基于PRECEDE-PROCEED模式的护理在社区2型糖尿病患者中的应用

目的对社区2型糖尿病患者实施基于PRECEDE-PROCEED模式构建的干预方案,探讨其对患者糖尿病知识和自我效能的干预效果。方法采取便利抽样方法选取2014年5—10月杭州市某街道社区卫生服务中心的86例2型糖尿病患者作为研究对象,采用随机数字表法将其分为干预组和对照组,各43例。干预组采用为期6个月的PRECEDE-PROCEED模式干预,同期对照组接受常规的社区健康教育课程1次。评价两组患者干预前和干预3、6个月后的糖尿病知识水平和自我效能得分。最终干预组40例、对照组42例患者完成研究。结果重复测量方差分析结果显示,两组患者糖尿病知识、自我效能得分存在时间、组间及时间和组间的交互效应(P<0.05)。组间两两比较结果显示,干预前两组糖尿病知识、自我效能得分差异均无统计学意义(P>0.05);干预3、6个月后,两组糖尿病知识、自我效能得分差异均有统计学意义(P<0.05)。结论应用PRECEDE-PROCEED模式对社区2型糖尿病患者进行干预能够有效改善患者的糖尿病知识水平和自我效能,值得推广应用。

Effects of nursing based on PRECEDE-PROCEED in community patients with type 2 diabetes mellitus

Objective To implement PRECEDE-PROCEED based intervention in community patients with type 2 diabetes mellitus(T2DM)and explore its effects on patients'diabetes knowledge and self-efficacy.Methods Totally 86 T2DM patients treated in a community health service center in Hangzhou between May and October 2014 were selected using convenient sampling and divided into intervention group(n=43)and control group(n=43).Patients in the intervention group received 6-month intervention based on PRECEDE-PROCEED,while patients in the control group received a regular community health education course once during the same period.The diabetes knowledge and self-efficacy scores were evaluated between the two groups before and 3 and 6 months after intervention.At last,a total of 40 patients in the intervention group and 42 patients in the control group completed the study.Results Repeated measures analysis of variance showed that there were time-dependent,between-group and combined effects in diabetes knowledge and self-efficacy scores in the two groups(P<0.05).Pairwise comparison between the two groups revealed that there was no statistically significant difference in diabetes knowledge and self-efficacy scores between the two groups before intervention(P>0.05),but there were statistically significant differences in diabetes knowledge and self-efficacy scores between the two groups 3 and 6 months after intervention(P<0.05).Conclusions The PRECEDE-PROCEED based intervention can effectively improve the diabetes knowledge and self-efficacy of T2DM patients,which is worth promoting in clinical practice.