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

中华现代护理杂志 Pub Date : 2020-04-06 DOI:10.3760/CMA.J.CN115682-20190815-02932

M. Cao, Guofang Wei, Qigang Zhou, Huiping Liu, Yi-qing Qiu

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Abstract

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) , 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. Key words: Diabetes mellitus, type 2; Community intervention; PTECEDE-PROCEED; Diabetes knowledge; Self-efficacy

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基于pre - proceed的社区2型糖尿病患者护理效果

目的对社区2型糖尿病(T2DM)患者实施基于pre - proceed的干预，探讨其对患者糖尿病知识和自我效能感的影响。方法选择2014年5 - 10月在杭州市某社区卫生服务中心就诊的T2DM患者86例，采用方便抽样法分为干预组(n=43)和对照组(n=43)。干预组患者接受为期6个月的基于pre - proceed的干预，对照组患者同期接受1次定期社区健康教育课程。对两组患者在干预前及干预后3、6个月的糖尿病知识和自我效能感评分进行比较。最终，干预组共40例患者和对照组共42例患者完成了研究。结果重复测量方差分析显示，两组患者糖尿病知识和自我效能感评分存在时间依赖性、组间效应和联合效应(P<0.05)，但干预后3、6个月两组患者糖尿病知识和自我效能感评分差异有统计学意义(P<0.05)。结论基于pre - proceed的干预能有效提高T2DM患者的糖尿病知识和自我效能感，值得在临床推广。关键词:糖尿病;2型;社区干预;PTECEDE-PROCEED;糖尿病知识;自我效能感

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中华现代护理杂志

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