摘要
目的 剖析肥胖症合并2型糖尿病用HBM理论下护理干预的作用。方法 随机均分2023年6月-2025年5月本院接诊肥胖症合并2型糖尿病病人(N=70)。试验组采取HBM理论下护理干预,对照组行常规护理。对比体质量指数等指标。结果 关于体质量指数:干预后,试验组(25.01±0.73)kg/m2,对照组(26.98±0.81)kg/m2,差异显著(P<0.05)。空腹和餐后2h血糖:干预后,试验组(5.37±0.64)mmol/L、(8.01±1.04)mmol/L,对照组(6.72±0.85)mmol/L、(9.73±1.17)mmol/L,差异显著(P<0.05)。满意度:试验组97.14%,对照组80.0%,P<0.05。结论 肥胖症合并2型糖尿病病人用HBM理论下护理干预,其体质量指数、血糖与满意度均得到显著改善。
关键词: 2型糖尿病;自护能力;肥胖症;HBM理论;护理
Abstract
Objective To analyze the effect of nursing intervention under the HBM theory for obesity with type 2 diabetes. Methods Obesity patients with type 2 diabetes were randomly divided into two groups from June 2023 to May 2025 (N=70). The experimental group received nursing intervention based on HBM theory, while the control group received routine nursing care. Compare indicators such as body mass index. Results Regarding body mass index: After intervention, the experimental group (25.01 ± 0.73) kg/m2 and the control group (26.98 ± 0.81) kg/m2 showed significant differences (P<0.05). Fasting and 2-hour postprandial blood glucose: After intervention, the experimental group had (5.37 ± 0.64) mmol/L and (8.01 ± 1.04) mmol/L, while the control group had (6.72 ± 0.85) mmol/L and (9.73 ± 1.17) mmol/L, with significant differences (P<0.05). Satisfaction: 97.14% in the experimental group and 80.0% in the control group, P<0.05. Conclusion The body mass index, blood sugar and satisfaction of obese patients with type 2 diabetes were significantly improved by nursing intervention under the HBM theory.
Key words: Type 2 diabetes; Self-protection ability; Obesity; HBM theory; Nursing
参考文献 References
[1] 陈宇婷,刘长菊,李云. 健康行为互动模式护理干预在肥胖型2型糖尿病患者管理中的应用与效果评价[J]. 糖尿病新世界,2024,27(19):150-153.
[2] 李雯雯,李红岩,贾静. 延续性护理在腹腔镜袖状胃切除术治疗肥胖合并2型糖尿病患者中的应用[J]. 保健医学研究与实践,2023,20(10):120-123.
[3] 高晶,陈慧. 积极心理学理论下的护理干预在超重/肥胖2型糖尿病患者中的应用[J]. 四川解剖学杂志,2025, 33(2):190-192.
[4] DANILO DURSONIAH, MAXIME FOLSCHETTE, CEDRIC LHOUSSAINE, et al. Limits of a Glucose-Insulin Model to Investigate Intestinal Absorption in Type 2 Diabetes: Work in progress[C]//The Thirteenth International Conference on Bioinformatics, Biocomputational Systems and Biotechnologies: BIOTECHNO 2023, Valencia, Spain, 30 May - 3 June 2023.: Curran Associates, Inc., 2023,12(6):4-7.
[5] 马晴雯,刘聪聪,代美帅. 舒适护理对2型糖尿病合并肥胖症患者的效果分析[J]. 糖尿病新世界,2024,27(14): 137-140.
[6] 翟瑞华,陶爱军,杜向霞,等. 个性化护理结合认知行为干预对2型糖尿病肥胖女性糖脂代谢、焦虑、抑郁及生活质量的影响[J]. 糖尿病新世界,2024,27(13):12-15.
[7] 罗莎莎,李玉霞. 高强度间歇运动护理训练对2型糖尿病合并肥胖患者糖脂代谢的影响[J]. 医学信息,2024, 37(6): 151-154.
[8] 王翠翠,徐晓杰. HBM理论下护理干预在肥胖症合并2型糖尿病患者中应用价值分析[J]. 糖尿病天地,2025, 22(1):188-189.
[9] 杨小玲. 健康信念结合标准化饮食护理在2型糖尿病肥胖患者中的应用[J]. 中国标准化,2024,19(20):291-294.
[10] 陈新宇,姜晓尉,苏昳伽. 健康信念结合标准化饮食护理在2型糖尿病肥胖患者中的应用[J]. 糖尿病新世界, 2024, 27(16):155-157,161.
[11] 苏幼明,陈莹莹,吴晓玲. 健康信念模式联合标准化饮食护理在2型糖尿病肥胖患者中的应用[J]. 中西医结合护理(中英文),2023,9(9):94-96.