基于AISAS模式的健康管理对早期糖尿病肾病患者自我管理能力的影响

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[中图分类号]R587 [文献标识码]A [文章编号]1672-4062（2026）01（a）-0013-05

Influence of Health Management Based on the AISAS Model on the Selfmanagement Ability of Patients with Early Diabetic Nephropathy

JIA QiI ，LIANGHong，ZHANGYu²，WANGPeipei²

1.Department of Clinical Medicine，Daqing Medical College，Daqing 1630oo，Heilongjiang，China;2.Departmentof Endocrinology，Daqing LongnanHospital，Daqing 163453，Heilongjiang，China

[Abstract] Objective To explore the effect of healthmanagement based onatention interest search action share （AISAS）model onself-management abilityof patients with early diabetic kidney disease（DKD）.Methods A total of 160 patients with early DKD in Daqing Longnan Hospital from January to December 2024 were non-randomly and convenientlyselectedand divided into control groupand AISAS group according to diferent management models，with 80 cases in each group.Routine health management and health management based on AISAS model were adopted respectively，andthe intervention lasted for3months.Thediabetes self-managementabilitySummaryof Diabetes Self Care Activities （SDSCA）]，clinical indicators [glycated hemoglobinA1c （HbAlc），fasting blood glucose （FBG），urinary albumin to creatinineratio （UACR），blood pressre]，Diabetes SelfEficacy Scale （DSES）and satisfaction wereompared between the two groups before and 3 months after intervention.Results The SDSCA score of the AISAS group washigherthanthatof the control groupat3months of intervention，and the diference was statisticalysignificant （ P< 0.05）.At3 months of intervention in the AISAS group，HbAlc，FBG，UACR，systolic blood pressure anddiastolic blood pressure were alllower than those in thecontrol group，and thediffrences were statistically significant （all P< 0.05）.The DSES score of the AISAS group was higher than thatof thecontrol group at 3 months of intervention，and the difference was statistically significant（ P <0.05）. The satisfaction of the AISAS group was better than that of the control group，and the difference was statistically significant （ P <0.05）.Conclusion Health management intervention basedonthe AISAS model can enhance the self-management abilityof patients with earlyDKDand improve clinical indicators.

[Keywords] Attentioninterestsearchaction sharemodel;Health management；Diabetickidney disease；Selfmanagement ability

糖尿病肾病（diabetickidneydisease，DKD）是导致终末期肾病的主要原因之一，近年来，其发病逐渐年轻化且进展快速，严重影响患者生活质量[-2]。（剩余6117字）