保护动机理论在2型糖尿病病人自我管理行为中的应用效果

目的:探讨保护动机理论在2型糖尿病病人自我管理行为中的应用效果。方法:选取2型糖尿病病人120例，其中对照组62例，观察组58例。对照组给予常规健康教育，观察组给予基于保护动机理论的健康教育。分析2组病人干预后的血糖和体质量指数（BMI）控制情况，并采用自我管理行为问卷和生存质量评估量表对病人的自我管理能力和生存质量进行评价。结果:干预3个月后，观察组病人的空腹血糖、餐后2 h血糖、糖化血红蛋白和BMI均明显低于对照组（P<0.01）；除规律运动评分差异无统计学意义（P>0.05）外，观察组病人的自我管理行为量表总分及各维度评分均明显高于对照组（P<0.01）；观察组病人的生存质量量表总分和各维度评分均明显高于对照组（P<0.01）。结论:基于保护动机理论的健康教育有利于病人血糖水平和BMI的控制，有助于提高病人的自我管理能力和生存质量。

Application effect of the protective motivation theory on self-management behavior of patients with type 2 diabetes mellitus

Objective:To investigate the application effects of the protective motivation theory on self-management behavior of patients with type 2 diabetes mellitus.Methods:One hundred and twenty patients with type 2 diabetes mellitus were divided into the control group(62 cases) and experiment group(58 cases each group).The control group was taught with conventional health theory,and the experiment group was taught with the health theory based on protective motivation theory.The blood glucose level and body mass index in two groups were analyzed after intervention.The self-management ability and quality of life in two groups were evaluated using the self-management behavior questionnaire and quality of life scale.Results:After 3 months of intervention,the levels of fasting blood glucose,postprandial 2h blood glucose,glycated hemoglobin and body mass index in experiment group were significantly lower than those in control group(P<0.01).The total score of self-management behavior scale and each dimension score in experiment group were significantly higher than those in control group(P<0.01),and the difference of the regular exercise score between two groups was not statistically significant(P>0.05).Conclusions:The health education based on the protective motivation theory is conducive to control the level of the blood glucose and body mass index,and improve the self-management ability and the quality of life of patients.