A Theory-Based Nursing Intervention to Improve Self-Management Behavior and Health Status in Older Adults With Type 2 Diabetes and Frailty.

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing Pub Date : 2024-11-01 DOI:10.3928/19404921-20241106-01

Pei Wu, Li Liao

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引用次数: 0

Abstract

Purpose: To evaluate the effectiveness of a nursing intervention based on the integration theory of health behavior change (ITHBC) in older adults with type 2 diabetes mellitus (T2DM) and frailty.

Method: This cluster randomized controlled trial has a two-group pre-/posttest design. The intervention group received a 12-week nursing intervention based on the ITHBC and routine health education, whereas the control group only received routine health education. Self-management, frailty, quality of life, fasting blood glucose, body mass index (BMI), grip strength, and functional mobility were measured.

Results: Seventy-one participants (intervention group, n = 35; control group, n = 36) completed the entire study. After the intervention, participants in the intervention group exhibited significant improvements in self-management (all p < 0.001), frailty level (p = 0.006), quality of life (all p < 0.001), and grip strength (p < 0.05), and maintained ideal fasting blood glucose levels (p < 0.05) compared to participants in the control group. However, there were no statistically significant differences in BMI and functional mobility (p > 0.05).

Conclusion: The 12-week nursing intervention based on the ITHBC could enhance self-management, reduce frailty, improve quality of life and grip strength, and maintain optimal fasting blood glucose levels in older adults with T2DM. [Research in Gerontological Nursing, 17(6), 293-306.].

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基于理论的护理干预，改善 2 型糖尿病和体弱老年人的自我管理行为和健康状况。

目的：评估基于健康行为改变整合理论（ITHBC）的护理干预对患有 2 型糖尿病（T2DM）和体弱的老年人的效果：该群组随机对照试验采用前/后两组设计。干预组接受为期 12 周的基于 ITHBC 和常规健康教育的护理干预，而对照组只接受常规健康教育。对自我管理、虚弱程度、生活质量、空腹血糖、体重指数（BMI）、握力和功能活动能力进行了测量：71名参与者（干预组，35人；对照组，36人）完成了整个研究。干预后，与对照组的参与者相比，干预组的参与者在自我管理（所有 p < 0.001）、虚弱程度（p = 0.006）、生活质量（所有 p < 0.001）和握力（p < 0.05）方面均有显著改善，并保持了理想的空腹血糖水平（p < 0.05）。然而，体重指数和功能活动度方面的差异无统计学意义（P > 0.05）：结论：基于 ITHBC 的 12 周护理干预可加强 T2DM 老年人的自我管理、减轻虚弱、改善生活质量和握力，并保持最佳空腹血糖水平。[老年护理研究》，17（6），293-306。］

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来源期刊

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.