運用跨理論模式探討認知行為教育課程介入對第二型糖尿病患者運動階段、運動自我效能及血糖控制之影響

Diabetes mellitus is the most rapid increasing chronic disease in the morbidity and mortality in the 21st century. Implementation of Health education of diabetes plays a major role in prevention and management of diabetes. The purpose of this study is to explore the impact of applied Cognitive-Behavioral Education Courses on exercise behavior, exercise efficacy, and glucose control among type 2 diabetics. A total of 67 Type 2 diabetic patients who met the ＂pre-contemplation＂ and ＂contemplation stages of exercise were recruited from department of endocrine at a teaching hospital in the north of Taiwan .One-group pre-post test design, with four weeks on Cognitive-Behavioral Education Courses (CBEC) was selected. The results showed fasting glucose (t=4.286, p=.001) and HbA1c (t=3.978, p=.001) significantly improved after 4 week education. Also, the total scores of exercise self-efficacy significantly increased (t=4.741, p＜0.001). Thus, 86.5% of patients moved into an advanced exercise stage. The findings supported the CBEC. It not only had potential specific effects on glucose control, but also had promoted the exercise behavior among sedative diabetes groups.