目的 探究基于六西格玛理论的健康教育模式对2型糖尿病患者自我管理能力及生活质量的影响。方法 选取2020年6月—2021年2月期间于平顶山市第一人民医院特需内科就诊的且符合纳入标准的120例2型糖尿病患者,按照随机数字表法将所有患者分为两组,即对照组、观察组各60例。对照组行常规模式干预,观察组在常规模式的基础上联合以六西格玛理论为导向的健康教育模式干预。比较两组自我管理能力、生活质量、自我授权能力、疾病知识知晓情况、主观幸福感、心理情绪指标的差异。结果 观察组自我管理能力高于对照组(饮食:t=10.350,P＜0.001;运动:t=5.558,P＜0.001;用药:t=7.791,P＜0.001;检查:t=3.276,P＜0.001)。观察组生活质量高于对照组(躯体功能:t=4.807,P＜0.001;心理功能:t=7.353,P＜0.001;社会功能:t=7.326,P＜0.001;物质生活状态:t=7.015,P＜0.001)。观察组自我授权能力(t=7.515,P＜0.001)、疾病知识知晓情况(t=18.470,P＜0.001)、主观幸福感上(t=6.157,P＜0.001)得分高于对照组。观察组焦虑(t=25.430,P＜0.001)、抑郁(t=12.710,P＜0.001)得分低于对照组。结论 实施基于六西格玛理论的健康教育策略可明显增强患者自我管理能力,缓解心理负面情绪,提高生活质量。
Abstract
Objective To explore the effect of health education model based on Six Sigma theory on self-management ability and quality of life of patients with type 2 diabetes. Methods A total of 120 patients with type 2 diabetes who were treated in the special internal medicine department of Pingdingshan First People's Hospital from June 2020 to February 2021 and met the inclusion criteria were selected.According to the random number table method,all patients were divided into two groups,namely,the control group and the observation group,with 60 cases each.The control group received routine model intervention,while the observation group received health education model intervention guided by Six Sigma theory on the basis of routine model.The differences of self-management ability,quality of life,self-authorization ability,disease knowledge awareness,subjective well-being,psychological and emotional indicators were compared between the two groups. Results After intervention,the self-management ability of the observation group was higher than that of the control group (diet: t=10.350,P<0.001;exercise:t=5.558,P<0.001;medication: t=7.791,P<0.001;examination: t=3.276,P<0.001).After intervention,the quality of life of the observation group was higher than that of the control group (physical function: t=4.807,P<0.001;psychological function: t=7.353,P<0.001;social function: t=7.326,P<0.001;material living status: t= 7.015,P < 0.001).The scores of self-authorization ability (t=7.515,P<0.001),disease knowledge awareness (t=18.470,P<0.001),and subjective well-being (t=6.157,P<0.001) in the observation group were higher than those in the control group.The scores of anxiety (t=25.430,P<0.001) and depression (t=12.710,P<0.001) in the observation group were lower than those in the control group. Conclusion The implementation of health education strategy based on Six Sigma theory can significantly enhance the self-management ability of patients,alleviate negative psychological emotions,and improve the quality of life.
关键词
六西格玛理论 /
2型糖尿病 /
自我管理能力 /
生活质量 /
健康教育干预 /
慢性病管理
Key words
Six Sigma theory /
Type 2 diabetes /
Self-management ability /
Quality of life /
Health education intervention /
Chronic disease management
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参考文献
[1] Pearson ER.Type 2 diabetes:a multifaceted disease[J].Diabetologia,2019,62(7):1107-1112.
[2] Khan RMM,Chua ZJY,Tan JC,et al.From Pre-Diabetes to Diabetes:Diagnosis,Treatments and Translational Research[J].Medicina (Kaunas),2019,55(9):546.
[3] Thornton PL,Kumanyika SK,Gregg EW,et al.New research directions on disparities in obesity and type 2 diabetes[J].Ann N Y Acad Sci,2020,1461(1):5-24.
[4] Prasad RB,Groop L.Precision medicine in type 2 diabetes[J].J Intern Med,2019,285(1):40-48.[5] 苏亚玲,姜振东.健康教育干预心理状态对2型糖尿病患者的临床效果分析[J].中国健康教育,2020,36(9):845-847,865.
[6] 何昕.六西格玛管理理论在肺癌患者健康教育中的应用[J].上海护理,2021,21(5):13-16.
[7] 张凱琳,张俊梅,张海燕.六西格玛理论在冠心病患者健康教育中的应用效果[J].中华现代护理杂志,2018,24(31):3818-3822.
[8] 郭婷,郭媛媛.基于六西格玛理论的健康教育在冠心病心绞痛患者中的应用效果分析[J].医学临床研究,2021,38(5):799-801.
[9] 李林,王娅囡,刘颖,等.基于六西格玛管理理论健康教育对护理职业危害预防效果的分析[J].中国工业医学杂志,2019,32(4):290-293.
[10] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志,2021,13(4):315-409.
[11] 张婧珺,刘宁,鱼星锋,等.糖尿病自我管理量表的研制及信效度检验[J].护理研究,2014,(28):3578-3580.
[12] 梁执群,薛云珍,白瑞,等.生存质量表评价2型糖尿病患者的信度、效度[J].中国公共卫生,2005,21(2):134-135.
[13] Anderson RM,Fitzgetald JM,Gruppen LD,et al.The diabetes empowerment scale-short form(DES-SF)[J].Diabetes Care,2003,26(5):1641-1642.
[14] Fitzgerald JT, Funnell MM, Hess GE, et al. The reliability and validity of a brief diabetes knowledge test[J]. Diabetes Care,1998,21(5):706-716.
[15] 段建华.总体幸福感量表在我国大学生中的试用结果与分析[J].中国临床心理学杂志,1996,4(1):56.
[16] 孙振晓,刘化学,焦林瑛,等.医院焦虑抑郁量表的信度及效度研究[J].中华临床医师杂志(电子版),2017,11(2):198-201.
[17] US Preventive Services Task Force,Davidson KW,Barry MJ,et al.Screening for Prediabetes and Type 2 Diabetes:US Preventive Services Task Force Recommendation Statement[J].JAMA,2021,326(8):736-743.
[18] Winkley K,Upsher R,Stahl D,et al.Psychological interventions to improve self-management of type 1 and type 2 diabetes: a systematic review[J].Health Technol Assess,2020,24(28):1-232.
[19] 马斐飞,王玉娟,陈拥军,等.六西格玛理论的健康教育对青光眼合并白内障手术患者心理状态及自我管理能力的影响[J].中国健康心理学杂志,2021,29(9):1322-1326.
[20] 倪四峰,代选慧.基于六西格玛理论的健康教育对冠心病患者自护能力、疾病知识认知及生存质量的影响[J].海南医学,2019,30(15):2031-2034.
[21] 张艳,黄金,李蓓,等.2型糖尿病患者糖尿病知识与医护支持及授权能力的相关性[J].护理学杂志,2019,34(8):34-37.
[22] Liu SY,Huang J,Dong QL,et al.Diabetes distress,happiness,and its associated factors among type 2 diabetes mellitus patients with different therapies[J].Medicine (Baltimore),2020,99(11):e18831.
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