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目的探讨信息-动机-行为技巧模型(Information-Motivation-Behavioral Skills Model,IMB模型)在糖尿病前期人群体重控制中的应用效果。方法选择某社区卫生服务中心的超重糖尿病前期患者76例,使用随机数字表分为对照组和干预组,对照组给予常规健康指导,干预组在此基础上,辅以IMB模型干预措施,评估行为阶段、血糖、体重指数、知识—态度变化情况。结果干预组患者干预后各行为阶段的变化,差异有统计学意义(χ2=40.448,P<0.001);随访3个月后,2组患者血糖及体重指数均降低,且干预组患者空腹血糖、体重指数下降水平高于对照组(t=4.963、2.061,P<0.05);2组患者知识与态度得分均提高,且干预组患者知识与态度得分均高于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型的干预措施能够降低患者体重指数,是一种有效的认知、行为改变方法。
Objective To explore the application effect of Information-Motivation-Behavioral Skills Model (IMB model) in weight control of pre-diabetic population. Methods A total of 76 patients with over-weight pre-diabetes in a community health service center were selected and divided into control group and intervention group with random number table. The control group was given general health guidance. On the basis of this, the intervention group was supplemented with IMB model intervention to evaluate the behavior Stage, blood glucose, body mass index, knowledge-attitude change. Results After 3 months of follow-up, the blood glucose and body mass index decreased in both groups after intervention, and the fasting blood glucose, serum creatinine, The body mass index decreased significantly (t = 4.963,2.061, P <0.05). The scores of knowledge and attitude of both groups increased, and the score of knowledge and attitude in intervention group were higher than that of control group (t = 4.963,2.061, P <0.05). Conclusion Interventions based on the IMB model can reduce the body mass index of patients, which is an effective cognitive and behavioral change method.