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基于糖尿病患者生活质量,采用PRECEDE-PROCEED模型进行干预的效果。

The effect of intervention using the PRECEDE-PROCEED model based on quality of life in diabetic patients.

作者信息

Azar Farbod Ebadifard, Solhi Mahnaz, Nejhaddadgar Nazila, Amani Firoz

机构信息

Ph.D. Professor, Department of Health Services and Health Education, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran.

Ph.D. Assistant Professor, Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Electron Physician. 2017 Aug 25;9(8):5024-5030. doi: 10.19082/5024. eCollection 2017 Aug.

Abstract

BACKGROUND

Poor quality of life is common among diabetic patients, and educational intervention is one of the most effective strategies to improve the quality of life for chronic patients.

OBJECTIVES

To determine the effect of an educational intervention based on PRECEDE-PROCEED in quality of life of diabetic patients, in 2016.

METHODS

In this quasi-experimental study, 86 patients referred to diabetic centers of Ardabil participated. We used the components PRECEDE-PROCEED model for planning, implementation and evaluation of the program. Data collection tools were Diabetes Quality of Life questionnaire (DQOL) and a researcher-made questionnaire. Eight training sessions were conducted for the intervention group for self-efficiency, self- management, attitude, knowledge, and enabling reinforcing factors. Quality of life was followed one and three months after intervention. Data were analyzed through SPSS 16 software using descriptive and analytical tests.

RESULTS

The mean age of patients was 55.88 (±12.1) years. The result showed that before intervention, no significant difference was observed among the mean scores of quality of life, self-management, knowledge, attitude, enabling and reinforcing factors, and self-efficiency in two groups. But one and three months after intervention a significant difference was observed (p<0.001).

CONCLUSION

Educational intervention with PRECEDE-PROCEED model improved the diabetic patient's quality of life.

摘要

背景

生活质量差在糖尿病患者中很常见,而教育干预是改善慢性病患者生活质量最有效的策略之一。

目的

确定基于“教育诊断与评价模型(PRECEDE - PROCEED)”的教育干预对2016年糖尿病患者生活质量的影响。

方法

在这项准实验研究中,86名转诊至阿尔达比勒糖尿病中心的患者参与其中。我们使用“教育诊断与评价模型(PRECEDE - PROCEED)”的组成部分来规划、实施和评估该项目。数据收集工具为糖尿病生活质量问卷(DQOL)和一份研究者自制问卷。对干预组进行了八次关于自我效能、自我管理、态度、知识以及促成强化因素的培训课程。在干预后1个月和3个月对生活质量进行跟踪。数据通过SPSS 16软件使用描述性和分析性测试进行分析。

结果

患者的平均年龄为55.88(±12.1)岁。结果显示,干预前,两组在生活质量、自我管理、知识、态度、促成和强化因素以及自我效能的平均得分之间未观察到显著差异。但在干预后1个月和3个月观察到了显著差异(p<0.001)。

结论

采用“教育诊断与评价模型(PRECEDE - PROCEED)”的教育干预改善了糖尿病患者的生活质量。

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