医学新知2025，Vol.35Issue(7)：791-799,9.DOI:10.12173/j.issn.1004-5511.202409060
基于跨理论模型的健康教育模式对系统性红斑狼疮患者血糖管理的效果评价
Effect of trans-theoretical model-based health education on self-management behaviors of patients with systemic lupus erythematosus
摘要
Abstract
Objective To investigate the effect of health education guided by the trans-theoretical model(TTM)on blood glucose management in patients with systemic lupus erythematosus(SLE).Methods SLE patients who were treated in Zhongnan Hospital of Wuhan University from January to June 2022 were selected as the research objects and divided into an experimental group(using health education under the guidance of TTM)and a control group(using routine health education).The intervention was implemented from July 2022 to December 2022.The baseline data of all patients were evaluated before the intervention,and the changes in blood glucose levels and self-management behavior of patients were observed after 1,3,and 6 months of intervention.Results A total of 160 patients were included,80 in each of the experimental group and the control group,and the baseline characteristics of the two groups were comparable.The glycosylated hemoglobin values of the experimental group were significantly lower than those of the control group at 1,3,and 6 months after the intervention,and the difference was statistically significant(P＜0.05);in all dimensions and total scores of self-management behavior,the scores of the experimental group were significantly higher than those of the control group,and the difference was statistically significant(P＜0.05).At 6 months after the intervention,the proportion of patients in the action stage(62.50％vs.28.75％)、maintenance stage(15.00％vs.6.25％)and patient satisfaction(98.75％vs.93.75％)in the experimental group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Self-management behavior,health belief of patients with SLE were relatively low.The health education based on the TTM can promote the improvement of patients' self-management behavior and effectively control blood glucose levels.关键词
跨理论模型/系统性红斑狼疮/自我管理行为/糖化血红蛋白Key words
Trans-theoretical model/Systemic lupus erythematosus/Self-management behavior/Glycosylated hemoglobin分类
医药卫生引用本文复制引用
胡聂,刘熠,黄玺,朱静静,雷映,熊诗平,陈博,沈端端..基于跨理论模型的健康教育模式对系统性红斑狼疮患者血糖管理的效果评价[J].医学新知,2025,35(7):791-799,9.基金项目
湖北省自然科学基金(2025AFC064) （2025AFC064）
湖北省中医药联合基金项目(ZY2025L133) （ZY2025L133）
