Application of nursing intervention guided by protection motivation theory on blood sugar monitoring for diabetics

Abstract

Objective To observe the influences of nursing intervention in diabetics, guided by protection motivation theory (PMT), of their protection motivation of blood sugar monitoring, frequency of monitoring blood sugar and glycosylated hemoglobin, and level of their blood sugar and glycosylated hemoglobin. Methods A total of 100 diabetics eligible for this research were randomly divided into intervention group and control group, each with 50 cases. The patients in the control group were given routine nursing and the patients in the intervention group were given a further 6-month protection motivation theory-based nursing intervention. Changes in protection motivation of blood sugar monitoring, in frequency of monitoring blood sugar and glycosylated hemoglobin, and in index of blood sugar and glycosylated hemoglobin were compared. Results Before the intervention, comparison between scores in each dimension of protection motivation in blood sugar monitoring, frequency of monitoring blood sugar and glycosylated hemoglobin, and values of blood sugar and glycosylated hemoglobin between the two groups were not statistically significant (P>0.05). After the 6-month intervention in the intervention group, the susceptibility score was (6.530±0.952); the self-efficacy score was (9.462±0.617); blood glucose monitoring frequency was (24.126±2.712) times; glycosylated hemoglobin monitoring frequency was (2.080±0.868) times; fast blood sugar was (7.080±0.824)mmol/L; glycosylated hemoglobin was(6.823±0.158)%; the scores and values in the control group were (3.820±0.723), (6.729±1.341), (18.528±2.831) times, (1.812±0.778)times, (8.488±1.592)mmol/L, and (9.853±0.899)%, with significant differences (t=16.742, 8.435, 14.626, 12.489, -15.537, 3.395; P<0.05). Conclusions Nursing interventions guided by protection motivation theory can improve diabetics′ protection motivation and promote behavior of blood sugar monitoring and their metabolic index up to standard. Key words: Diabetes; Protection motivation theory; Blood sugar monitoring