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目的探讨以IMB模型为理念的行为干预在2型糖尿病患者中的应用效果。方法将80例2型糖尿病患者随机分为实验组(40例)和对照组(40例)。对照组接受传统的糖尿病知识讲座,实验组接受为期6个月的以IMB模型为理论基础制定的干预措施,包括糖尿病知识讲座、糖尿病病友联谊会和糖尿病病友亲属联谊会、糖尿病行为技巧训练课。干预结束,观察两组患者糖尿病知识得分、饮食运动行为以及糖尿病控制指标,包括体重指数、糖化血红蛋白、空腹血糖和餐后血糖。采用t检验、卡方检验等统计方法进行统计处理。结果实验组糖尿病知识得分高于对照组,饮食运动行为改善优于对照组,糖化血红蛋白、空腹血糖和餐后血糖均低于对照组。结论以IMB模型为理念的行为干预,可以增加2型糖尿病患者的糖尿病知识,改善其饮食运动行为,有效控制糖尿病代谢指标。
Objective To explore the effect of behavioral intervention based on IMB model in patients with type 2 diabetes mellitus. Methods Eighty patients with type 2 diabetes were randomly divided into experimental group (40 cases) and control group (40 cases). The control group received a traditional diabetes knowledge lecture. The experimental group received a 6-month intervention based on the IMB model, including knowledge lectures on diabetes, Diabetes Friends and Friends of Diabetes and Relatives Association, and Diabetes Behavioral Skills Training Course. After the intervention, diabetes knowledge score, diet movement behavior and diabetes control indexes including body mass index, glycosylated hemoglobin, fasting blood glucose and postprandial blood glucose were observed. Using t test, Chi-square test and other statistical methods for statistical processing. Results The knowledge score of diabetes mellitus in experimental group was higher than that of control group, and the improvement of dietary exercise behavior was better than that of control group. The levels of HbA1c, fasting blood glucose and postprandial blood glucose in experimental group were lower than those in control group. Conclusion Behavior intervention based on the IMB model can increase the diabetes knowledge of type 2 diabetic patients, improve their diet and exercise behaviors, and effectively control the metabolic indices of diabetes mellitus.