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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (21): 74-78.doi: 10.16460/j.issn1008-9969.2019.21.074

• 健康管理 • Previous Articles    

Effect of Health Coaching in Health Management of Elderly Patients with Type 2 Diabetes Mellitus

LI Ping-ping, LI Rong, WANG Rui-hong, TANG Yi-tao, LIU Chun-juan   

  1. Xijing Hospital of Air Force Medical University, Xi'an 710032, China
  • Received:2019-07-01 Online:2019-11-10 Published:2020-07-17

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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

CLC Number: 

  • R473.58
[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.
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