CAJ | 학술논문

目的探讨行为转变理论在帮助2型糖尿病患者建立足部自护行为中的作用.方法选择广州某社区120例2型糖尿病患者作为研究对象,随机分为干预组和对照组.干预组接受行为转变理论与行为转变阶段匹配的护理干预,对照组接受单纯的糖尿病足部知识教育.结果干预后两组患者足部自护行为比较有统计学意义(P<0.05).处理因素与随访时间存在交互效应,说明随着随访时间的推进,两组干预效果差异显著.两组足部皮肤干燥皲裂、甲沟炎、皮肤损伤干预组发生率低于对照组,两组比较有统计学意义(P<0.05).结论行为转变理论对帮助2型糖尿病患者建立足部自护行为有促进作用,良好的足部自护行为能有效改善2型糖尿病患者足部皮肤情况.
목적 탐토행위전변이론재방조2형당뇨병환자건립족부자호행위중적작용.방법 선택엄주모사구120례2형당뇨병환자작위연구대상,수궤분위간예조화대조조.간예조접수행위전변이론여행위전변계단필배적호리간예,대조조접수단순적당뇨병족부지식교육.결과 간예후량조환자족부자호행위비교유통계학의의(P<0.05).처리인소여수방시간존재교호효응,설명수착수방시간적추진,량조간예효과차이현저.량조족부피부간조군렬、갑구염、피부손상간예조발생솔저우대조조,량조비교유통계학의의(P<0.05).결론 행위전변이론대방조2형당뇨병환자건립족부자호행위유촉진작용,량호적족부자호행위능유효개선2형당뇨병환자족부피부정황.
Objective To explore the effects of trans-theoretical model on the behaviors of foot serf-care in patients with type 2 diabetes mellitus.Methods One hundred and twenty patients with type 2 diabetes were recruited from a community in Guangzhou.The patients were randomly divided into control group (routine diabetic foot education) and experimental group (intervention based on tram-theoretical model of behavior change).Result Repeated Measures ANOVA showed that the main effects of intervention and time,as well as the interaction effect between intervention and time were all significant (P<0.05).The incidence rates of the chap of foot skin,paronychia and destruction of foot skin were significantly different between the two groups (P<0.05),while no significant difference on the incidence rate of foot ringworm was found (P>0.05).Conclusions The application of tram-theoretical model can promote the improvement of foot self-care behaviors and thereby to improve the condition of foot skin in patients with type 2 diabetes.