授权教育在糖尿病高危足患者中的应用效果
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摘要
目的探讨授权教育在糖尿病高危足患者中的应用效果。方法选取2017年3～6月广东省第二人民医院收治的50例2型糖尿病(T2DM)高危足患者,为患者实施授权教育,并采用糖尿病授权简化量表(DES-SF)和诺丁汉足部护理评估量表(NAFF)评估干预前后患者的授权能力和足部护理能力,以及比较干预前后患者足部一般状况。结果干预后患者授权能力、足部护理能力高于干预前,足部不良状况发生率低于干预前,差异有统计学意义(P<0.05)。结论授权教育有助于提高糖尿病高危足患者的授权能力和足部护理能力,进而预防糖尿病足的发生,提高患者生活质量。
Objective To explore the application effect of authorized education in patients with high risk of diabetic foot. Methods Fifty patients with high risk of diabetic foot were selected in Guangdong Second People′s Hospital from March to June in 2017. Authorized education was measured by diabetes empowerment scale-short form(DES-SF) and nottingham foot nursing assessment scale(NAFF) were used to evaluate authorized and foot nursing of patients. Then,the ability of authorized and foot nursing, and foot condition were compared before and after intervention. Results Compared with before intervention, the ability of authorized and foot nursing was higher, and poor outcomes was lower after intervention, the differences were statistically significant(P<0.05). Conclusion Authorized education contributes to improving authorized ability and foot nursing of patients with high risk diabetic foot, preventing diabetic foot, and improving quality of life.
Objective To explore the application effect of authorized education in patients with high risk of diabetic foot. Methods Fifty patients with high risk of diabetic foot were selected in Guangdong Second People′s Hospital from March to June in 2017. Authorized education was measured by diabetes empowerment scale-short form(DES-SF) and nottingham foot nursing assessment scale(NAFF) were used to evaluate authorized and foot nursing of patients. Then,the ability of authorized and foot nursing, and foot condition were compared before and after intervention. Results Compared with before intervention, the ability of authorized and foot nursing was higher, and poor outcomes was lower after intervention, the differences were statistically significant(P<0.05). Conclusion Authorized education contributes to improving authorized ability and foot nursing of patients with high risk diabetic foot, preventing diabetic foot, and improving quality of life.
引文
[1]中国医疗保健国际交流促进会糖尿病足病分会.中国糖尿病足诊治指南[J].中华医学杂志,2017,97(4):251-258.
[2]中国2型糖尿病防治指南(2010年版)[J].中国糖尿病杂志,2012,20(1):81-117.
[3]Jiang Y,Wang X,Xia L,et al.A cohort study of diabetic patients and diabetic foot ulceration patients in China[J].Wound Repair Regen,2015,23(2):222-230.
[4]Anderson B,Funnell MM.The art of empowerment:stories and strategies for diabetes educators[M].American:American Diabetes Association,2005.
[5]胡贝贝.糖尿病授权中文简化量表的修订及初步应用研究[D].杭州:浙江大学,2010.
[6]李静,邢秋玲.中文版诺丁汉足部护理评估量表的信效度研究[J].中国实用护理杂志,2015,31(6):450-453.
[7]刘建琴,许樟荣.糖尿病足的预防与患者的自我管理[J].中国医刊,2017,52(2):14-17.
[8]邱良枝,毛晓群,王霞,等.授权教育在糖尿病健康教育中的研究进展[J].解放军护理杂志,2017,34(1):57-60.
[9]Chrvala CA,Sherr D,Lipman RD.Diabetes self-management education for adults with type 2 diabetes mellitus:a systematic review of the effect on glycemic control[J].Patient Educ Couns,2016,99(6):926-943.
[10]Eid YM,Sahmoud SI,Abdelsalam MM,et al.Empowerment-based diabetes self-management education to maintain glycemic targets during ramadan fasting in people with diabetes who are on conventional insulin:a feasibility study[J].Diabetes Spectr,2017,30(1):36-42.
[11]孙月明,王晓娣,姚宁.授权教育在糖尿病患者自我管理能力及血糖控制中的应用[J].实用临床医药杂志,2016,20(16):58-60,67.
[12]杜爱燕,周薇,范建桢,等.授权教育在维持性血液透析患者健康教育中的应用进展[J].中国护理管理,2016,16(11):1569-1573.
[13]李丽蓉,傅桂芬.授权教育对COPD病人自我管理水平的影响[J].护理研究,2014,28(8):920-922.
[14]赵秀君,张力辉,高俊香,等.团队式授权教育对糖尿病患者知识态度与管理能力的影响[J].护理学杂志,2015,30(1):68-70.
[15]韦薇,戴霞,李赛花,等.授权原理与多阶段改变理论相结合的教育模式对老年糖尿病患者饮食自我管理的影响[J].护士进修杂志,2015,30(14):1251-1253.
[16]Chen MF,Hung SL,Chen SL.Empowerment program for people with prediabetes:a randomized controlled trial[J].J Nurs Res,2017,25(2):99-111.
[17]赵雪,黄金,杨玲凤,等.2型糖尿病患者授权能力与医疗支持的相关性研究[J].中华护理杂志,2018,53(3):299-304.
[2]中国2型糖尿病防治指南(2010年版)[J].中国糖尿病杂志,2012,20(1):81-117.
[3]Jiang Y,Wang X,Xia L,et al.A cohort study of diabetic patients and diabetic foot ulceration patients in China[J].Wound Repair Regen,2015,23(2):222-230.
[4]Anderson B,Funnell MM.The art of empowerment:stories and strategies for diabetes educators[M].American:American Diabetes Association,2005.
[5]胡贝贝.糖尿病授权中文简化量表的修订及初步应用研究[D].杭州:浙江大学,2010.
[6]李静,邢秋玲.中文版诺丁汉足部护理评估量表的信效度研究[J].中国实用护理杂志,2015,31(6):450-453.
[7]刘建琴,许樟荣.糖尿病足的预防与患者的自我管理[J].中国医刊,2017,52(2):14-17.
[8]邱良枝,毛晓群,王霞,等.授权教育在糖尿病健康教育中的研究进展[J].解放军护理杂志,2017,34(1):57-60.
[9]Chrvala CA,Sherr D,Lipman RD.Diabetes self-management education for adults with type 2 diabetes mellitus:a systematic review of the effect on glycemic control[J].Patient Educ Couns,2016,99(6):926-943.
[10]Eid YM,Sahmoud SI,Abdelsalam MM,et al.Empowerment-based diabetes self-management education to maintain glycemic targets during ramadan fasting in people with diabetes who are on conventional insulin:a feasibility study[J].Diabetes Spectr,2017,30(1):36-42.
[11]孙月明,王晓娣,姚宁.授权教育在糖尿病患者自我管理能力及血糖控制中的应用[J].实用临床医药杂志,2016,20(16):58-60,67.
[12]杜爱燕,周薇,范建桢,等.授权教育在维持性血液透析患者健康教育中的应用进展[J].中国护理管理,2016,16(11):1569-1573.
[13]李丽蓉,傅桂芬.授权教育对COPD病人自我管理水平的影响[J].护理研究,2014,28(8):920-922.
[14]赵秀君,张力辉,高俊香,等.团队式授权教育对糖尿病患者知识态度与管理能力的影响[J].护理学杂志,2015,30(1):68-70.
[15]韦薇,戴霞,李赛花,等.授权原理与多阶段改变理论相结合的教育模式对老年糖尿病患者饮食自我管理的影响[J].护士进修杂志,2015,30(14):1251-1253.
[16]Chen MF,Hung SL,Chen SL.Empowerment program for people with prediabetes:a randomized controlled trial[J].J Nurs Res,2017,25(2):99-111.
[17]赵雪,黄金,杨玲凤,等.2型糖尿病患者授权能力与医疗支持的相关性研究[J].中华护理杂志,2018,53(3):299-304.