Research Article | | Peer-Reviewed

Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy

Received: 31 October 2023    Accepted: 20 November 2023    Published: 29 November 2023
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Abstract

Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explore the effect of this model on the frailty and self-management ability of non-dialysis patients with diabetic nephropathy. Objective: To investigate the effect of health education based on Transtheoretical model of change on frailty and self-management in patients with diabetic nephropathy. Methods: In this study, a randomized controlled trial was adopted. from December 2022 to February 2023,80 patients with non-dialysis diabetic nephropathy in the Department of Nephrology of a tertiary hospital in Sichuan Province from December 2022 to February 2023 were selected by convenient sampling method. According to the random number table method, they were randomly divided into control group (n = 40) and experimental group (n = 40). The control group was treated with routine nursing program, and the experimental group was treated with the Transtheoretical model combined with health coaching technology on the basis of the control group, and evaluated by self-management behavior scale and frailty scale. Results: After 6 months of intervention, the self-management score of the experimental group was higher than that of the control group, The frailty score of the experimental group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: This project improves the level of self-management behavior of non-dialysis patients with diabetic nephropathy and reduces the frailty state, which is worthy of further promotion.

Published in International Journal of Diabetes and Endocrinology (Volume 8, Issue 4)
DOI 10.11648/j.ijde.20230804.13
Page(s) 54-59
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Diabetic Nephropathy, Self-Management, Health Coaching Techniques, Transtheoretical Model, Frailty

References
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Cite This Article
  • APA Style

    Qing, W., Zhang, J., Xu, F., Zou, Z., Xu, X., et al. (2023). Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy. International Journal of Diabetes and Endocrinology, 8(4), 54-59. https://doi.org/10.11648/j.ijde.20230804.13

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    ACS Style

    Qing, W.; Zhang, J.; Xu, F.; Zou, Z.; Xu, X., et al. Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy. Int. J. Diabetes Endocrinol. 2023, 8(4), 54-59. doi: 10.11648/j.ijde.20230804.13

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    AMA Style

    Qing W, Zhang J, Xu F, Zou Z, Xu X, et al. Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy. Int J Diabetes Endocrinol. 2023;8(4):54-59. doi: 10.11648/j.ijde.20230804.13

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  • @article{10.11648/j.ijde.20230804.13,
      author = {Wei Qing and Jiquan Zhang and Fan Xu and Zhaohua Zou and Xingying Xu and Hong Xiong},
      title = {Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy},
      journal = {International Journal of Diabetes and Endocrinology},
      volume = {8},
      number = {4},
      pages = {54-59},
      doi = {10.11648/j.ijde.20230804.13},
      url = {https://doi.org/10.11648/j.ijde.20230804.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20230804.13},
      abstract = {Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explore the effect of this model on the frailty and self-management ability of non-dialysis patients with diabetic nephropathy. Objective: To investigate the effect of health education based on Transtheoretical model of change on frailty and self-management in patients with diabetic nephropathy. Methods: In this study, a randomized controlled trial was adopted. from December 2022 to February 2023,80 patients with non-dialysis diabetic nephropathy in the Department of Nephrology of a tertiary hospital in Sichuan Province from December 2022 to February 2023 were selected by convenient sampling method. According to the random number table method, they were randomly divided into control group (n = 40) and experimental group (n = 40). The control group was treated with routine nursing program, and the experimental group was treated with the Transtheoretical model combined with health coaching technology on the basis of the control group, and evaluated by self-management behavior scale and frailty scale. Results: After 6 months of intervention, the self-management score of the experimental group was higher than that of the control group, The frailty score of the experimental group was lower than that of the control group, and the difference was statistically significant (PConclusion: This project improves the level of self-management behavior of non-dialysis patients with diabetic nephropathy and reduces the frailty state, which is worthy of further promotion.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Effect of Health Education Based on Transtheoretical Model on Frailty and Self-Management in Patients with Diabetic Nephropathy
    AU  - Wei Qing
    AU  - Jiquan Zhang
    AU  - Fan Xu
    AU  - Zhaohua Zou
    AU  - Xingying Xu
    AU  - Hong Xiong
    Y1  - 2023/11/29
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijde.20230804.13
    DO  - 10.11648/j.ijde.20230804.13
    T2  - International Journal of Diabetes and Endocrinology
    JF  - International Journal of Diabetes and Endocrinology
    JO  - International Journal of Diabetes and Endocrinology
    SP  - 54
    EP  - 59
    PB  - Science Publishing Group
    SN  - 2640-1371
    UR  - https://doi.org/10.11648/j.ijde.20230804.13
    AB  - Background: In the past 30 years, the prevalence and mortality of chronic kidney disease in China have increased significantly, the Transtheoretical Model and health coaching technology are widely used in the self-management process of patients with chronic diseases, and have achieved good application results. However, there is no research to explore the effect of this model on the frailty and self-management ability of non-dialysis patients with diabetic nephropathy. Objective: To investigate the effect of health education based on Transtheoretical model of change on frailty and self-management in patients with diabetic nephropathy. Methods: In this study, a randomized controlled trial was adopted. from December 2022 to February 2023,80 patients with non-dialysis diabetic nephropathy in the Department of Nephrology of a tertiary hospital in Sichuan Province from December 2022 to February 2023 were selected by convenient sampling method. According to the random number table method, they were randomly divided into control group (n = 40) and experimental group (n = 40). The control group was treated with routine nursing program, and the experimental group was treated with the Transtheoretical model combined with health coaching technology on the basis of the control group, and evaluated by self-management behavior scale and frailty scale. Results: After 6 months of intervention, the self-management score of the experimental group was higher than that of the control group, The frailty score of the experimental group was lower than that of the control group, and the difference was statistically significant (PConclusion: This project improves the level of self-management behavior of non-dialysis patients with diabetic nephropathy and reduces the frailty state, which is worthy of further promotion.
    
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Department of Nephrology, Deyang People's Hospital, Deyang, China

  • Department of Nephrology, Deyang People's Hospital, Deyang, China

  • Department of Nephrology, Deyang People's Hospital, Deyang, China

  • Department of Nephrology, Deyang People's Hospital, Deyang, China

  • Department of Nephrology, Deyang People's Hospital, Deyang, China

  • Department of Nursing, Affiliated Hospital of Southwest Medical University, Luzhou, China

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