Application of intervention based on health action process approach theory in patients with diabetes mellitus
10.3760/cma.j.cn115682-20200229-01207
- VernacularTitle:基于健康行动过程取向理论的干预在糖尿病患者中的应用
- Author:
Wei JIANG
1
;
Fei LI
;
Jinghan SU
Author Information
1. 吉林大学第一医院内分泌代谢疼痛护理平台，长春 130021
- Keywords:
Health action process approach;
Diabetes mellitus;
Self-management;
Distress
- From:
Chinese Journal of Modern Nursing
2020;26(22):3058-3061
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a self-management behavior intervention scheme for diabetic patients based on Health Action Process Approach (HAPA) and to explore its application effects in patients with diabetes mellitus.Methods:By the convenient sampling method, patients with type 2 diabetes mellitus who were hospitalized in the First Hospital of Jilin University were selected as research objects. According to the random number table method, they were divided into the control group ( n=61) and the experimental group ( n=67) . Patients in the control group were given conventional nursing methods while patients in the experimental group were given the intervention scheme based on HAPA. Summary of Diabetes Self Care Activities (SDSCA) and Chinese version of Diabetes Distress Scale (DDS) were used to assess the self-management level and distress before and after intervention. Results:Before intervention, there were no statistically significant differences in SDSCA scores in all dimensions between the two groups ( P>0.05) . After intervention, SDSCA scores in all dimensions were higher in the experimental group than in the control group, and the differences were statistically significant ( P<0.05) . Before intervention, there were no statistically significant differences in DDS scores in all dimensions between the two groups ( P>0.05) . After intervention, DDS scores in all dimensions in the experimental group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The self-management intervention scheme based on HAPA can improve the self-management behavior of diabetic patients and reduce their psychological distress.
