保护动机理论是一种健康教育模式,在不同人群、类型的糖尿病的应用中产生了积极影响。本文主要介绍保护动机理论的定义和理论框架、干预内容以及在老年糖尿病、妊娠期糖尿病及糖尿病足患者中的应用现状,旨在为糖尿病的健康教育和临床开展保护动机理论的护理措施提供参考。
The theory of protective motivation is a health education model, which has a positive impact on the application of different populations and types of diabetes. This paper mainly introduces the defini-tion and theoretical framework of protective motivation theory, intervention content and applica-tion status in elderly patients with diabetes, gestational diabetes and diabetic foot, aiming to pro-vide reference for diabetes health education and clinical nursing measures of protective motivation theory.
保护动机理论,糖尿病,综述, Protective Motivation Theory Diabetes Mellitus Review摘要
Research Progress on the Application of Protective Motivation Theory in Diabetic Patients
Ruxia Shi, Lingling Weng
Yan’an University, Yan’an Shaanxi
Received: Jul. 22nd, 2022; accepted: Aug. 17th, 2022; published: Aug. 24th, 2022
ABSTRACT
The theory of protective motivation is a health education model, which has a positive impact on the application of different populations and types of diabetes. This paper mainly introduces the definition and theoretical framework of protective motivation theory, intervention content and application status in elderly patients with diabetes, gestational diabetes and diabetic foot, aiming to provide reference for diabetes health education and clinical nursing measures of protective motivation theory.
石如霞,翁玲玲. 保护动机理论在糖尿病患者中应用的研究进展Research Progress on the Application of Protective Motivation Theory in Diabetic Pa-tients[J]. 临床医学进展, 2022, 12(08): 7898-7904. https://doi.org/10.12677/ACM.2022.1281138
参考文献ReferencesKrishnamurti, U. and Steffes, M.W. (2001) Glycohemoglobin: A Primary Predictor of the Development or Reversal of Complications of Diabetes Mellitus. Clinical Chemistry, 47, 1157-1165.Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., et al. (2019) Global and Regional Diabetes Prevalence Estimates for 2019 and Projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th Edition. Diabetes Research and Clinical Practice, 157, Article ID: 107843.
<br>https://doi.org/10.1016/j.diabres.2019.107843单忠艳. 1. 根据2018年美国糖尿病学会标准诊断中国糖尿病患病率: 全国横断面研究[J]. 国际内分泌代谢杂志, 2020, 40(5): 314.Colberg, S.R., Sigal, R.J., Yardley, J.E., Riddell, M.C., Dunstan, D.W., Dempsey, P.C., et al. (2016) Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care, 39, 2065-2079.
<br>https://doi.org/10.2337/dc16-1728Yang, D., Yang, Y., Li, Y. and Han, R. (2019) Physical Exercise as Ther-apy for Type 2 Diabetes Mellitus: From Mechanism to Orientation. Annals of Nutrition & Metabolism, 74, 313-321. <br>https://doi.org/10.1159/000500110Jiménez-Cortegana, C., Iglesias, P., Ribalta, J., Vilariño-García, T., Mon-tañez, L., Arrieta, F., et al. (2021) Nutrients and Dietary Approaches in Patients with Type 2 Diabetes Mellitus and Car-diovascular Disease: A Narrative Review. Nutrients, 13, Article No. 4150. <br>https://doi.org/10.3390/nu13114150Pirsaheb, M., Almasi, A. and Rezaee, M. (2010) The Special Health Ed-ucation Course Effects on Knowledge, Attitude and Practice of Preparation, Distribution and Sale Centers Food Staff in Kermanshah. Iranian Journal of Health & Environment, 3, 299-308.Kok, G. (2014) A Practical Guide to Effective Behavior Change: How to Apply Theory- and Evidence-Based Behavior Change Methods in an Intervention. The Euro-pean Health Psychologist, 16, 156-170.Rogers, R.W. (1975) A Protection Motivation Theory of Fear Appeals and Attitude Change. The Journal of Psychology, 91, 93-114. <br>https://doi.org/10.1080/00223980.1975.9915803赵晓玲. 基于保护动机理论的护理干预对老年糖尿病患者自我护理能力的影响[D]: [硕士学位论文]. 太原: 山西医科大学, 2019.张莉莉. 保护动机理论在糖尿病前期人群自我效能中的应用研究[D]: [硕士学位论文]. 昆明: 昆明医科大学, 2019.康烁. 基于保护动机理论的护理干预对糖尿病患者血糖监测知识、行为、生化指标的影响[D]: [硕士学位论文]. 石家庄: 河北医科大学, 2015.蒋佳玮. 基于保护动机理论的自我管理干预在糖尿病前期人群中的应用效果[D]: [硕士学位论文]. 延边: 延边大学, 2021.戴颖, 张聿. 保护动机理论应用于糖尿病患者干预中的效果观察[J]. 国际医药卫生导报, 2019, 25(16): 2819-2822.姜莹莹, 董文兰, 毛凡, 张春华, 丁贤彬, 潘晓群, 等. 我国六省份社区糖尿病患者自我管理小组患者自我血糖监测水平及自我效能评价[J]. 中华预防医学杂志, 2014, 48(8): 710-714.Plotnikoff, R.C., Lippke, S., Trinh, L., Courneya, K.S., Birkett, N. and Sigal, R.J. (2010) Protection Motivation Theory and the Prediction of Physical Activity among Adults with Type 1 or Type 2 Diabetes in a Large Population Sample. British Journal of Health Psychology, 15, 643-661. <br>https://doi.org/10.1348/135910709X478826Morowatisharifabad, M.A., Asadpour, M., Zakeri, M.A. and Abdolkarimi, M. (2021) The Effect of Integrated Intervention Based on Protection Motivation Theory and Implementa-tion Intention to Promote Physical Activity and Physiological Indicators of Patients with Type 2 Diabetes. BioMed Re-search International, 2021, Article ID: 6637656.刘映云, 胡素恒, 张艳静. 以保护动机理论为基础的干预模式应用于老年糖尿病患者的效果分析[J]. 齐齐哈尔医学院学报, 2020, 41(15): 1980+后插1.冯惠璇, 罗洁莹, 郑玉燕, 潘惠娟. 基于保护动机理论的护理干预在老年患者健康管理中的应用[J]. 齐鲁护理杂志, 2019, 25(19): 45-48.曹俊, 张先庚, 孙坤, 王红艳, 杨玲娜, 刘林峰. 保护动机理论居家照护方案对社区老年糖尿病病人自我管理行为的研究[J]. 循证护理, 2021, 7(13): 1781-1785.张研, 刘化芹, 李晶. 以保护动机理论为框架的循证护理干预在老年糖尿病患者中的应用[J]. 中华现代护理杂志, 2020, 26(15): 2086-2090.王荔弘, 马玲. 基于保护动机理论护理对老年糖尿病临床效果、自我护理能力及心理状态的影响[J]. 新疆医学, 2020, 50(9): 977-979.Yao, X., Zhang, L., Du, J. and Gao, L. (2021) Effect of Information-Motivation-Behavioral Model Based on Protection Motivation Theory on the Psychological Resilience and Quality of Life of Patients with Type 2 DM. The Psychiatric Quarterly, 92, 49-62. <br>https://doi.org/10.1007/s11126-020-09783-wGao, C., Sun, X., Lu, L., Liu, F. and Yuan, J. (2019) Prevalence of Gestational Diabetes Mellitus in Mainland China: A Systematic Review and Me-ta-Analysis. Journal of Diabetes Investigation, 10, 154-162.
<br>https://doi.org/10.1111/jdi.12854Johns, E.C., Denison, F.C., Norman, J.E. and Reynolds, R.M. (2018) Ges-tational Diabetes Mellitus: Mechanisms, Treatment, and Complications. Trends in Endocrinology and Metabolism: TEM, 29, 743-754.施文艳, 高霞, 魏琴. 基于保护动机理论的干预对妊娠期糖尿病患者的影响[J]. 中国妇幼保健, 2019, 34(22): 5122-5124.凌湘, 张艳, 李芙蓉. 基于动机保护理论的护理对妊娠期糖尿病病人血糖控制和妊娠结局的影响[J]. 循证护理, 2020, 6(2): 169-173.杜玉. 基于保护动机理论的健康教育在妊娠期糖尿病患者自我护理能力中的应用研究[D]: [硕士学位论文]. 合肥: 安徽医科大学, 2016.陈洁, 吴茜, 程小霁. 对妊娠期糖尿病患者基于保护动机理论的护理干预[J]. 护理学杂志, 2017, 32(6): 25-27.闫艳. 基于保护动机理论护理对妊娠期糖尿病患者自护能力及分娩结局的影响[J]. 齐齐哈尔医学院学报, 2019, 40(3): 391-393.李莉莉, 史云, 李梦. 基于保护动机理论的健康教育配合支持性心理干预对妊娠期糖尿病患者认知水平、负性情绪及妊娠结局的影响[J]. 中国健康心理学杂志, 2019, 27(10): 1478-1482.刘丽君, 饶珊珊, 王喜丽, 丁香. 基于保护动机理论的护理模式在妊娠期糖尿病患者妊娠结局中的应用[J]. 国际护理学杂志, 2020, 39(9): 1689-1691.黄娜, 周英凤, 李丽, 章孟星, 王凯蓉. 妊娠期糖尿病孕妇血糖管理保护动机问卷的编制及信效度检验[J]. 中华护理杂志, 2021, 56(4): 561-566.黄娜, 周英凤, 李丽, 刘巧艳, 朱佳蕾, 汪玲, 等. 妊娠期糖尿病孕妇血糖管理决策行为及影响因素的研究[J]. 中华护理杂志, 2021, 56(9): 1312-1317.Lim, J.Z.M., Ng, N.S.L. and Thomas, C. (2017) Prevention and Treatment of Diabetic Foot Ulcers. Journal of the Royal Society of Medi-cine, 110, 104-109. <br>https://doi.org/10.1177/0141076816688346Van Netten, J.J., Price, P.E., Lavery, L.A., Monteiro-Soares, M., Rasmussen, A., Jubiz, Y., et al. (2016) Prevention of Foot Ulcers in the At-Risk Patient with Dia-betes: A Systematic Review. Diabetes/Metabolism Research and Reviews, 32, 84-98. <br>https://doi.org/10.1002/dmrr.2701Hassan, S. (2020) Application of Protection Motivation Theory to Diabetic Foot Care Behaviours in Egypt. Journal of Diabetes and Metabolic Disorders, 19, 869-873. <br>https://doi.org/10.1007/s40200-020-00573-6周娜, 侯爱和, 刘丽, 高旭东. 保护动机理论在糖尿病高危足患者护理干预中的应用[J]. 解放军护理杂志, 2014, 31(4): 6-10.杨晓春, 刘静雯, 谌贵美, 黄翠英, 黄雅丽, 张丽. 基于保护动机理论的综合护理干预在糖尿病高危足患者中的应用[J]. 齐鲁护理杂志, 2018, 24(11): 57-59.翟淑萍, 宋均仿, 翟海英. 保护动机理论干预在糖尿病高危足患者中的应用效果[J]. 护理实践与研究, 2019, 16(8): 30-32.韦琼, 张志凯, 张衍宁, 谭春荷, 符桂娇, 周君霞, 等. 保护动机理论对糖尿病高危足患者足部护理的影响[J]. 现代临床护理, 2015, 14(9): 16-20.蔡青, 卢湘, 白姣姣, 明月, 秦雯. 基于保护动机理论的糖尿病周围神经病变患者皮肤干预的效果评价[J]. 上海护理, 2021, 21(12): 39-42.赵文颖, 王晓静. 糖尿病高危足保护动机问卷的初步研制[J]. 山西医药杂志, 2020, 49(14): 1901-1905.