基于正常化概念的健康管理方案对2型糖尿病患者血糖及心理状态的影响
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女,博士,副主任护师

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科研项目:2024年度河南省医学科技攻关计划联合共建项目(LHGJ20240072)


Effect of a health management program based on the concept of normalizing on blood glucose and psychological state of patients with type 2 diabetes mellitus
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    目的 探讨基于正常化概念的健康管理方案对2型糖尿病患者血糖控制及心理状态的改善作用,为2型糖尿病患者从“疾病管理”到“疾病融入生活”转化提供参考。 方法 根据入院时间,将2023年2-9月入院的71例2型糖尿病患者作为对照组,给予常规护理;2024年2-9月入院的71例患者作为干预组,实施基于正常化概念的健康管理方案,干预周期1年。通过空腹血糖、餐后2 h血糖、糖化血红蛋白,结合心理弹性量表、糖尿病病耻感量表、感知社会支持量表、糖尿病自我管理行为量表进行综合评价。 结果 对照组68例、干预组69例完成研究。干预后,干预组空腹血糖、餐后2 h血糖、糖化血红蛋白显著优于对照组(均P<0.05);心理弹性、感知社会支持、糖尿病自我管理行为得分显著高于对照组,病耻感得分显著低于对照组(均P<0.05)。 结论 基于正常化概念的健康管理方案可改善2型糖尿病患者血糖控制水平,提高自我管理行为、心理弹性和感知社会支持水平,降低病耻感。

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    Objective To explore the effect of a health management program based on the concept of normalizing on glycemic control and psychological state in patients with type 2 diabetes mellitus, and to provide reference for shifting the focus from "disease ma-nagement" to "integrating the disease into daily life". Methods A total of 71 patients admitted from February to September 2023 were assigned to the control group, receiving routine nursing care, and 71 patients admitted from February to September 2024 were served as the intervention group, receiving a health management program based on the concept of normalizing.The intervention lasted one year.The fasting plasma glucose (FPG), 2-hour postprandial blood glucose (2 h PG), and glycosylated hemoglobin (HbA1c) were measured.The Connor-Davidson Resilience Scale (CD-RISC), the Type 2 Diabetes Stigma Assessment Scale (DSAS-2), the Perceived Social Support Scale (PSSS), and the Summary of Diabetes Self-Care Activities measure (SDSCA) were utilized to measure the effect. Results A total of 68 patients in the control group and 69 in the intervention group completed the intervention.After the intervention, the FPG, 2 h PG, and HbA1c levels in the intervention group were significantly lower than those in the control group (all P<0.05).The intervention group had significantly higher scores for CD-RISC, SDSCA, and PSSS, whereas lower DSAS-2 score compared to the control group (all P<0.05). Conclusion Health management program based on the concept of normalizing can achieve better glycemic control in patients with type 2 diabetes mellitus, enhance their self-management behavior, resilience and perceived social support, and reduce stigma.

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黄文贞,吴锦华,吕英华,李莉,张海鑫,王洁,韦伟.基于正常化概念的健康管理方案对2型糖尿病患者血糖及心理状态的影响[J].护理学杂志,2026,41(7):26-30+51

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  • 收稿日期:2025-11-10
  • 最后修改日期:2026-01-14
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  • 在线发布日期: 2026-04-28