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  

Effect of trans-theoretical model based nursing intervention on self-management behavior and blood glucose control of patients with type 2 diabetes mellitus

作　　者：井翠 赵雅[1] 王静[2] 

机构地区：[1]解放军总医院第一附属医院复兴路七号门诊部,北京100869 [2]解放军总医院第一附属医院介入科,北京100869

出　　处：《中国医药导报》2017年第11期155-159,共5页China Medical Herald

摘　　要：目的研究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。方法选择2014年4月~2015年7月在解放军总医院第一附属医院内分泌科治疗的198例2型糖尿病患者作为研究对象,采用随机数字表法分为两组,观察组患者接受基于跨理论模型的护理干预及常规护理干预,对照组患者接受常规护理干预。护理前和护理后3、6个月,分别进行糖尿病自我管理行为量表和糖尿病自我效能量表评估,测定空腹血糖、餐后2 h血糖、糖化血红蛋白水平。结果两组患者护理后3、6个月的饮食控制、锻炼、遵医嘱服药、血糖监测、高低血糖处理、足部护理评分以及饮食效能、运动效能、戒烟限酒效能、药物使用效能、血糖监测效能、低血糖预防及处理效能、足部护理效能评分均高于护理前,空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于护理前,差异有统计学意义(P<0.05)。观察组患者护理后3、6个月的饮食控制、锻炼、遵医嘱服药、血糖监测、高低血糖处理、足部护理评分以及饮食效能、运动效能、戒烟限酒效能、药物使用效能、血糖监测效能、低血糖预防及处理效能、足部护理效能评分均高于对照组,空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.05)。结论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均有改善作用。Objective To study the effect of trans-theoretical model based nursing intervention on self-management behavior and blood glucose control of patients with type 2 diabetes mellitus. Methods 198 patients with type 2 diabetes mellitus in Department of Endocrinology of the First Affiliated Hospital of PLA General Hospital during April 2014 to July 2015 were selected as research objects and divided into two groups by random number table method. Patients in observation group were given trans-theoretieal model based nursing intervention and conventional nursing intervention, patients in control group were given routine nursing intervention. Before nursing and after nursing of 3, 6 months, dia- betes self-management behavior scale and diabetes self efficacy scale were used for assessment, fasting blood glucose, 2 h postprandial blood glucose, glyeated hemoglobin levels were determined. Results After nursing of 3, 6 months, diet, exercise, medication, blood glucose monitoring, blood sugar processing, foot care score and diet efficiency, exercise ef- ficiency, quit alcohol limit efficiency, drug use efficiency, blood glucose monitoring efficiency, low blood glucose pre- vention and treatment efficiency, foot nursing efficiency scores of two groups were significantly higher than before nurs- ing, fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin levels of two groups were signifi- cantly lower than befbre nursing, the differences were statistically significant （P 〈 0.05）. After nursing of 3, 6 months, diet, exercise, medication, blood glucose monitoring, blood sugar processing, foot care score and diet efficiency, exercise efficiency, quit alcohol limit efficiency, drug use efficiency, blood glucose monitoring efficiency, low blood glucose pre- vention and treatment efficiency, foot nursing efficiency scores in observation group were significantly higher than those in control group, fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin levels in observation group we

关 键 词：2型糖尿病 跨理论模型 自我管理 自我效能 

分 类 号：R473.5[医药卫生—护理学]