Protective motivation theory in intervention of diabetic patients

Abstract

Objective To explore the effect of protective motivation theory in the intervention of diabetic patients. Methods 68 patients with diabetes admitted into our hospital from September, 2016 to September, 2017 were selected as a control group, and were routinely intervened, mainly introducing the patients with diabetes related knowledge by lectures or symposiums. From October, 2017 to October, 2018, 68 patients with diabetes admitted into our hosptial were selected as an observation group, and were intervened by protection motivation theory, mainly around the seven factors including severity, susceptibility, internal reward, external reward, response efficacy, self-efficacy, and reaction cost. The self-efficacy, blood glucose monitoring indicators, and incidence of complications were compared between the two groups. Results 3 months after the intervention, the DSES score was (106.76±6.58) in the observation group points, and was (92.56±5.97) in the control group, with a statistical difference (P<0.05); the blood glucose and glycated hemoglobin were higher and the incidence of complications was lower in the observation group than in the control group [(25.49±1.46) mmol/L vs. (17.87±2.05) mmol/L, (4.66±0.65)% vs. (2.52±0.34)%, and 5.88% vs.19.12%; all P<0.05]. Conclusion The application of protective motivation theory in diabetic intervention can significantly improve the patients’ self-efficacy and blood glucose monitoring indicators, and effectively reduce the incidence of complications, so it is worth for promotion. Key words: Protective motivation theory; Diabetes mellitus; Blood glucose monitoring; Complications