基于Peplau人际关系模式的社区老年2型糖尿病患者家庭访视效果分析  

Analysis of Home Visiting Efficacy for Elderly Patients with Diabetes in Community Based on Peplau′s Interpersonal Relations Model

作　　者：徐月贞[1] 刘丽[1] 曹祝萍[1] 刘新萍 曹力 巩存涛[1] 焦盼盼[1] 李新辉[1] 

机构地区：[1]石河子大学医学院护理系,新疆石河子市832000 [2]石河子市十五社区卫生服务中心 [3]石河子市社区卫生服务管理指导中心

出　　处：《中国全科医学》2013年第3期344-347,共4页Chinese General Practice

基　　金：兵团科技攻关计划项目"老年慢性病社区规范化护理技术研究"(2010GG48);人力资源和社会保障部2010年留学回国人员科技活动项目"老年慢性病病人社区规范化护理技术研究"(2010LX002)

摘　　要：目的探讨基于Peplau人际关系模式的社区老年2型糖尿病(T2DM)患者家庭访视的效果。方法采用Peplau人际关系模式护患关系的4个阶段,对2011年6—12月从石河子市3个社区选取的46例老年T2DM患者进行家庭访视。采用问卷调查的形式对患者在家庭访视前后进行评价,比较家庭访视前后患者的糖尿病相关知识认知水平和健康(遵医)行为,并对患者在家庭访视后采用《家庭访视满意度调查表》(共5个维度18个条目)进行满意度评价。结果 (1)家庭访视后T2DM患者中了解糖尿病症状、并发症、饮食方式,低血糖的症状、处理、预防,降糖药物的不良反应,糖尿病足的预防,血糖监测频率、体质指数者所占比例较访视前提高,差异均有统计学意义(P<0.01)。(2)与家庭访视前比较,访视后患者的健康(遵医)行为如盐油摄入量降低、合理控制饮食者及规律服药者比例提高、自我血糖监测频率提高,差异均有统计学意义(P<0.01)。(3)家庭访视后,46例患者《家庭访视满意度调查表》18个(100.0%)条目的平均得分>4分(比较满意),其中13个(72.2%)条目的平均得分为5分(非常满意)。结论基于Peplau人际关系模式的社区老年T2DM患者家庭访视,能建立良好的护患关系,提高患者糖尿病相关知识的认知水平和健康(遵医)行为,且家庭访视满意度较高。Objective To evaluate the effect of home visiting for elderly patients with diabetes in community based on interpersonal relations model of Peplau. Methods 46 type 2 diabetes mellitus（T2DM） patients from three communities in Shihezi city from June to December 2011 were selected based on the four stages of Peplau′s interpersonal relations model.The diabetes mellitus awareness level and healthy behaviors before and after home visiting were compared by using questionnaires.The satisfactory level questionnaire was used to evaluate satisfactory level of home visiting. Results（1）After home visiting,the awareness levels of diabetic symptoms,complications,eating habit,symptoms,treatment and prevention of hypoglycemia,side effect of hypoglycemic drugs,prevention of diabetic foot,monitoring frequency of blood glucose and body mass index were significantly increased compared with those before home visiting（P0.01）.（2）Compared with before the home visiting,the healthy behaviors like reduced intake of salt and oil,ratio of people with rational diet control and regularity of taking medicine and the frequency of self-monitoring blood glucose were all significantly increased（P0.01）.（3）After home visiting,18 items（100.0%） in satisfactory level questionnaire had an average score of more than 4（satisfied）,among which 13（72.2%） items had an average score of 5（very satisfied）. Conclusion Home visiting for elderly diabetes patients in community based on Peplau′s interpersonal relations model can establish good relationships,improve the awareness level of related knowledge and healthy behavior,and the satisfactory level of home visit is very high.

关 键 词：Peplau人际关系模式 家庭访视 老年人 糖尿病 2型 

分 类 号：R587.1[医药卫生—内分泌]