李桂波

吉林省前郭县八郎镇卫生院，吉林前郭138000

跨理论模式健康教育对糖尿病患者生活品质的影响分析

李桂波

吉林省前郭县八郎镇卫生院，吉林前郭138000

目的分析跨理论模式健康教育对糖尿病患者生活品质的影响，为开展有效的糖尿病患者护理管理提供依据。方法选取该院2015年1月—2016年4月收治的糖尿病患者86例，随机分为实验组和对照组，每组43例。两组患者入院后采取相同的治疗措施。对照组患者在护理中给予常规的健康教育，实验组患者给予跨理论模式健康教育，对比分析两组患者的生化指标、生活品质、自我护理能力。结果实验组患者干预6个月之后空腹血糖（5.6±2.1）mmol/L、餐后2 h血糖（9.1±1.5）mmol/L、糖化血红蛋白（6.9±1.4）%；干预30 d后自我护理信心评分（72.16±15.37）分、自护维持评分（67.52±14.51）分、自护管理评分（73.27±11.63）分；干预6个月后评分为（68.42±14.58）分、自护维持评分（60.83± 14.29）分、自护管理评分（71.44±10.27）分，各项评分明显优于对照组患者，差异有统计学意义（P＜0.05）。实验组患者生活质量和自护行为能力各指标评分显著优于对照组患者，差异有统计学意义（P＜0.05）。结论在糖尿病患者护理中采取跨理论模式健康教育，能够有效控制患者的血糖，提高患者的生活质量和自我护理能力，有助于促进患者的康复。

跨理论模式；健康教育；糖尿病；生活品质；自我护理能力

［Abstract］Objective To analyze the effect of trans-theoretical model health education on the quality of life of patients with diabetes.To provide evidence for effective nursing management of diabetic patients.Methods 86 cases of patients with diabetes admitted and treated in our hospital from January 2015 to April 2016 were selected and randomly divided into two groups with 43 cases in each，both groups adopted the same treatment measures after admission，the control group adopted the routine health education nursing，the experimental group adopted the trans-theoretical model health education，and the biochemical indicator，quality of life and self-nursing ability of the two groups were compared and analyzed.Results After 6-month intervention，the fasting blood-glucose，blood-glucose in 2 h after dinner and glycosylated hemoglobin were respectively（5.6±2.1）mmol/L，（9.1±1.5）mmol/L and（6.9±1.4）%in the experimental group，the self-nursing confidence score，self-maintenance score and self-management score were respectively（72.16±15.37）marks，（67.52±14.51）marks and（73.27±11.63）marks in 30d after intervention，and（68.42±14.58）marks，（60.83±14.29）marks and（71.44±10.27）marks after 6-month intervention，and various scores were obviously better than those in the control group and the differences had statistical significance，P＜0.05），and various indicator scores including the quality of life and self-protection behavioral ability in the experimental group were obviously better than those in the control group，and the differences had statistical significance（P＜0.05）.Conclusion Adopt a multi-theoretical model of health education in diabetes patient care can effectively control the blood glucose of patients，improve the quality of life and self-nursing ability of patients and contributes to promoting the recovery of patients.

［Key words］Trans-theoretical model；Health education；Diabetes；Quality of life；Self-nursing ability

糖尿病是一种代谢功能异常疾病，其发病因素较为复杂，遗传、环境、饮食等都对糖尿病的发病具有一定的影响。糖尿病患者以持续的高血糖为主要特征，主要表现为多食、多饮、多尿、体重减轻等［1］。……