健康教练技术在老年2型糖尿病患者教育中的应用

doi:10.16460/j.issn1008-9969.2019.21.074

摘要/Abstract

摘要： 目的探讨将健康教练技术运用于老年2型糖尿病患者健康管理中的应用效果。方法将在我院就诊的147名老年2型糖尿病患者按随机数字表法分为对照组（72例）和观察组（75例）。对照组采用传统常规健康管理;观察组采取健康教练技术进行健康管理,比较干预前1 d及干预后6个月末2组患者的血糖变化情况、一般自我效能感得分及观察组对健康教练技术的应用效果评价。结果干预前1 d 2组老年2型糖尿病患者的空腹血糖、糖化血红蛋白及自我效能感得分的比较差异无统计学意义（P>0.05）,干预6个月末观察组空腹血糖与糖化血红蛋白值优于对照组（P<0.05）,干预6个月末观察组患者自我效能感得分明显高于对照组（P<0.05）;患者对健康教练技术应用效果各条目认可度均高于90%。结论健康教练技术有利于控制老年2型糖尿病患者血糖,提高老年2型糖尿病患者的自我效能感,达到良好的健康管理效果。

关键词: 健康教练技术, 2型糖尿病, 健康管理, 自我效能感, 老年

Abstract: Objective To explore the effect of health coaching in health management of elderly patients with type 2 diabetes mellitus (T2DM). Methods A total of 147 elderly patients with T2DM were randomly divided into control group (n=72) with conventional health management and observation group (n=75) with health coaching. Blood glucose change, the score of self-efficiency and evaluation of health coaching from patients in the observation group on the day before the intervention and at the end of 6-month intervention were compared in the two groups. Results Fasting blood sugar, glycosylated hemoglobin and the score of self-efficiency in the two groups on the day before the treatment showed no satistical significance (P>0.05) but at the end of 6-month intervention, there was improvement in fasting blood sugar and glycosylated hemoglobin in the observation group when compared with those in the control group (P<0.05). The score of self-efficiency in the observation group was obviously higher than that in the control group (P<0.05) and more than 90% of the patients in the observation group thought highly of health coaching. Conclusion Health coaching is beneficial to blood glucose control in elderly patients with T2DM, improving their self-efficiency and achieving the purpose of good health management.

Key words: health coaching, type 2 diabetes mellitus, health management, self-efficiency, elderly patient

中图分类号:

R473.58

李萍萍, 李嵘, 王瑞红, 汤医涛, 刘春娟. 健康教练技术在老年2型糖尿病患者教育中的应用[J]. 护理学报, 2019, 26(21): 74-78.

LI Ping-ping, LI Rong, WANG Rui-hong, TANG Yi-tao, LIU Chun-juan. Effect of Health Coaching in Health Management of Elderly Patients with Type 2 Diabetes Mellitus[J]. Journal of Nursing, 2019, 26(21): 74-78.

参考文献

[1] 容丹,潘丰慧,马慧珍.1例老年2型糖尿病营养不良患者的营养护理[J].护理学报,2018,25(4):63-64.DOI:10.16460/j.issn1008-9969.2018.04.063.
[2] 谢勇琼,严悦颜,陈莉.2型糖尿病伤口处理依从性及影响因素研究[J].护理学报,2017,24(17):56-59.DOI:10.16460/j.issn1008-9969.2017.17.056.
[3] Young H, Miyamoto S, Ward D, et al.Sustained Effects of a Nurse Coaching in Diabetes[J].Telemed J E Health,2014,20(9):828-834.DOI:10.16460/j.issn1008-9969.2018.04.063.
[4] Willard-Grace R, Chen E H, Hessler D, et al.Health Coaching by Medical Assistants to Improve Control of Diabetes, Hypertension,and Hyperlipidemia in Loe-income Patients:A Randomized Controlled Trail[J]. Ann Fam Med,2015,13(2):130-138.DOI:10.1370/afm.1768.
[5] 张超,崔银杰,孙晓娜,等.体验教具在2型糖尿病患者健康教育中的应用[J].护理学杂志,2019,32(5):8-11.DOI:10.3870 /j.issn.1001-4152.2019.05.008.
[6] Jordan M,Wolever R Q, Lawsonk, et al.National Training and Education Standards for Health and Wellness Coaching:The Path to National Certification[J]. Glob Adv Health Med,2015,4(3):46-56.DOI:10.7453/gahmj.2015.039.
[7] Oliveira J S, Sherrington C, Amorim A B, et al.What Is the Effect of Health Coaching on Physical Activity Participation in People Aged 60 Years and Over?A Systematic Review of Randomised Controlled Trails[J]. Br J Sports Med,2017,51(19):1425-1432.DOI:10.1136/bjsports-2016-096943.
[8] 马林,张会敏,王福利.健康教练技术在慢性病自我管理中的应用进展[J].中华护理教育,2018,15(5):292-296.DOI:10.3761/j.issn.1672-9234.2018.05.016.
[9] Moskowtz D, Thom D H,Hessler D, et al.Peer Coaching to Improve Diabetes Self-management:Which Patients Benifit Most?[J]. J Gen Intern Med,2013,28(7):938-942.DOI:10.1007/s11606-013-2367-7.
[10] Anderson R M, Fitzgerald J T,Gruppen L D, et al.The Diabetes Empowerment Scale-short Form (DES-SF)[J].Diabets Care,2003,26(5):1641-1642.DOI:10.2337/diacare.26.5.1641-a.
[11] Shiu A T Y, Choi K C, Wong R Y. The Concurrent Validity of the Chinese Version of the Diabetes Empowerent Scale-short From[J].Patient Educ Couns, 2012,87(2):258-260.DOI:10.2337/diacare.28.2.498-a.
[12] 段志光. 大健康人文系列丛书-基本理念篇[M].北京:人民卫生出版社,2016:46-53.
[13] Bennett H D, Coleman E A, Parry C, et al Health Coaching for Patients with Chronic Illness[J]. Fam Pract Manage,2010,17(5):24-29.
[14] Palmer A J, Vale M J, Wells C L, et al.The Longterm Cost Effectiveness of the “Coaching Patients on Acheving Cardiovascular Health” (Coach) Program in Type 2 Diabetes in Tasmania[J].Value Health,2016,19(7):A899.
[15] 江虹,丁福.健康教练技术在慢性病管理中的发展应用及思考[J].解放军护理杂志,2018,35(1):43-48.DOI:10.3969/j.issn.1008-9993.2018.01.009.

相关文章 15

[1]	王佩, 陈俊春, 张茵. 基于即刻学堂和微信整合移动学习平台对老年科护士培训的效果观察[J]. 护理学报, 2020, 27(9): 6-9.
[2]	武玉洁, 邢乃姣, 韩丽, 刘盼盼, 赵迪, 赵梦璐, 王爱敏. 社区老年人居家不出危险因素分析及风险预测模型构建[J]. 护理学报, 2020, 27(8): 11-15.
[3]	喻海涛, 孙琳, 韩小琴, 刘云. 3种创伤严重程度评分方法对老年创伤患者院内死亡预测价值的比较研究[J]. 护理学报, 2020, 27(8): 34-37.
[4]	杜娟, 许翠萍, 何从军, 章笑天, 翟静. 5所三级甲等医院216名儿科护士核心能力现状及影响因素分析[J]. 护理学报, 2020, 27(5): 35-38.
[5]	吾超, 郎红娟, 张蓝方, 张琳苑. 疲劳在急诊科护士一般自我效能感和压力知觉间的中介效应[J]. 护理学报, 2020, 27(4): 72-74.
[6]	赵迪, 赵梦璐, 王娜, 付明晶, 梁凤, 张伟, 王爱敏. 青岛市592名社区老年人社会隔离现状及影响因素研究[J]. 护理学报, 2020, 27(11): 6-10.
[7]	刘敏, 刘安诺, 吴德全, 高宇, 陈国红, 朱桂月, 张萌, 马雯, 丁翠路. 运动干预对2型糖尿病老年患者步行功能影响的Meta分析[J]. 护理学报, 2020, 27(11): 40-45.
[8]	李秋萍, 韩斌如, 陈曦. 外科大手术老年患者发生术后低蛋白血症影响因素的队列研究[J]. 护理学报, 2020, 27(11): 66-70.
[9]	任晶晶, 王艳红, 薛文俊, 张言, 王惠琳. 459例社区老年人衰弱与认知功能的相关性分析[J]. 护理学报, 2020, 27(10): 54-56.
[10]	张瑾钰, 谢仙萍, 苗华丽, 薛会元, 李卓霞, 张年年. 老年类风湿关节炎患者上肢功能锻炼基于希望理论运动干预的效果观察[J]. 护理学报, 2020, 27(10): 69-73.
[11]	程子真, 张琪, 甘燕玲. 机器人在老年人家庭护理中的应用研究进展[J]. 护理学报, 2019, 26(9): 42-45.
[12]	邢颖, 郑静, 陈晨, 陈申, 崔焱. 332名南京市城乡结合部老年人6种常见老年综合征现状及其与生存质量的典型相关分析[J]. 护理学报, 2019, 26(9): 52-56.
[13]	王惠琳, 张瑜, 牛晓丹, 任晶晶, 薛文俊, 张言, 王艳红. 国内外老年综合评估工具研究进展[J]. 护理学报, 2019, 26(8): 26-30.
[14]	许莹, 岑慧红, 陈燕兰, 陈伟坚, 林德芬, 黄诚, 朱瑞璇. 校企合作下养老服务与护理学生社会实践的效果评价[J]. 护理学报, 2019, 26(7): 11-15.
[15]	杨继平, 石泽亚, 周毅峰, 陈诚, 尹淑慧, 袁浩. 老年衰弱患者术前评估管理证据汇总[J]. 护理学报, 2019, 26(7): 34-39.

Metrics

Viewed

Full text

Abstract

Cited

Shared