在老年人中激励自我护理和提高治疗坚持2型糖尿病:一个扩展的并行过程干预模型
Malihe Kabusi1, Gholam Reza Mahmoodi-Shan2, Abdurrhman Charkazi3
1Nursing Department of Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Golestan, Iran, goums.ac.ir.
Nursing research and practice
|January 7, 2026
概括
扩展并行过程模型 (EPPM) 的干预显著改善了2型糖尿病老年人的治疗坚持和自我护理. 这种方法可以提高老年人糖尿病的管理.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 患有2型糖尿病的老年人经常面临治疗坚持和自我照顾的挑战.
- 扩展并行过程模型 (EPPM) 为健康行为改变干预提供了一个框架.
研究的目的:
- 评估基于EPPM的干预措施对2型糖尿病老年患者的治疗坚持和自我护理的有效性.
- 评估干预措施对这一人口群体的关键健康结果的影响.
主要方法:
- 一项随机临床试验,涉及70名患有2型糖尿病的老年参与者 (≥60岁).
- 参与者被分配到干预组或对照组.
- 基于EPPM的干预是在5周内进行的,测试后评估是在完成后4周后进行的.
主要成果:
- 与对照组相比,EPPM干预组在治疗坚持方面表现出了统计学上显著的改善 (p=0.001,n2=0.61).
- 在干预后的两组之间,在自我护理总得分上观察到显著的差异 (p=0.01).
- 干预解释了测试后结果差异的约61%.
结论:
- 基于EPPM的教育干预有效地提高了2型糖尿病老年患者的治疗坚持和自我照顾.
- 将EPPM框架纳入糖尿病教育计划可以改善患者的治疗结果.
相关概念视频
Stress Prevention and Stress Management Techniques VI
235
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
235
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.9K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.9K
Diabetes: Management and Pharmacotherapy
858
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
858
Modeling in Therapy
377
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
377
Peripheral Artery Disease III: Interprofessional Care
236
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
236
Models of Health Promotion and Illness Prevention II
2.0K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
2.0K

