Analysis of Nursing Intervention of Health Knowledge Education under an Information-motivation-behavioral Model for Patients with Early Diabetic Nephropathy

Abstract

Background: The information-motivation-behavioral (IMB) model has been applied to clinical nursing for a various diseases. However, research has explored the effectiveness of the clinical nursing interventions using health knowledge education (HKE) based on the IMB model in early diabetic nephropathy (DN) cases. Methods: Eighty patients with early diabetes diagnosed at Navy Anqing Hospital between July 2020 to July 2022 were recruited and randomly assigned to two groups. The experimental group (Exp group, N=40 cases) received IMB model-based HKE, and the control group (Ctrl group, N=40 cases) received routine HKE. The biochemical indexes, DN knowledge scores, and self-management ability (SMA) scores of both groups were compared before and after the intervention. Results: After HKE, the fasting blood glucose level, blood glucose two hours after meals, triglycerides, glycosylated hemoglobin, and urinary microalbumin levels in the Exp group were 7.39 ±0.78 mmol/L, 10.61±1.09 mmol/L, and 1.91±0.34 mmol/L, respectively, which were significantly lower than those in the Ctrl group (P<0.05). After HKE, the total score of DN knowledge and SMA in the Exp group were significantly higher compared to those in the Ctrl group (P<0.05). Conclusion: For patients with early diabetes, IMB model-based HKE nursing intervention can effectively improve patients’ blood glucose levels and SMA, which is worthy of further promotion.