基于 PRECEDE 模式的教育干预对糖尿病患者生活方式改变、自我管理行为和高血压的影响。
Effect of educational intervention based on PRECEDE model on lifestyle modification, self-management behaviors, and hypertension in diabetic patients.
机构信息
Nutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran.
出版信息
BMC Endocr Disord. 2023 Jan 6;23(1):6. doi: 10.1186/s12902-023-01264-y.
BACKGROUND
Inappropriate lifestyle and poor self-management in diabetic patients lead to many complications including hypertension and increased disease burden. Because of insufficient studies on Effect of educational interventions on lifestyle, self-management and hypertension in diabetic patients, the present study aimed to evaluate the Effect of educational intervention based on PRECEDE model on lifestyle, self-management, and hypertension of diabetic patients.
METHODS
This clinical trial was conducted on 300 diabetic patients with hypertension. The patients were selected using simple random sampling and divided into 2 groups of intervention (150 people) and control (150 people). The intervention group was trained through ten 50-55 min sessions on lifestyle skills, self-management, and hypertension control based on the PRECEDE model. Before and after the intervention, lifestyle skills, self-management, and PRECED model constructs were evaluated using a standard questionnaire. Data were analyzed by SPSS 20 software using t-test, Kolmogorov-Smirnov, and Chi-Square tests (P < 0.05).
RESULTS
In the intervention group, the mean score of different dimensions of lifestyle and self-management significantly increased from 110.45 ± 18.78 to 172.58 ± 186.66 and 64.33 ± 15.24 to 144.32 ± 15.82, respectively (P = 0.001). Mean systolic and diastolic blood pressure also decreased from 148.5 ± 5.39 to 123.54 ± 5.32 and 95.41 ± 3.12 to 72.24 ± 3.06 (P < 0.001). Moreover, the mean score of all the PRECEDE model constructs significantly increased after the intervention. In the control group, the mean score of the PRECEDE model constructs, the dimensions of lifestyle, self-management, and systolic and diastolic blood pressure did not change significantly before and after the intervention (P > 0.05).
CONCLUSION
Based on the study's results, the PRECEDE model was found to be a non-invasive, non-pharmacological, cost-effective method without any complication and as a complementary action along with other methods in the treatment of diabetic patients.
背景
糖尿病患者的生活方式不当和自我管理不善导致许多并发症，包括高血压和疾病负担增加。由于缺乏关于教育干预对糖尿病患者生活方式、自我管理和高血压影响的研究，本研究旨在评估基于 PRECEDE 模式的教育干预对糖尿病患者生活方式、自我管理和高血压的影响。
方法
本临床试验纳入了 300 名高血压糖尿病患者。采用简单随机抽样法选取患者，并将其分为干预组（150 人）和对照组（150 人）。干预组通过基于 PRECEDE 模式的 10 次 50-55 分钟的生活技能、自我管理和高血压控制培训。在干预前后，采用标准问卷评估生活技能、自我管理和 PRECEDE 模型结构。使用 SPSS 20 软件进行 t 检验、柯尔莫哥洛夫-斯米尔诺夫检验和卡方检验（P<0.05）分析数据。
结果
干预组患者生活方式和自我管理的不同维度的平均得分从 110.45±18.78 分显著增加到 172.58±186.66 分和 64.33±15.24 分显著增加到 144.32±15.82 分（P=0.001）。收缩压和舒张压也分别从 148.5±5.39mmHg 显著降低到 123.54±5.32mmHg 和 95.41±3.12mmHg 显著降低到 72.24±3.06mmHg（P<0.001）。此外，干预后所有 PRECEDE 模型结构的平均得分均显著增加。对照组患者干预前后 PRECEDE 模型结构、生活方式、自我管理维度以及收缩压和舒张压的平均得分无显著变化（P>0.05）。
结论
基于研究结果，PRECEDE 模型被发现是一种非侵入性、非药物性、具有成本效益的方法，没有任何并发症，可以作为治疗糖尿病患者的一种补充方法，与其他方法一起使用。
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