diabetes mellitus.%目的 研究基于跨理论模型的护理干预对2型糖尿病患者自我管理行为及血糖控制效果的影响.方法 选择2014年4月～2015年7月在解放军总医院第一附属医院内分泌科治疗的198例2型糖尿病患者作为研究对象,采用随机数字表法分为两组,观察组患者接受基于跨理论模型的护理干预及常规护理干预,对照组患者接受常规护理干预.护理前和护理后3、6个月,分别进行糖尿病自我管理行为量表和糖尿病自我效能量表评估,测定空腹血糖、餐后2h血糖、糖化血红蛋白水平.结果 两组患者护理后3、6个月的饮食控制、锻炼、遵医嘱服药、血糖监测、高低血糖处理、足部护理评分以及饮食效能、运动效能、戒烟限酒效能、药物使用效能、血糖监测效能、低血糖预防及处理效能、足部护理效能评分均高于护理前,空腹血糖、餐后2h血糖、糖化血红蛋白水平均低于护理前,差异有统计学意义(P＜0.05).观察组患者护理后3、6个月的饮食控制、锻炼、遵医嘱服药、血糖监测、高低血糖处理、足部护理评分以及饮食效能、运动效能、戒烟限酒效能、药物使用效能、血糖监测效能、低血糖预防及处理效能、足部护理效能评分均高于对照组,空腹血糖、餐后2h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P＜0.05).结论 基于跨理论模型的护理干预对2型糖尿病患者自我管理行为及血糖控制效果均有改善作用.
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