随访干预对糖尿病合并非酒精性脂肪肝患者自我效能和应对方式的影响研究  

The effect of follow-up intervention on the self-efficacy and coping styles among diabetic patients with non-alcoholic fatty liver

作　　者：方英[1] 戴莉敏[1] 谢菲[1] 刘媛[1] 

机构地区：[1]镇江市第一人民医院内分泌科,江苏省212002

出　　处：《中国护理管理》2013年第10期106-109,共4页Chinese Nursing Management

基　　金：江苏大学医学临床科技发展基金项目(JLY20120001);镇江市科技计划项目(SH2011033)

摘　　要：目的:探讨随访干预对糖尿病合并非酒精性脂肪肝患者自我效能和应对方式的影响。方法:选择2型糖尿病合并非酒精性脂肪肝的患者102例,随机分为实验组52例和对照组50例,对照组给予常规随访,实验组在此基础上进行PDCA循环结合全程健康教育形式的随访管理。结果 :随访6个月时,实验组自我效能评分优于对照组,应对方式上回避、屈服因子明显降低(P<0.05)。结论:随访干预能充分发挥患者自我管理效能,使其采用积极的应对方式,对改善糖尿病合并非酒精性脂肪肝患者健康状况和提高生活质量具有重要意义。Objective：Toexplorefollow-upinterventiononself-efficacyandcopingstylesamongdiabeticpatientswithnonalcoholic fatty liver.Methods：Totally 102 diabetic patients with nonalcoholic fatty liver were recruited and randomly divided into control group（n=52） and experimental group（n=50）.The patients in control group received routine follow-up and the patients in experimental group received additional follow-up management besides routine follow-up.Results：After 6 months followup,the self-efficacy level in experimental group were higher than that in control group,and the scores of avoidance and yield in experimental group were significantly lower than those in control group（P＆lt;0.05）.Conclusion：Follow-up intervention could make self-management more effective,guide the patients to use active coping styles,and play an important role in improving the patients’ health condition and quality of life.

关 键 词：2型糖尿病 非酒精性脂肪肝 自我效能 应对方式 随访干预 

分 类 号：R47[医药卫生—护理学]