摘要
Abstract
Objective To analyze the impact of management intervention combining the principle of empowerment with pathway theory on the health behaviors and medication compliance of diabetic patients,providing a reference for clinical diagnosis and treatment.Methods A total of 146 patients with type 2 diabetes mellitus(T2DM)were divided into an observation group and a control group,with 73 patients in each group,based on different health behavior intervention methods.The control group only received routine health behavior interventions,while theobservation group received health behavior intervention based on empowerment principle and pathway theory.At admission,discharge,and three months after discharge,the Chinese version of the diabetes empowerment simplified scale(C-DES-SF)was used to assess patient empowerment,the patient diabetes questionnaire(PDQ)was used to assess patient self-management ability,and the diabetes self-efficacy scale(DSES)was used to assess patients'self-efficacy.Medication adherence was evaluated using the Morisky medication adherence questionnaire.The scores of the various scales,as well as levels of glycated hemoglobin(HbA1 C),fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPBG),triglycerides(TG),and body mass index(BMI)were compared before and after the interventions in both groups.Results Both group assignment and time had an impact on the C-DES-SF scores,and there was an interaction between the two(Fgroup×time=9.304,31.215,60.939,8.905,P<0.01).The C-DES-SF scores at discharge and three months post-discharge were higher in the observation group than in the control group(P<0.05).Group assignment and time also affected HbA1c and 2 hPBG levels,with an interaction between the two(Fgroup×time=13.402,6.895,P<0.05).Group assignment had no effect on FBG,but time did,although there was no interaction between the two(Fgroup×time=15.194,P<0.001).Group assignment had no effect on TG,while time had an impact on TG,and there was no interaction between the two(Fgroup×time=0.565,1.519,P=0.570,0.222).The HbA1c,FBG,2 hPBG,and TG levels at discharge and three months post-discharge were lower in the observation group than in the control group,with all differences being statistically significant(P<0.05).Conclusions Health behavior intervention based on the principles of empowerment and pathway theory can significantly enhance the empowerment of patients with diabetes,improve their self-management abilities and self-efficacy,enhance patient adherence,and facilitate the regulation of glucose metabolism levels.关键词
糖尿病/健康行为/授权原理/路径化理论/代谢水平Key words
diabetes/healthy behavior/principle of empowerment/pathway theory/metabolic levels分类
医药卫生
