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基于理论的教育干预对健康素养,药物坚持和自我管理的有效性
Fatemeh Shabani Bazneshin1, Isa Mohammadi Zeidi2, Hadi Morshedi2
1MSC of health education, Department of Public Health, Health School, Qazvin University of Medical Sciences, Qazvin, Iran.
Journal of preventive medicine and hygiene
|November 14, 2025
概括
这项研究表明,基于计划行为扩展理论的教育干预显著改善了2型糖尿病患者的健康素养,药物坚持和自我护理. 干预还改善了关键的代谢指标,如FBS和HbA1c.
科学领域:
- 卫生教育和行为健康教育.
- 慢性疾病管理 慢性疾病管理
- 医学中的行为科学.
背景情况:
- 基于理论的教育干预对于提高2型糖尿病 (T2D) 患者的健康素养和自我护理至关重要.
- 有效的干预措施可以帮助预防糖尿病并发症并改善患者的治疗结果.
- 计划行为扩展理论为理解和修改与健康有关的行为提供了一个框架.
研究的目的:
- 根据计划行为扩展理论评估教育干预的有效性.
- 评估干预对T2D患者的健康素养,药物坚持,自我护理行为和代谢指标的影响.
- 确定干预对心理变量的影响,如态度,主观规范和感知行为控制.
主要方法:
- 采用了带有对照组的准实验性设计.
- 招募了112名T2D患者,并分配到实验组或对照组.
- 该干预包括在线团体教育,视频,小册子,短信提醒,并利用角色扮演,讲座和场景演示,持续3个月.
主要成果:
- 在实验组的态度,主观规范,感知行为控制,行动计划,应对计划,信任和与健康素养和药物坚持相关的意图 (P < 0.001) 观察到显著的改善.
- 干预导致自我护理和其维度的总平均得分显著提高.
- 代谢指标,包括禁食血糖 (FBS) 和血红蛋白A1c (HbA1c),在实验组显著改善 (P < 0.001).
结论:
- 专注于健康素养,行动/应对计划和心理变量的教育干预措施在改善T2D患者的自我护理和药物坚持方面是有效的.
- 护士和医务人员应该将这些元素整合到认知行为干预中,以更好地管理患者.
- 计划行为扩展理论作为设计有效的糖尿病自我管理计划的宝贵理论基础.
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