ADOPT联合自我管理教育与支持干预对学龄期1型糖尿病患儿血糖管理的影响
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女,硕士,护士

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山西省科技战略研究专项(202204031401158)


Effects of ADOPT model combined with Diabetes Self-Management Education and Support program on glycemic management in school-aged children diagnosed with type 1 diabetes
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    目的 探讨提高学龄期1型糖尿病患儿血糖控制水平、自我管理能力及生活质量的有效方法。方法 将90例学龄期1型糖尿病患儿按照入院时间分为对照组与干预组各45例。对照组实施常规健康教育,干预组在此基础上实施ADOPT(态度Attitude、定义Definition、开放性思维Open mind、计划Planning、实施Trying)模式联合自我管理教育与支持干预。比较干预前,出院后1个月、3个月两组血糖水平及自我管理能力、生活质量。结果 对照组44例、干预组42例完成研究。干预组患儿空腹血糖、餐后2 h血糖、自我管理能力及生活质量(除学校表现外)评分在时间效应、组间效应和交互效应上有统计学意义(均P<0.05)。出院后3个月干预组糖化血红蛋白显著低于对照组(P<0.05)。结论 ADOPT模式联合自我管理教育与支持干预可改善患儿血糖控制水平,提高患儿自我管理能力及生活质量。

    Abstract:

    Objective To explore effective methods to improve the level of glycemic control, self-management ability and quality of life of school-age children with type 1 diabetes.Methods A total of 90 school-aged children with type 1 diabetes were divided into 45 cases each in a control group and an intervention group according to admission time.The control group was given routine health education, while the intervention group was additionally given the ADOPT (Attitude, Definition, Open mind, Planning, Trying) model combined with Diabetes Self-management Education and Support (DSMES) program.The blood glucose level, self-management ability and quality of life were compared between the two groups before the intervention, 1 month and 3 months after discharge.Results There were 44 patients in the control group and 42 patients in the intervention group had completed the study.The fasting blood glucose, 2h postprandial blood glucose, self-management ability and quality of life (except school performance) of the children in the intervention group were statistically significant in time effects, inter-group effects and interaction effects (all P<0.05).After 3 months of discharge, the glycosylated hemoglobin in the intervention group was significantly lower than that in the control group (P<0.05).Conclusion ADOPT model combined with DSMES program can improve the level of glycemic control, self-management ability and quality of life of children diagnosed with type 1 diabetes.

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张安琪,刘瑞云,李颖,戴靖华,王俊秀,牛文萍,严慧娜,王佳讯. ADOPT联合自我管理教育与支持干预对学龄期1型糖尿病患儿血糖管理的影响[J].护理学杂志,2024,39(13):100-105

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  • 收稿日期:2024-02-08
  • 最后修改日期:2024-04-10
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  • 在线发布日期: 2024-08-18