Res Gerontol Nurs. 2024 Nov-Dec;17(6):293-306. doi: 10.3928/19404921-20241106-01. Epub 2024 Nov 1.
To evaluate the effectiveness of a nursing intervention based on the integration theory of health behavior change (ITHBC) in older adults with type 2 diabetes mellitus (T2DM) and frailty.
This cluster randomized controlled trial has a two-group pre-/posttest design. The intervention group received a 12-week nursing intervention based on the ITHBC and routine health education, whereas the control group only received routine health education. Self-management, frailty, quality of life, fasting blood glucose, body mass index (BMI), grip strength, and functional mobility were measured.
Seventy-one participants (intervention group, = 35; control group, = 36) completed the entire study. After the intervention, participants in the intervention group exhibited significant improvements in self-management (all < 0.001), frailty level ( = 0.006), quality of life (all < 0.001), and grip strength ( < 0.05), and maintained ideal fasting blood glucose levels ( < 0.05) compared to participants in the control group. However, there were no statistically significant differences in BMI and functional mobility ( > 0.05).
The 12-week nursing intervention based on the ITHBC could enhance self-management, reduce frailty, improve quality of life and grip strength, and maintain optimal fasting blood glucose levels in older adults with T2DM. [(6), 293-306.].
评估基于健康行为改变整合理论（ITHBC）的护理干预对 2 型糖尿病（T2DM）合并衰弱老年人的有效性。
这是一项两群组预/后测的集群随机对照试验。干预组接受了为期 12 周的基于 ITHBC 和常规健康教育的护理干预，而对照组仅接受常规健康教育。测量自我管理、衰弱、生活质量、空腹血糖、体重指数（BMI）、握力和功能移动性。
71 名参与者（干预组，n=35；对照组，n=36）完成了整个研究。干预后，干预组的自我管理（均<0.001）、衰弱程度（=0.006）、生活质量（均<0.001）和握力（<0.05）显著改善，且空腹血糖水平保持理想（<0.05），与对照组相比。然而，BMI 和功能移动性（>0.05）没有统计学上的显著差异。
基于 ITHBC 的 12 周护理干预可以增强 T2DM 合并衰弱老年人的自我管理，减轻衰弱程度，提高生活质量和握力，并维持理想的空腹血糖水平。[（6），293-306]。
