基于保护动机理论的护理干预对糖尿病患者血糖监测知识、行为、生化指标的影响研究
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摘要
目的探讨保护动机理论背景下的护理干预在糖尿病患者中的应用价值。方法选取2016年3月~2017年1月我院收治的2型糖尿病患者148例,随机分成观察组(n=74)和对照组(n=74)。对照组予以常规护理干预,观察组则在对照组的基础上加用基于保护动机理论的护理干预,对两种护理方式的价值比较分析。结果两组干预后的知识得分、技能得分、血糖频率、糖化血红蛋白频率高于干预前,差异有统计学意义(P<0.05);观察组干预后的知识得分、技能得分、血糖频率、糖化血红蛋白频率高于对照组,差异有统计学意义(P<0.05);观察组空腹血糖为(6.68±0.83)mmol/L,低于对照组的(7.91±0.82)mmol/L,差异有统计学意义(P<0.05);观察组餐后血糖为(7.19±0.40)mmol/L,低于对照组的(9.11±0.17)mmol/L,差异有统计学意义(P<0.05);观察组糖化血红蛋白低于对照组,差异有统计学意义(P<0.05)。结论对糖尿病患者而言,将基于保护动机理论的护理干预于其临床治疗中应用,可有效改善患者各项生化指标,树立良好的行为习惯、提高血糖监测知识掌握能力,因此,临床应用价值显著。
Objective To explore the application value of nursing intervention on diabetics based on the theory of protection motivation.Methods From March 2016 to January 2017,148 patients with type 2 diabetes admitted to our hospital were enrolled and randomly divided into observation group(n=74) and control group(n=74).In the control group,routine nursing intervention was used,while in the observation group,on the basis of the control group,nursing intervention based on the protection motivation theory was added.The value of the two nursing methods was compared and analyzed.Results After intervention,the knowledge scores,skill scores,blood glucose frequency,and glycated hemoglobin frequency in the two groups were significantly higher than those before intervention(P<0.05).The indexes mentioned above after intervention in the observation group were all superior to those in the control group(P<0.05).The fasting blood glucose in the observation group was(6.68±0.83) mmol/L,lower than that in the control group of(7.91±0.82) mmol/L,with a statistical difference(P<0.05).The postprandial blood glucose in the observation group was(7.19±0.40) mmol/L,also lower than that in the control group of(9.11±0.17) mmol/L,which was displayed a significant difference(P<0.05).The glycated hemoglobin in the observation group was lower than the control group with statistical significance(P<0.05).Conclusion For patients with diabetes,the application of nursing intervention based on protection motivation theory to clinical treatment can effectively improve the patients′ biochemical indicators,set a good behavior habit,and enhance the ability to grasp blood glucose monitoring.Therefore,it has a remarkable clinical application value.
Objective To explore the application value of nursing intervention on diabetics based on the theory of protection motivation.Methods From March 2016 to January 2017,148 patients with type 2 diabetes admitted to our hospital were enrolled and randomly divided into observation group(n=74) and control group(n=74).In the control group,routine nursing intervention was used,while in the observation group,on the basis of the control group,nursing intervention based on the protection motivation theory was added.The value of the two nursing methods was compared and analyzed.Results After intervention,the knowledge scores,skill scores,blood glucose frequency,and glycated hemoglobin frequency in the two groups were significantly higher than those before intervention(P<0.05).The indexes mentioned above after intervention in the observation group were all superior to those in the control group(P<0.05).The fasting blood glucose in the observation group was(6.68±0.83) mmol/L,lower than that in the control group of(7.91±0.82) mmol/L,with a statistical difference(P<0.05).The postprandial blood glucose in the observation group was(7.19±0.40) mmol/L,also lower than that in the control group of(9.11±0.17) mmol/L,which was displayed a significant difference(P<0.05).The glycated hemoglobin in the observation group was lower than the control group with statistical significance(P<0.05).Conclusion For patients with diabetes,the application of nursing intervention based on protection motivation theory to clinical treatment can effectively improve the patients′ biochemical indicators,set a good behavior habit,and enhance the ability to grasp blood glucose monitoring.Therefore,it has a remarkable clinical application value.
引文
[1]康烁,田素斋,高俊香,等.基于保护动机理论的护理干预对糖尿病患者血糖监测的影响[J].中国护理管理,2016,16(2):242-246.
[2]曹玉芝.保护动机理论的护理干预对糖尿病患者血糖监测的影响探究[J].实用临床护理学电子杂志,2017,2(28):1173-1175.
[3]康烁,田素斋,高俊香,等.以保护动机理论为指导的护理干预在糖尿病患者血糖监测中的应用[J].中华现代护理杂志,2016,22(11):1532-1536.
[4]刘英,田世宏.保护动机理论对社区糖尿病患者健康状况及自护水平的影响[J].临床护理杂志,2016,15(5):11-13.
[5]张学慧,张宁.基于保护动机理论的护理干预对2型糖尿病病人用药依从性及生活质量的影响[J].护理研究,2015,22(36):4497-4500.
[6]陈洁,吴茜,程小霁.对妊娠期糖尿病患者基于保护动机理论的护理干预[J].护理学杂志,2017,32(6):25-27.
[7]范铭.护理干预对糖尿病患者遵医行为及血糖生化指标的影响[J].当代护士,2015,22(10):22-23.
[8]井翠,赵雅,王静.基于跨理论模型的护理干预对2型糖尿病患者自我管理行为及血糖控制效果的影响[J].中国医药导报,2017,14(11):155-159.
[9]陈淑霞,王红娟.基于保护动机理论的护理方案在胰岛素泵治疗后出院糖尿病患者中的应用效果[J].医学临床研究,2016,33(4):821-823.
[10]韦琼,张志凯,张衍宁,等.保护动机理论对糖尿病高危足患者足部护理的影响[J].现代临床护理,2015,14(9):16-20.
[11]颜萍平,汤观秀,高飞,等.基于跨理论模型的动机性访谈对老年2型糖尿病患者血糖及自我管理行为的影响[J].中国全科医学,2016,19(15):1763-1767.
[12]韦琼,张志凯,谭春荷,等.保护动机理论在控制糖尿病足危险因素中的应用效果[J].护理研究,2016,30(4):434-437.
[13]孟青,魏明.保护动机理论下健康教育对2型糖尿病患者自我护理能力及并发症的应用[J].罕少疾病杂志,2017,24(3):64-66.
[14]韦琼,张志凯,张衍宁,等.保护动机理论在糖尿病前期人群中的应用[J].现代医院,2015,15(9):146-149.
[15]汪晓蓉,徐向静.跨理论模型及动机性访谈对糖尿病肾病腹膜透析病人血糖管理与容量负荷的影响[J].护理研究,2015,21(32):4047-4049.
[16]尤晓玲,李杰,胡淑芳.跨理论模型和动机性访谈对长期血糖控制不良2型糖尿病患者治疗依从性及生活质量的影响[J].临床护理杂志,2015,12(3):5-8.
[17]藏艳.动机性访谈联合跨理论模型对糖尿病患者自我管理、生活质量及血糖水平的影响[J].中华现代护理杂志,2016,22(20):2912-2915.
[18]张巧珍,王旋.糖尿病患者对饮食疗法基于PMT理论的认知的质性研究[J].心理医生,2016,26(17):370.
[2]曹玉芝.保护动机理论的护理干预对糖尿病患者血糖监测的影响探究[J].实用临床护理学电子杂志,2017,2(28):1173-1175.
[3]康烁,田素斋,高俊香,等.以保护动机理论为指导的护理干预在糖尿病患者血糖监测中的应用[J].中华现代护理杂志,2016,22(11):1532-1536.
[4]刘英,田世宏.保护动机理论对社区糖尿病患者健康状况及自护水平的影响[J].临床护理杂志,2016,15(5):11-13.
[5]张学慧,张宁.基于保护动机理论的护理干预对2型糖尿病病人用药依从性及生活质量的影响[J].护理研究,2015,22(36):4497-4500.
[6]陈洁,吴茜,程小霁.对妊娠期糖尿病患者基于保护动机理论的护理干预[J].护理学杂志,2017,32(6):25-27.
[7]范铭.护理干预对糖尿病患者遵医行为及血糖生化指标的影响[J].当代护士,2015,22(10):22-23.
[8]井翠,赵雅,王静.基于跨理论模型的护理干预对2型糖尿病患者自我管理行为及血糖控制效果的影响[J].中国医药导报,2017,14(11):155-159.
[9]陈淑霞,王红娟.基于保护动机理论的护理方案在胰岛素泵治疗后出院糖尿病患者中的应用效果[J].医学临床研究,2016,33(4):821-823.
[10]韦琼,张志凯,张衍宁,等.保护动机理论对糖尿病高危足患者足部护理的影响[J].现代临床护理,2015,14(9):16-20.
[11]颜萍平,汤观秀,高飞,等.基于跨理论模型的动机性访谈对老年2型糖尿病患者血糖及自我管理行为的影响[J].中国全科医学,2016,19(15):1763-1767.
[12]韦琼,张志凯,谭春荷,等.保护动机理论在控制糖尿病足危险因素中的应用效果[J].护理研究,2016,30(4):434-437.
[13]孟青,魏明.保护动机理论下健康教育对2型糖尿病患者自我护理能力及并发症的应用[J].罕少疾病杂志,2017,24(3):64-66.
[14]韦琼,张志凯,张衍宁,等.保护动机理论在糖尿病前期人群中的应用[J].现代医院,2015,15(9):146-149.
[15]汪晓蓉,徐向静.跨理论模型及动机性访谈对糖尿病肾病腹膜透析病人血糖管理与容量负荷的影响[J].护理研究,2015,21(32):4047-4049.
[16]尤晓玲,李杰,胡淑芳.跨理论模型和动机性访谈对长期血糖控制不良2型糖尿病患者治疗依从性及生活质量的影响[J].临床护理杂志,2015,12(3):5-8.
[17]藏艳.动机性访谈联合跨理论模型对糖尿病患者自我管理、生活质量及血糖水平的影响[J].中华现代护理杂志,2016,22(20):2912-2915.
[18]张巧珍,王旋.糖尿病患者对饮食疗法基于PMT理论的认知的质性研究[J].心理医生,2016,26(17):370.