Application Of Interactive Theory Of Goal Attainment In Self-management Behavior Of Young And Middle-aged Type 2 Diabetes Patients

Objective: By applying the interactive theory of goal attainment to young and middle-aged patients with type 2 diabetes,patients are encouraged to actively participate in health education,change their bad lifestyles,promote their optimal health status,and improve self-management ability of young and middle-aged patients with type 2 diabetes.Control glucose metabolism indicators,thereby reducing or delaying the occurrence and development of complications,alleviating related psychological pain,and improving patients' quality of life.Methods: Selected the patients from the Department of Endocrinology,Ruikang Hospital of Guangxi University of Traditional Chinese Medicine,from March 2018 to October 2018,diagnosed as a young and middle-aged hospitalized patient with type 2 diabetes.Seventy-two patients who met the inclusion criteria were randomly divided into a control group and an observation group,with 36 patients in each group.The control group used the conventional health education method.The observation group used the interactive theory of goal attainment for health education on the basis of routine health education.Observed changes in glucose metabolism related indicators(fasting blood glucose,postprandial 2-hour glucose,glycosylated hemoglobin)before and after intervention,using the Diabetes Self-Management Behavior Scale and diabetes knowledge assessment questionnaire evaluated the changes in self-management behavior and knowledge awareness rate of the two groups of patients.The data were analyzed by SPSS20.0 software.The measurement data was expressed by averaged,The count data was analyzed by chi-square test,and the statistical test significance level was statistically significant at P<0.05.RESULTS:(1)General information: There were no significant differences between the two groups in terms of gender,age,ethnicity,occupation,education level,payment method,age of illness,family history of diabetes,presence or absence of complications,and treatment.(P>0.05),indicating that the baseline data of the two groups of patients were comparable.(2)There were no significant differences in fasting blood glucose,postprandial blood glucose and glycosylated hemoglobin between the two groups(P>0.05).There was no significant difference in the level of knowledge of diabetes(P>0.05).There was no significant difference in the scores of management behaviors in the five dimensions of exercise therapy,dietary principles,blood glucose self-monitoring,foot care and high or low blood glucose treatment(P>0.05),while the difference in medication management dimensions was statistically significant(P<0.05),the control group was higher than the observation group;the difference of diabetes knowledge evaluation scores was not statistically significant(P>0.05);the total score of self-management behavior was not statistically significant(P>0.05).(3)There were significant differences in fasting blood glucose and glycosylated hemoglobin between the two groups(P<0.05).The observation group was higher than the control group;the difference of blood glucose at 2 hours after meal was not statistically significant(P>0.05);self-management behavior was There were statistically significant differences in the four dimensions of exercise management,diet management,medication management,and treatment of high or low blood glucose(P<0.05).The observation group was higher than the control group;the difference between blood glucose monitoring and foot care was not statistically significant.The significance(P>0.05);the difference of total knowledge of diabetes knowledge was statistically significant(P<0.05),the difference of total scores of self-management behavior was statistically significant(P<0.05),and the observation group was higher than the control group.(4)There were significant differences in fasting blood glucose,blood glucose and glycosylated hemoglobin in the control group before and after intervention(P<0.05).The difference of knowledge assessment and self-management behavior was statistically significant(P<0.05),self-management behavior.The differences in the six dimensions were statistically significant(P<0.05).There were significant differences in fasting blood glucose,postprandial blood glucose and glycosylated hemoglobin in the observation group before and after intervention(P<0.05).The difference of knowledge assessment and self-management behavior was statistically significant(P<0.05).Self-management behavior in 6 dimensions were statistically significant(P<0.05).