伊朗德黑兰：利用短信传递信息，比较身体健康训练和理性行为理论（TRA）模型的心理训练对糖尿病患者生活质量的影响。
Comparative effect of physical health training and psychological training of the theory of reasoned action (TRA) model on the life quality of patients with diabetes in Tehran, Iran: utilization of message texting.
机构信息
Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Deputy of Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Endocr Disord. 2024 May 15;24(1):69. doi: 10.1186/s12902-024-01598-1.
BACKGROUND AND PURPOSE
Providing physical health and mental health training promotion is necessary for a sustainable change in attitude and lifestyle of diabetic patients. The present study was conducted with the aim of comparing the effect of physical health training and psychological training of the theory of reasoned action (TRA) model on the life quality of patients with type 2 diabetes.
METHODS
This experimental study was conducted in 2022 with two intervention groups and one control group consisting of 129 patients with type 2 diabetes who were referred to Imam Khomeini Hospital in Tehran. Over the course of one month, each individual in intervention group 1 received 15 text messages focusing on physical health, while intervention group 2 received 15 psychological text messages related to the TRA. The control group did not receive any text messages during this period. The data collection tool used was the "Audit of Diabetes-Dependent Quality of Life (ADDQoL)" questionnaire, which was completed by the participants before and after the intervention. The data were analyzed using SPSS version 16 software at a statistical significance level of 0.05.
RESULTS
In the intervention-1 group, the average life quality score was 8.51 units (P < 0.001), while in the intervention-2 group, it was 19.25 units (P < 0.001) higher than the control group. The psychological training group had a 17.62 units (P < 0.05) lower average fasting blood sugar (FBS) and a 10.74 units (P < 0.001) higher average quality of life compared to the physical training group.
CONCLUSION
The results of this study showed that the effectiveness of psychological training of the TRA model in improving life quality and reducing FBS in patients with diabetes is greater than physical health training. It is suggested that policy makers and health managers base future plans on physical health promotion training along with TRA model mental health training for the development of education in patients with diabetes. Specialists and healthcare workers can also act to improve personal health characteristics, especially those related to reducing FBS and increasing the quality of life of patients with diabetes, by using training through mobile phone text messages, particularly with psychological content TRA based.
背景与目的
为了使糖尿病患者的态度和生活方式发生可持续的改变，提供身体健康和心理健康培训是必要的。本研究旨在比较身体健康训练和基于理性行为理论（TRA）的心理训练对 2 型糖尿病患者生活质量的影响。
方法
这是一项 2022 年进行的实验研究，包括 3 个组，每组各 129 名 2 型糖尿病患者。在一个月的时间里，干预组 1 中的每个人都收到了 15 条关于身体健康的短信，而干预组 2 则收到了 15 条与 TRA 相关的心理短信。对照组在此期间未收到任何短信。使用的工具是“糖尿病相关生活质量评估问卷（ADDQoL）”，参与者在干预前后完成了该问卷。使用 SPSS 版本 16 软件进行数据分析，统计显著性水平为 0.05。
结果
在干预组 1 中，生活质量平均得分提高了 8.51 分（P < 0.001），而在干预组 2 中，得分提高了 19.25 分（P < 0.001），高于对照组。心理训练组的空腹血糖（FBS）平均降低了 17.62 分（P < 0.05），生活质量平均提高了 10.74 分（P < 0.001）。
结论
本研究结果表明，TRA 模型的心理训练在提高糖尿病患者生活质量和降低 FBS 方面比身体健康训练更有效。建议决策者和卫生管理者在未来的计划中，将基于 TRA 模型的心理健康培训与身体健康促进培训结合起来，为糖尿病患者的教育制定计划。专家和医疗保健工作者也可以通过使用基于 TRA 的手机短信培训来改善个人健康特征，特别是与降低 FBS 和提高糖尿病患者生活质量相关的特征。
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