基于金氏目标达成理论的护士主导干预项目对2型糖尿病患者健康促进行为和生活满意度的影响：一项随机对照临床试验

Effects of nurse-led intervention programs based on King's theory of goal attainment on health-promoting behaviors and life satisfaction in patients with type 2 diabetes: a randomized controlled clinical trial.

作者信息

Noroozi Fahime, Dehghan Azizallah, Bijani Mostafa, Nikrouz Leila

机构信息

Student Research Committee, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran.

Noncommunicable Diseases Research Center (NCDRC), Fasa University of Medical Sciences, Fasa, Iran.

出版信息

BMC Nurs. 2024 Sep 27;23(1):684. doi: 10.1186/s12912-024-02364-3.

DOI:10.1186/s12912-024-02364-3

PMID:39334318

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11438056/

Abstract

BACKGROUND

Type 2 diabetes being a chronic condition that requires long-term care. This study examined the impact of an educational program using King's goal attainment model on health behaviors and life satisfaction in type 2 diabetes patients.

METHODS

This is a randomized controlled clinical trial with no blinding in which we tested two groups of intervention control. 70 patients with type 2 diabetes were allocated to an intervention (N = 35) and a control group randomly (N = 35). The nursing process stages included examination, diagnosis, goal determination, transaction based on patient preferences, and evaluation based on King's theory. Data was gathered using the Walker Health-Promoting Lifestyle Profile (HPLP) and Satisfaction with Life Scale (SWLS, before, after, and 3 months, post-intervention. Data were analyzed in SPSS25 through descriptive statistics, Chi-square Test, Independent and paired sample T-test, two-way ANOVA, and multivariate repeated measures ANCOVA. P-values < 0.05 were considered as the level of significance.

RESULTS

In the intervention group, there was a significant difference in the mean score of health-promoting behaviors and life satisfaction between the three time points (before, immediately after, and 3 months after). However, in the control group, there was no significant difference in the mean score of health-promoting behaviors and life satisfaction.

CONCLUSION

The results of this study suggest that an educational program based on King's goal attainment model can be effective in improving health-promoting behaviors and life satisfaction in patients with type 2 diabetes. Further studies are recommended to be conducted in different settings and with a longer follow-up period.

IRANIAN REGISTRY OF CLINICAL TRIALS

IRCT registration number: IRCT20190917044802N8.

REGISTRATION DATE

16/12/2022.

摘要

背景

2型糖尿病是一种需要长期护理的慢性疾病。本研究探讨了运用金氏目标达成模式的教育项目对2型糖尿病患者健康行为和生活满意度的影响。

方法

这是一项非盲法随机对照临床试验，我们对两组干预对照组进行了测试。70例2型糖尿病患者被随机分为干预组（N = 35）和对照组（N = 35）。护理过程阶段包括检查、诊断、目标确定、根据患者偏好进行干预以及基于金氏理论进行评估。使用沃克健康促进生活方式量表（HPLP）和生活满意度量表（SWLS）在干预前、干预后即刻以及干预后3个月收集数据。通过SPSS25进行描述性统计、卡方检验、独立样本和配对样本t检验、双向方差分析以及多变量重复测量协方差分析。P值<0.05被视为具有统计学意义。