基于金氏目标实现理论的护士主导干预项目对 2 型糖尿病患者健康促进行为和生活满意度的影响:随机对照临床试验。

IF 5.2 2区 医学 Q1 NURSING BMC Nursing Pub Date : 2024-09-27 DOI:10.1186/s12912-024-02364-3
Fahime Noroozi, Azizallah Dehghan, Mostafa Bijani, Leila Nikrouz
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摘要

背景介绍2 型糖尿病是一种需要长期护理的慢性病。本研究探讨了采用金氏目标达成模型的教育计划对 2 型糖尿病患者的健康行为和生活满意度的影响:这是一项无盲法随机对照临床试验,我们对两组干预对照进行了测试。70 名 2 型糖尿病患者被随机分配到干预组(35 人)和对照组(35 人)。护理流程阶段包括检查、诊断、目标确定、基于患者偏好的交易以及基于金氏理论的评估。在干预前、干预后和干预后 3 个月,使用 Walker 健康促进生活方式档案(HPLP)和生活满意度量表(SWLS)收集数据。数据在 SPSS25 中通过描述性统计、卡方检验、独立和配对样本 T 检验、双向方差分析和多变量重复测量方差分析进行分析。P 值结果:在干预组中,健康促进行为和生活满意度的平均得分在三个时间点(干预前、干预后和干预后三个月)之间存在显著差异。结论:本研究结果表明,在干预组中,健康促进行为和生活满意度的平均得分与对照组没有明显差异:本研究结果表明,基于金氏目标达成模型的教育计划可有效改善 2 型糖尿病患者的健康促进行为和生活满意度。建议在不同的环境和更长的随访期内开展进一步的研究:IRCT注册号:IRCT20190917044802N8.注册日期:2022年12月16日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effects of nurse-led intervention programs based on King's theory of goal attainment on health-promoting behaviors and life satisfaction in patients with type 2 diabetes: a randomized controlled clinical trial.

Background: Type 2 diabetes being a chronic condition that requires long-term care. This study examined the impact of an educational program using King's goal attainment model on health behaviors and life satisfaction in type 2 diabetes patients.

Methods: This is a randomized controlled clinical trial with no blinding in which we tested two groups of intervention control. 70 patients with type 2 diabetes were allocated to an intervention (N = 35) and a control group randomly (N = 35). The nursing process stages included examination, diagnosis, goal determination, transaction based on patient preferences, and evaluation based on King's theory. Data was gathered using the Walker Health-Promoting Lifestyle Profile (HPLP) and Satisfaction with Life Scale (SWLS, before, after, and 3 months, post-intervention. Data were analyzed in SPSS25 through descriptive statistics, Chi-square Test, Independent and paired sample T-test, two-way ANOVA, and multivariate repeated measures ANCOVA. P-values < 0.05 were considered as the level of significance.

Results: In the intervention group, there was a significant difference in the mean score of health-promoting behaviors and life satisfaction between the three time points (before, immediately after, and 3 months after). However, in the control group, there was no significant difference in the mean score of health-promoting behaviors and life satisfaction.

Conclusion: The results of this study suggest that an educational program based on King's goal attainment model can be effective in improving health-promoting behaviors and life satisfaction in patients with type 2 diabetes. Further studies are recommended to be conducted in different settings and with a longer follow-up period.

Iranian registry of clinical trials: IRCT registration number: IRCT20190917044802N8.

Registration date: 16/12/2022.

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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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