| Objective To explore the application effect of health education based on planned behavior theory in insulin injection behavior of patients with type 2 diabetes mellitus,and to provide a reference for clinical improvement of insulin injection compliance,maintenance of blood sugar level and quality of life in patients with type 2 diabetes mellitus.MethodsPart 1.Scheme construction:under the guidance of British Technical Recommendations for Injection and Infusion-4th Edition,combined with literature and research team’s recommendations,a first draft of the scheme and corresponding health education materials were developed,and the planned behavior theory health education on insulin injection behavior of type 2 diabetes patients was constructed through Delphi expert consultation.Part 2.Applied research:A randomized controlled study design was adopted,and 84 patients with type 2 diabetes who were treated in the special needs ward and endocrinology department of****Hospital from October 2021 to April 2022 were selected as the research objects according to the inclusion criteria.According to the random number table method and envelope drawing,they were divided into the control group and the observation group,with 42 patients in each group.The patients in the control group received routine health education,while the patients in the research group received health education based on the theory of planned behavior.Compare the scores of "my opinion on insulin" scale,insulin use knowledge behavior questionnaire,blood glucose control level and quality of life of the two groups of patients before intervention,3 months of intervention and 6 months of intervention.ResultsPart 1.Scheme construction A total of 15 experts were included in this study.(1)In the first round of expert correspondence,15 questionnaires were issued,15 of which were actually effectively recovered,with an effective recovery rate of 100%,and 9 experts gave their opinions;A total of 15 questionnaires were issued in the second round of expert correspondence,13 of which were actually effectively recovered,with an effective recovery rate of 86.7%.One expert proposed amendments.Experts are highly motivated to participate in this study.(2)The authority of experts in the first round was 0.91,and that of experts in the second round was 0.90.The authority of experts in both rounds was higher than 0.7,indicating that the experts in the two rounds had high authority and reliable results.The first round of expert opinion coordination(Kendall’s W)is 0.267,and the second round of expert opinion coordination is 0.326.(3)Through two rounds of expert correspondence,the health education intervention program of planned behavior theory for insulin injection behavior of type 2 diabetes patients was finally determined.Part 2.Applied research This study collected 84 effective type 2 diabetes patients.(1)Comparison of baseline data between the two groups:there was no significant difference between the two groups in terms of gender,age,education level,marital status,occupational category,complications,course of disease,combined medication,insulin injection needle model and other general data(P>0.05).(2)Comparison of the scores of the "My View on Insulin" scale between the two groups of patients:Before the intervention,there was no statistically significant difference in the scores of the "My View on Insulin" scale between the two groups of patients(P>0.05).After 3 and 6 months of intervention,the total score of the "my opinion on insulin" scale in the observation group was lower than that in the control group at the same period and before the intervention,and the time interaction effect was also statistically significant(P<0.05).(3)Comparison of insulin use knowledge behavior questionnaire scores between the two groups:Before intervention,there was no significant difference between the two groups in insulin use knowledge behavior questionnaire scores(P>0.05);After 3 and 6 months of intervention,the total score of the "my opinion on insulin" scale in the observation group was lower than that in the control group at the same period and before the intervention,and the time interaction effect was also statistically significant(P<0.05).(4)Comparison of blood glucose control levels between the two groups:before intervention,there was no significant difference in fasting blood glucose and 2h postprandial blood glucose levels between the two groups(P>0.05);After 3 and 6 months of intervention,the fasting blood glucose and 2h postprandial blood glucose levels in the observation group were lower than those in the control group at the same period and before the intervention,and the time interaction effect was also statistically significant(P<0.05).(5)Comparison of quality of life scores:Before intervention,there was no significant difference between the two groups in the quality of life scale scores of insulin treated patients(P>0.05).After 3 and 6 months of intervention,the total score of quality of life in the observation group was higher than that in the control group at the same period and before the intervention,and the time interaction effect was also statistically significant(P<0.05).Conclusion Health education based on the theory of planned behavior can improve the cognition and compliance of insulin injection behaviors in patients with type 2 diabetes,regulate the blood glucose level in the body,and improve the quality of life. |
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