Application Effect Of Self-Management Intervention In Pre-Diabetic Population Based On Protective Motivation Theory

Objective: Under the background of healthy China Action,this study implemented the intervention model of self-management behavior based on the theory of protective motivation,and compared the changes of metabolic index and self-management behavior of pre-diabetic population before and after intervention.to explore the effect of nursing intervention based on protective motivation theory in pre-diabetic population.In order to provide basis data for the health management of pre-diabetic population.Methods: A quasi-experimental study was used in this study.In strict accordance with the sampling method,the subjects of prediabetes who took metformin in the endocrine clinic of a second-class hospital in Jilin Province from April 2019 to September 2019 were divided into control group(routine nursing education)and experimental group(routine nursing + protective motivation intervention).The relevant data were collected before intervention,3 months and 6 months after intervention,and the data were repeatedly measured by analysis of variance(ANOVA).The changes of disease knowledge,protective motivation,treatment compliance,self-management behavior and related metabolic indexes were observed in the two groups.The data were analyzed by SPSS 26.0statistical software.Results:(1)Homogeneity test of research objects.The average age of the subjects included in this study was 53.34 ±9.01.the number of women(50%)was equal to that of men(50%);the number of Han nationality(73.1%)was more than that of ethnic minorities(26.9%);the maximum number of medical insurance for urban residents was 31,accounting for 48.4%;among the per capita monthly income,24 were less than 3000 yuan,accounting for 37.5%.The level of education is on the high side,and the number of college students is 27.Among the disease-related data,24 people had a history of hypertension,accounting for 37.5%,30 people with a history of hyperlipidemia,accounting for 46.9%,and 24 people with a family history of diabetes,accounting for 37.5%.(2)Comparison of disease knowledge before and after intervention.In this study,the understanding of disease knowledge in the pre-diabetic population was in the middle level,and there was no difference between the two groups before intervention(P > 0.05).After intervention,the total score of disease knowledge in the experimental group was significantly higher than that in the control group(P < 0.05).(3)Comparison of health behaviors before and after intervention.There was no significant difference in the scores of protective motivation and treatment compliance between the two groups before intervention(P > 0.05).The scores of the dimensions of severity,susceptibility,response efficacy and self-efficacy in the test group showed an upward trend with the extension of intervention time,which was higher than that in the control group.The scores of internal reward,external reward and reaction cost in the experimental group decreased with the extension of intervention time,which was larger than that in the control group.After the intervention of diet and exercise compliance,the score of the test group was significantly higher than that of the control group(P < 0.05).The score of drug compliance in the control group was higher than that in the experimental group,and the difference was significant(P < 0.05).(4)Comparison of self-management behavior before and after intervention.The total score of self-management behavior before intervention in this study was(118.05±14.03).There was no significant difference in the scores of each dimension(P > 0.05).After intervention,the score of the experimental group was higher than that of the control group,and the difference was significant(P < 0.05).(5)Comparison of physiological and biochemical metabolic indexes before and after intervention.There was no significant difference in physiological and biochemical metabolic indexes between the two groups before intervention(P > 0.05).After intervention,the systolic blood pressure,diastolic blood pressure,fasting blood glucose,two-hour postprandial blood glucose and glycosylated hemoglobin in the test group were significantly lower than those in the control group(P< 0.05).Conclusion:The main results are as follows:(1)Nursing intervention based on protective motivation theory can improve the disease knowledge level of pre-diabetic people.(2)Nursing intervention based on protective motivation theory can improve the level of protective motivation of prediabetic population,and treatment compliance can promote pre-diabetic population to take healthy behavior.(3)Nursing intervention based on protective motivation theory can effectively improve systolic blood pressure,diastolic blood pressure,fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin.(4)Nursing intervention based on protective motivation theory can promote pre-diabetic people to form good self-management behavior.