Treatise
Effect of online and offline peer education based on information-motivation-behavior skills model in elderly patients with hip fracture and diabetes in community
Wang Ling, Yi Yu, Huang Yuting, Chen Bo, Zhang Daiying
Published 2024-04-21
Cite as Chin J Prac Nurs, 2024, 40(12): 881-888. DOI: 10.3760/cma.j.cn211501-20230902-00444
Abstract
ObjectiveTo evaluate the effect of online and offline peer education based on information-motivation-behavior skills (IMB) model in elderly patients with hip fracture and diabetes in community, so as to provide experience for clinical use.
MethodsUsing a randomized controlled study, from April 2021 to November 2022, 69 discharged patients with hip fracture complicated with diabetes from the Affiliated Hospital of Southwest Medical University were selected as the study subjects. They were divided into the conventional education group (34 cases) and the experimental group (35 cases) by using the random number table. The conventional education group adopted a health education manual, while the experimental group conducted a blended online and offline peer education based on the IMB model. The scores of Diabetes Self-management Knowledge, Attitude and Behavior Evaluation Scale, Summary of Diabetes Self Care Activities (SDSCA) and blood glucose level were compared between the two groups before and 12 weeks after health education.
ResultsThe age of the conventional education group was (75.65 ± 6.51) years old, with 20 males and 14 females; the age of the experimental group was (76.14 ± 4.98) years old, with 21 males and 14 females. After 12 weeks of health education, the experimental group had higher scores and total scores in knowledge, attitude, and behavior (82.89 ± 5.77), (64.06 ± 4.23), (133.29 ± 6.74), and (280.24 ± 37.91) than the conventional education group (73.32 ± 6.42), (49.15 ± 3.26), (119.24 ± 8.52), and (241.71 ± 40.15), with statistically significant differences (t values were 5.36-7.18, all P<0.05). In terms of SDSCA, except for the special diet item, the experimental group had higher scores in terms of regular diet (8.06 ± 1.07), blood glucose monitoring (4.31 ± 0.92), foot self-care (7.14 ± 1.05), exercise (8.34 ± 1.17), medication (10.97 ± 1.46), and total score (47.19 ± 3.92) than the conventional education group (6.29 ± 1.43), (3.34 ± 1.03), (5.35 ± 1.45), (6.76 ± 1.52), (7.12 ± 1.31), and (37.75 ± 3.80). The differences were statistically significant (t values were 6.21-8.14, all P<0.05). In terms of blood glucose levels, the experimental group had lower levels of glycated hemoglobin (5.93 ± 0.75)% and fasting blood glucose (6.38 ± 0.80) mmol/L compared to the conventional education group (6.78 ± 0.57)% and (6.95 ± 0.83) mmol/L, with statistically significant differences (t values were 4.26 and 6.46, both P<0.05).
ConclusionsImplementing a blended online and offline peer education model based on the IMB model can improve self-management ability and blood glucose levels of elderly patients with hip fracture and diabetes in community.
Key words:
Diabetes; Information-motivation-behavioral skills; Online and offline hybrid; Short video; Peer education; Hip fracture; Community
Contributor Information
Wang Ling
Operating Room, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
Yi Yu
Operating Room, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
Huang Yuting
Department of Orthopedics, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
Chen Bo
Rehabilitation Medicine Department, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
Zhang Daiying
Operating Room, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
