主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (12): 1644-1649.doi: 10.3969/j.issn.1672-1756.2018.12.012

• • 上一篇    

基于格林模式的健康教育在2型糖尿病高危人群中的应用

孔怡儒;贾绍静;米光丽   

  1. 宁夏医科大学护理学院,750004 银川市(孔怡儒,贾绍静,米光丽);宁夏医科大学总医院护理部(米光丽)
  • 发布日期:2019-01-07
  • 基金资助:
    人力资源和社会保障部(人社厅函[2015]192号);宁夏科技支撑计划(宁科计字[2015] 26号)

Application of health education based on PRECEDE-PROCEED Model in high-risk population with type 2 diabetes mellitus

  • Published:2019-01-07

摘要: 目的:分析基于格林模式的健康教育在2型糖尿病高危人群中的应用效果。方法:将宁夏某三级甲等医院体检中心就诊的120例2型糖尿病高危人群随机分为实验组和对照组各60例,实验组接受格林模式指导的健康教育,对照组接受常规健康教育。比较两组干预前、干预3个月、干预6个月2型糖尿病预防知-信-行得分;比较两组干预前后BMI、高血压、糖调节受损例数及生活质量量表得分。结果:两组研究对象2型糖尿病预防知-信-行总得分及各维度得分的时间效应和组间效应差异有统计学意义(P<0.01),且分组与时间因素存在交互效应(P<0.01);BMI差异有统计学意义(P<0.05);生活质量得分除躯体疼痛维度,其余各维度得分及总得分差异有统计学意义(P<0.05)。结论:基于格林模式的健康教育可以提高2型糖尿病高危人群糖尿病预防知-信-行水平、降低BMI,稳定血压和血糖,提升生活质量。

关键词: 格林模式;健康教育;2型糖尿病;高危人群

Abstract: Objective: To evaluate the effects of health education based on PRECEDE-PROCEED model in high-risk population with type 2 diabetes mellitus. Methods: A total of 120 high-risk individuals from the medical examination center in a tertiary hospital in Ningxia were divided into two groups. The control group (n=60) were with usual health education, and the intervention group (n=60) were with the education based on the PRECEDE-PROCEED model. The knowledge-attitude-practice of diabetes prevention score, body mass index (BMI), the incidence of hypertension and impaired glucose regulation and quality of life were compared before and after the intervention. Results: There were significant differences in the time-effect and inter-group effects between the total scores and each dimension scores of the knowledge-attitude-practice diabetes prevention (P<0.01), and there was an interaction effect between groups and time factors (P<0.01). There was statistically significant difference in BMI (P<0.05), the overall quality of life and most dimensions except for the body pain dimension of quality of life (P<0.05). Conclusion: The health education based on PRECEDE- PROCEED model is benefit for the improvement of knowledge-attitude-practice of type 2 diabetes prevention, the control of BMI, blood pressure and glucose, and improvement of the quality of life in high-risk population with type 2 diabetes mellitus.

Key words: PRECEDE-PROCEED model; health education; type 2 diabetes mellitus; high- risk population