Effect Of Trans-theoretical Model-based Health Education On Self-management Behaviors Of Young And Middle-aged Patients With Newly Diagnosed Type 2 Diabetes Mellitus

Objective To discuss the trans-theoretical model(Trans-theoretical Model,TTM)factors of health education guidance for young healthy behaviors in patients with type 2diabetes intervention and health behavior influence;understand diabetes knowledge,health beliefs,as in young healthy behaviors in patients with type 2 diabetes and provide a theoretical reference of education.Method From October 2016 to April 2017,70 cases of the first diagnosed type 2 diabetes in young people in Ningxia people's Hospital and those who met the inclusion criteria were randomly selected as the subjects.According to the random number table method,they were divided into 35 groups,35 in the control group.The control group received conventional diabetes health education method and health behavior intervention.The experimental group adopted health education mode based on trans theoretical model to conduct health behavior intervention.Before,3,6 and 9 months before intervention,behavioral change stage assessment scale,2-DSCS scale,DKT questionnaire and HBM questionnaire were used to assess the two groups of patients' health behavior stages and the effect of health behavior intervention.Results1.Baseline data showed that before intervention,there was no significant difference in general status data,self management behavior change stage,2-DSCSscale score,DKT questionnaire score and HBM questionnaire score in the two groups before intervention(P>0.05).2.Before intervention,the total score of self-management behavior of young and middle-aged patients with newly diagnosed type 2 diabetes mellitus was(83.34 ± 12.08),and the average score index was 64.10%.The results showed that the highest level of medication compliance was 81.66%,while the lowest score index was 54.96% of foot care and 58.30% of blood glucose monitoring.After the intervention,the total scores of the other dimensions and self management behavior in the two groups were statistically significant(P<0.05)in 6 months and 9 months,and there were significant differences in each time point(T0,T3,T6,T9)in the experimental group(P<0.05);the control group was statistically significant(P<0.05).There was no significant diffe rence in(T0T3,T6,T9)at any time point(P>0.05).3.Before and 3 months after intervention,there was no statistical difference between the FPG,2h PG and Hb A1 c groups in the two groups(P>0.05),and there was a statistically significant difference between the 6 months and the 9 months(P<0.05).The comparison of the FPG values in each time point(T0,T3,T6,T9)was statistically significant(P<0.05)in the experimental group(P<0.05).There was a signi ficant difference between the control group for 3 months and the intervention before and before the intervention(P<0.05),and the comparison of the time points(T0,T3,T6,T9)in the 2h PG group: the test group had statistics.There was no statistical differenc e between the 9 months and 6 months in the control group(P>0.05),and the other time points were statistically different(P<0.05);the time points(T0,T3,T6,T9)were compared in the Hb A1 c group: the intervention group had a statistical difference between9 months and before the intervention,9 months and 6 months(P<0.05),and the other time.There was no statistical difference between the two points(P>0.05).4.the physical examination indexes of the experimental group and the control group before and after intervention were not statistically significant(P>0.05),and the weight and systolic pressure in the experimental group were lower than that before the intervention(P<0.05),and the contractile pressure in the control group was lower than that before the intervention(P<0.05).5.The two groups of patients with blood lipid level,after the intervention,the level of triglyceride(TG)in the two groups was lower than that before the intervent-ion(P<0.05),and the high density lipoprotein(HDL-C)in the experimental group was higher than that before the intervention(P<0.05).6.Before intervention,the proportion of behavior changes in the two groups was the most and the least in the former intention and the action stage,respectively,47.1% and 4.4%,respectively,and the difference in 6 and 9 months after intervention was statistically significant(P<0.05).7.in the two groups,there were statistical differences in each time point before and after the intervention of diabetes(P<0.05).After intervention,there was a statistically significant difference between the two groups for sixth months and 9months(P<0.05),and there were statistical significance(P<0.05)at each time point before and after the intervention of health belief(P>0.05).There was a statistically significant dif-ference between the two groups in sixth months and 9 months(P<0.05).Conclusions1.The overall level of self-management behavior,health belief and diabetes knowl edge level of young and middle-aged patients with newly diagnosed type 2 diabetes mellitus were relatively low.2.The health education based on the cross theory model can enable the young and middle-aged people to understand the knowledge of diabetes,enhance the confidence in the treatment of diabetes and prevent complications,thus promoting the improvement of the level of self-management behavior.