2型糖尿病患者运动干预方案的应用及效果评价

doi:10.3761/j.issn.1672-9234.2024.05.013

摘要/Abstract

摘要：

目的构建、实施糖尿病患者运动干预方案，并评价该方案对2型糖尿病患者运动自我效能、自我管理和血糖的影响。方法通过文献回顾和专家函询构建糖尿病患者运动干预方案。2022年1月—3月，便利选取某三级甲等医院内分泌科的100例住院患者为研究对象。试验组实施本研究构建的运动干预方案，对照组实施常规运动干预方案，干预12周，比较两组患者的运动自我效能、自我管理能力、空腹血糖及糖化血红蛋白。结果 97例患者完成研究（试验组48例、对照组49例），干预12周时，试验组运动自我效能得分为（81.81±11.53）分，对照组得分为（74.61±7.45）分，差异有统计学意义（t=3.646，P<0.001）；干预12周时，试验组自我管理得分为（57.40±2.40）分，对照组得分为（49.17±4.44）分，差异有统计学意义（t=11.379，P<0.001）；干预12周时，试验组空腹血糖、糖化血红蛋白值均低于对照组（P<0.05）。结论本研究构建的运动干预方案可以更有效提升2型糖尿病患者运动自我效能，提高其自我管理能力，改善其血糖控制水平。

关键词: 糖尿病, 2型, 自我效能, 自我管理, 运动

Abstract:

Objective Through constructing and implementing the exercise intervention program for diabetes patients to evaluate the impact of the program on exercise self-efficacy，self-management and blood sugar of type 2 diabetes patients. Methods Through literature review and expert consultation，the exercise intervention program for diabetes patients was constructed. From January to March 2022，100 inpatients from the endocrinology department of a tertiary Grade A hospital were recruited as the research participants by convivence sampling. The experimental group was given the constructed exercise intervention program，while the control group got a routine exercise intervention for 12 weeks. The exercise self-efficacy，self-management ability，fasting blood glucose，and glycated hemoglobin of the two groups of patients were compared before and after the intervention. Results A total of 97 patients completed the study（48 in the experimental group and 49 in the control group）. After intervention，the self-efficacy score of the experimental group was（81.81 ± 11.53），while the score of the control group was（74.61 ± 7.45），with a statistically significant difference（t=3.646，P<0.001）. Additionally，the self-management score of the experimental group was（57.40 ± 2.40），while the score of the control group was（49.17 ± 4.44），with a statistically significant difference（t=11.379，P<0.001）. Besides，the fasting blood glucose and glycated hemoglobin values in the experimental group were lower than those in the control group（P<0.05） after the intervention. Conclusion The exercise intervention program constructed in this study can effectively enhance the self-efficacy，self-management ability，and blood sugar control level for patients with type 2 diabetes.

Key words: Diabetes Mellitus, Type 2, Self efficacy, Self-management, Exercise

郑光磊, 赵雅宁, 张微, 顾小颖. 2型糖尿病患者运动干预方案的应用及效果评价[J]. 中华护理教育, 2024, 21(5): 587-592.

ZHENG Guanglei, ZHAO Yaning, ZHANG Wei, GU Xiaoying. Application and effect evaluation of exercise nursing program for patients with type 2 diabetes[J]. Chinese Journal of Nursing Education, 2024, 21(5): 587-592.

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参考文献 16

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