Abstract

Objective:
To design a nursing intervention program aimed at enhancing health self-management among individuals with metabolic syndrome (MS) who are bereaved due to the Yushu earthquake, and to assess its impact on patient outcomes.Methods:The intervention program for metabolic syndrome (MS) patients among bereaved individuals in the Yushu earthquake was developed based on reference guidelines, meta-analysis, qualitative interviews, and expert input. A total of 132 bereaved MS patients from the Yushu earthquake who met the inclusion criteria were randomly assigned into two groups, namely the intervention group and the control group, using a randomized controlled trial (RCT) design, with 66 participants in each group. Patients in the intervention group received a health self-management intervention in addition to standard community chronic disease management, while those in the control group received only the conventional community chronic disease management. General patient data were collected prior to the intervention (T0), and MS disease-related physiological indicators were measured at baseline (T0), immediately after the intervention (T1), and two months post-intervention (T2).Results:The results of variance analysis showed that weight and WC in patients between intervention group and the control group existed inter-group effects, time effects, group-time interaction effects (P<0.05). There were time effects and group-time interaction effects in SBP (P<0.05); There was group-time interaction effects in DBP, TC,and TG (P<0.05). Conclusion: The health self-management intervention program for metabolic syndrome (MS) patients from bereaved families in the Yushu earthquake was found to significantly improve patients' weight and waist circumference (WC). However, the effects on blood lipid levels and blood pressure remain inconclusive and require further investigation.