Application of PRECEDE model combined with diet guidance in continuing nursing for diabetics
10.3760/cma.j.cn115682-20200226-01085
- VernacularTitle:PRECEDE模式联合饮食指导在糖尿病患者延续护理中的应用
- Author:
Hongmin ZHANG
1
;
Hongli ZHANG
;
Xiangli MENG
Author Information
1. 济宁医学院附属医院护理部，济宁 272000
- Keywords:
Diabetes mellitus, type 2;
PRECEDE model;
Diet guidance;
Follow-up;
Self-management
- From:
Chinese Journal of Modern Nursing
2020;26(24):3311-3315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of PRECEDE model combined with diet guidance in continuing nursing for patients with type 2 diabetes mellitus (T2DM) .Methods:The convenience sampling was used to select 108 T2DM patients from the Affiliated Hospital of Jining Medical University from August 2017 to April 2019, and they were divided into control group and observation group with the method of random number table, with 54 cases in each group. Control group carried out the routine follow-up nursing. On this basis, observation group implemented the PRECEDE model combined with diet guidance. We compared the glucose metabolism related indicators [fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin (HbA1c) ], and self-management ability score of patients between two groups at discharge and six months after discharge, and health knowledge mastery as well as chronic complications of those six months after discharge.Results:At discharge, there was no statistical difference in blood glucose indicators and score of self-management ability of patients between two groups ( P>0.05) . Six months after discharge, fasting blood glucose, 2-hour postprandial blood glucose and HbA1c of patients between two groups were lower than those before discharge, and those of observation group were lower than those of control group, the differences were statistically significant ( P<0.01) . Six months after discharge, there was no statistically significant difference in the score of self-management ability of patients in control group compared with that before discharge ( P>0.05) ; scores of self-management ability of patients in observation group six months after discharge were higher than those before discharge and those of control group with statistical differences ( P<0.01) . The rate of good scores on the Health Knowledge Questionnaire of patients in observation group six months after discharge was higher than that in control group with a statistical difference ( P<0.05) . Followed up for six months, the total incidence of complication of observation group was lower than that of control group also with a statistical difference ( P<0.01) . Conclusions:The application of PRECEDE model combined with diet guidance in the follow-up of T2DM patients can improve patients' health knowledge and self-management ability after discharge, help blood glucose control and reduce complications.
