床旁iPad健康宣教联合健康日记在2型糖尿病住院患者中的应用  

Application of bedside Ipad health education combined with health diary in inpatients with type Ⅱdiabetes

作　　者：李军文[1] 罗莎 文奕[3] 曹璐璐[3] 杨俊[3] Li Junwen;Luo Sha;Wen Yi;Cao Lulu;Yang Jun(Nursing Department,Chengdu First People's Hospital,Chengdu 610041,China;School of Nursing,Chengdu University of TCM,Chengdu 610041,China;Ward I,II,III,Department of Endocrinology,Chengdu First People's Hospital,Chengdu 610041,China)

机构地区：[1]成都市第一人民医院护理部,610041 [2]成都中医药大学护理学院,610075 [3]成都市第一人民医院内分泌科1.2.3病区,610041

出　　处：《中华现代护理杂志》2019年第27期3537-3541,共5页Chinese Journal of Modern Nursing

基　　金：2018年四川省卫生计生委医学科研立项项目(18PJ260).

摘　　要：目的探讨床旁iPad健康宣教结合健康日记在2型糖尿病住院患者中的应用效果。方法采用便利抽样法,于2018年4—9月选择成都市第一人民医院门诊收治于内分泌科一病区56例患者为对照组,二病区的60例患者为观察组。对照组接受常规诊疗护理及床旁iPad健康教育,观察组在对照组基础上由护士督导患者完成健康日记。在患者住院第1天和第14天,采用糖尿病管理自我效能量表(DMSES)和糖尿病自我管理行为量表(SDSCA)对患者的自我管理效能和自我管理行为进行测量和比较。结果住院第1天,两组患者DMSES和SDSCA得分差异均无统计学意义(P>0.05)。住院第14天,观察组饮食控制、规律运动和血糖监测3个维度得分及DMSES量表总得分均高于对照组,差异均有统计学意义(P<0.05);观察组合理饮食、规律运动、血糖监测和足部护理4个维度得分及SDSCA总得分均高于对照组,差异均有统计学意义(P<0.05)。结论床旁iPad健康宣教结合健康日记的方法,有助于2型糖尿病住院患者有据可依、有的放矢地培养与健康管理目标一致的合理饮食、规律运动、血糖监测及足部护理等生活、行为方式,增强患者参与自身健康管理的自信心和行为能力,提高自我健康管理效能。Objective To explore the application effect of bedside Ipad health education combined with health diary in the inpatients with typeⅡdiabetes.Methods By convenience sampling,56 patients admitted in Ward I,Department of Endocrinology,Chengdu First People's Hospital from April to September,2018 were enrolled into the control group,and 60 patients in Ward II into the observation group.The control group received the conventional diagnostic and therapeutic nursing care and bedside Ipad health education,on the basis of which,the observation group was instructed by nurses to keep health diaries.On the first day and 14th day upon admission,Diabetes Mellitus Self-Management Efficacy Scale(DMSES),the Summary of Diabetes Self-care Activities(SDSCA)were used to measure and compare the patients'self-management efficacy and behaviors.Results On the first day of hospitalization,there was no statistical difference between the two groups in the scores of DMSES and SDSCA(P>0.05).On the 14th day,the scores of the 3 dimensions:"diet control","regular exercise"and"blood glucose monitor"of the observation group and the total score of DMSES were both higher than the control group with statistically significances(P<0.05);the scores of 4 dimensions:"appropriate diet","regular exercise,"blood glucose monitor"and"foot care"as well as the total score of SDSCA in the observation group were all higher than the control group with statistical significances(P<0.05).Conclusions The method of bedside iPad health education combined with health diary can help hospitalized patients with typeⅡdiabetes develop reasonable diet,regular exercise,blood sugar monitoring,foot care and other life and behavior patterns consistent with health management goals,and enhance patients'self-confidence and ability to participate in their own health management and improve the efficacy of self-health management.

关 键 词：糖尿病 2型 健康日记 自我效能 健康管理 

分 类 号：R473.5[医药卫生—护理学]