一个基于健康促进模型的干预措施,以提高2型糖尿病患者的治疗坚持
Nahid Shahabi1, Gholamali Javdan2, Zahra Hosseini3
1Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
BMC public health
|July 19, 2024
概括
基于Pender的健康促进模型的教育干预显著改善了2型糖尿病患者的治疗坚持和血糖水平. 这突显了定制教育方法的有效性,以提高患者的自我管理和健康结果.
科学领域:
- 促进健康 促进健康
- 行为科学 行为科学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 2型糖尿病 (T2D) 的管理需要持续的治疗坚持.
- 德的健康促进模型 (HPM) 为理解促进健康的行为提供了一个框架.
- 该研究调查了基于HPM的干预对T2D治疗坚持的影响.
研究的目的:
- 评估基于Pender的HPM进行干预的有效性.
- 评估干预措施对2型糖尿病患者治疗坚持的影响.
- 测量关键健康指标的变化,包括血红蛋白A1c (HbA1c).
主要方法:
- 一项准实验性研究,涉及伊朗的190名2型糖尿病患者 (95例干预,95例对照).
- 一个10个会议的教育干预利用讲座,讨论,角色扮演和同行培训.
- 使用问卷和临床测量评估Pender的HPM构造,HbA1c和BMI;用SPSS 26分析的数据.
主要成果:
- 与对照组相比,干预组在治疗坚持益处,自我效能,相关影响,人际影响,对行动计划的承诺,行为和经验方面表现出显著的改善.
- 相反,干预组的情境影响和竞争需求/偏好较低.
- 协变性分析证实了干预对HPM结构和HbA1c (p < 0.001) 的有效性;回归分析表明承诺,影响,自我有效性和坚持行为之间的正相关性.
结论:
- 基于HPM的教育干预有效地改善了2型糖尿病患者的坚持和血糖控制.
- 量身定制的教育策略和内容对于提高治疗坚持行为至关重要.
- 该研究强调了健康促进模型在指导慢性疾病管理干预措施中的价值.
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