跨理论模型对糖尿病前期患者危险因素的干预研究

目的 探讨跨理论模型(TTM)对糖尿病前期患者危险因素的干预研究.方法 选择郑州市某三级医院的糖尿病前期患者122例,分为对照组和干预组,对照组给予常规糖尿病健康教育,干预组除常规健康教育外,辅以TTM的干预措施,比较两组患者血耱及体质量指数水平和负性情绪情况.结果 干预后两组患者的血糖及体质量指数均降低,且干预组患者空腹血糖、体质量指数下降水平高于对照组,差异有统计学意义(t=4.963、2.061,P＜0.05).干预后干预组患者的焦虑、抑郁情绪得分与(3.47±1.07)、(0.30±0.46)分]干预前(7.74±4.00)、(7.25±4.50)分]比较,差异均有统计学意义(P＜0.05),且干预后干预组患者焦虑、抑郁得分均低于对照组患者,差异有统计学意义(t=3.300、2.054,P＜0.05).结论 基于TTM的干预措施对控制糖尿病前期患者危险因素,预防糖尿病较常规健康教育具有显著优势.

Study on intervention of trans-theoretical model on risk factors in patients with pre-diabetes

Objective To investigate the intervention of trans-theoretical model on the risk factors in the patients with prediabetes.Methods One hundred and twenty-two patients with pre-diabetes in a tertiary hospital of Zhengzhou City were selected and randomly assigned to control group and intervention group.The control group received the routine diabetic health education,while in addition to the routine health education,the intervention group was assisted by TTM interventional measures.The blood glucose,body mass index(BMI) and negative emotion were compared between the two groups.Results The blood glucose and BMI after intervention in the two groups were decreased,moreover the decrease level of fasting blood glucose and BMI in the intervention group was higher than that in the control group,and the difference was statistically significant(t=4.963、2.061,P＜0.05).The anxiety and depression emotion scores after intervention in the intervention group were (3.47 ±1.07) and (0.30 ± 0.46)],before intervention were (7.74 ± 4.00) and(7.25 ± 4.50),The difference was statistically significant(P＜0.05),Moreover the anxiety and depression emotion scores after intervention in the intervention group were lower tghan those in the control group with statistical difference(t=3.300、2.054,P＜0.05).Conclusion The intervention measures based on TTM has significant advantage for controlling the risk factors of pre-diabetes and preventing diabetes than the conventional health education.