摘要

【摘要】
目的：探究糖尿病对话映射对健康信念和健康行为及社会心理干预的持久影响。

方法：选取2022年8月至2023年8月本院收治的2型糖尿病患者148例为研究对象行前瞻性研究，按随机数字表法将患者分为研究组74例与对照组74例，对照组实施常规干预，研究组实施糖尿病对话映射干预，均干预6个月，比较两组健康信念、健康行为、血糖控制水平、社会支持的差异。

结果：重复测量方差分析

结果显示，两组健康信念与健康行为的时点效应、组间效应、交互效应比较差异存在统计学意义（P<0.05），相较于干预前，干预3个月后、干预6个月后两组健康信念与健康行为均升高（P<0.05），且研究组高于对照组（P<0.05）。相比于干预前，干预6个月后两组空腹血糖、餐后2 h血糖、糖化血红蛋白均降低（P<0.05）；且研究组低于对照组（P<0.05）。相比于干预前，干预6个月后两组主观支持、客观支持、对社会支持的利用度、社会支持总分均升高（P<0.05）；且研究组高于对照组（P<0.05）。

结论：糖尿病对话映射对于糖尿病患者健康信念和健康行为有较好的提高作用，同时可改善患者社会支持，帮助患者控制血糖。

关键词：【关键词】糖尿病；对话映射；健康信念；健康行为；社会心理；影响

ABSTRACT

【Abstract】
Objective:Exploring the Lasting Effects of Conversation Mapping in Diabetes on Health Beliefs and Health Behaviors and Psychosocial Interventions.

Methods:148 patients with type 2 diabetes admitted to our hospital from August 2020 to August 2023 were selected as the subjects for a prospective study. According to the method of random number table, the patients were divided into 74 patients in the study group and 74 patients in the control group. The control group implemented routine intervention. The study group implemented a short, scalable diabetes dialogue mapping intervention, which lasted for 6 months. The differences in health beliefs, health behaviors, blood glucose control levels, and social support (SSRS scale) between the two groups were compared.

Results:The results of repeated measures analysis of variance showed that there were statistically significant differences in the time point effect, inter group effect, and interaction effect between the two groups of health beliefs and health behaviors (P<0.05). Compared with before intervention, after 3 months and 6 months of intervention, both groups of health beliefs and health behaviors increased (P<0.05), and the study group was higher than the control group (P<0.05). Compared to before intervention, after 6 months of intervention, fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin in both groups decreased (P<0.05); And the research group was lower than the control group (P<0.05). Compared to before intervention, subjective support, objective support, utilization of social support, and total social support scores in both groups increased after 6 months of intervention (P<0.05); And the research group was higher than the control group (P<0.05).

Conclusion  :Diabetes dialogue mapping can improve the health beliefs and health behaviors of diabetes patients, improve social support of patients, and help patients control blood sugar.

Key words: 【Keywords】Diabetes; Dialogue mapping; Health beliefs; Healthy behavior; Social psychology; influence