基于远程护理的动机面试对2型糖尿病患者的自我效能,自我管理和代谢控制参数的影响:随机对照研究
Eda Kılınç İşleyen1, İrem Nur Özdemir2, Şengül Aydın Yoldemır3
1Faculty of Health Sciences, Public Health Nursing Department, Uşak University, Uşak, Turkey. eda.isleyen@usak.edu.tr.
Irish journal of medical science
|February 21, 2025
概括
基于远程护理的激励面试显著改善了2型糖尿病患者的糖尿病自我有效性和自我管理. 这种干预也对关键的代谢控制参数产生了积极的影响,例如禁食血糖和甘油三.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 2型糖尿病的管理需要有效的患者参与策略.
- 远程护理提供了一个可扩展的平台来提供健康干预措施.
- 激励面试 (MI) 是一种以患者为中心的咨询方法.
研究的目的:
- 评估基于MI的远程护理对糖尿病自我有效性的影响.
- 评估2型糖尿病患者自我管理行为的变化.
- 为了确定对代谢控制参数 (HbA1c,FBG,甘油三) 的影响.
主要方法:
- 一个平行组随机对照试验,涉及70名2型糖尿病患者.
- 干预组接受了八次基于远程护理的MI.
- 通过验证的问卷和临床测量在基线,测试后3个月和6个月后期收集的数据.
主要成果:
- 干预组的自我有效性和自我管理得分显著增加.
- 干预后和随访期间,禁食血糖 (FBG) 和甘油三水平显著降低.
- 在测试后3个月观察到HbA1c的显著下降.
结论:
- 基于远程护理的MI是改善糖尿病自我有效性和自我管理的有效干预措施.
- 该干预措施对2型糖尿病的关键代谢指标产生了积极影响.
- 公共卫生护士应将基于远程护理的MI纳入2型糖尿病管理的初级保健.
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