{"title":"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。","authors":"Pei Wu, Li Liao","doi":"10.3928/19404921-20241106-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>Seventy-one participants (intervention group, <i>n</i> = 35; control group, <i>n</i> = 36) completed the entire study. After the intervention, participants in the intervention group exhibited significant improvements in self-management (all <i>p</i> < 0.001), frailty level (<i>p</i> = 0.006), quality of life (all <i>p</i> < 0.001), and grip strength (<i>p</i> < 0.05), and maintained ideal fasting blood glucose levels (<i>p</i> < 0.05) compared to participants in the control group. However, there were no statistically significant differences in BMI and functional mobility (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>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. [<i>Research in Gerontological Nursing, 17</i>(6), 293-306.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 6","pages":"293-306"},"PeriodicalIF":1.1000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Theory-Based Nursing Intervention to Improve Self-Management Behavior and Health Status in Older Adults With Type 2 Diabetes and Frailty.\",\"authors\":\"Pei Wu, Li Liao\",\"doi\":\"10.3928/19404921-20241106-01\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>Seventy-one participants (intervention group, <i>n</i> = 35; control group, <i>n</i> = 36) completed the entire study. After the intervention, participants in the intervention group exhibited significant improvements in self-management (all <i>p</i> < 0.001), frailty level (<i>p</i> = 0.006), quality of life (all <i>p</i> < 0.001), and grip strength (<i>p</i> < 0.05), and maintained ideal fasting blood glucose levels (<i>p</i> < 0.05) compared to participants in the control group. However, there were no statistically significant differences in BMI and functional mobility (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>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. [<i>Research in Gerontological Nursing, 17</i>(6), 293-306.].</p>\",\"PeriodicalId\":51272,\"journal\":{\"name\":\"Research in Gerontological Nursing\",\"volume\":\"17 6\",\"pages\":\"293-306\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research in Gerontological Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/19404921-20241106-01\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research in Gerontological Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/19404921-20241106-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
A Theory-Based Nursing Intervention to Improve Self-Management Behavior and Health Status in Older Adults With Type 2 Diabetes and Frailty.
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.].
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.
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