以保护动机理论为框架的循证护理干预在老年糖尿病患者中的应用  

Effects of evidence-based nursing intervention based on the protection motivation theory in elderly diabetic patients

作　　者：张研[1] 刘化芹[2] 李晶[3] Zhang Yan;Liu Huaqin;Li Jing(Department of Nursing,Beijing No.6 Hospital,Beijing 100007,China;Department of Urinary Surgery,Beijing No.6 Hospital,Beijing 100007,China;Department of Endocrinology,Beijing No.6 Hospital,Beijing 100007,China)

机构地区：[1]北京市第六医院护理部,100007 [2]北京市第六医院泌尿外科,100007 [3]北京市第六医院内分泌科,100007

出　　处：《中华现代护理杂志》2020年第15期2086-2090,共5页Chinese Journal of Modern Nursing

摘　　要：目的:探讨以循证护理为基础,以保护动机理论为框架的综合护理干预在老年糖尿病患者中的应用效果,为临床实践提供理论支持。方法:采用便利抽样法,选取2017年1月—2019年8月北京市第六医院收治的148例老年糖尿病患者作为研究对象,随机分为研究组与对照组,每组74例。对照组患者应用常规护理,研究组患者在此基础上给予以保护动机理论为框架的循证护理干预,比较两组患者干预前后自我管理行为得分、自我护理能力得分和血糖水平。结果:干预结束后回收有效问卷145份,其中对照组73份,研究组72份。干预前两组患者自我管理行为得分、自我护理能力得分和血糖水平比较差异均无统计学意义(P>0.05)。干预后,研究组自我管理行为得分、自我护理能力得分均高于对照组,血糖水平低于对照组,两组比较差异均有统计学意义(P<0.01)。结论:以保护动机理论为框架的循证护理干预可以充分发挥患者的主观能动性,有效提高老年糖尿病患者的自我管理行为和自我护理能力,有助于控制血糖水平,从而预防并发症的发生。Objective To explore the effects of the comprehensive nursing intervention based on evidence-based nursing and the protection motivation theory in elderly diabetic patients,and provide theoretical support for clinical practice.Methods Totally 148 elderly diabetic patients hospitalized in Beijing No.6 Hospital from January 2017 to August 2019 were selected by convenient sampling,and divided into the research group(n=74)and the control group(n=74).Patients in the control group received routine care,while patients in the research group received evidence-based nursing intervention based on the protection motivation theory.The self-management behavior score,self-care ability score and blood glucose level of the two groups were compared before and after intervention.Results After the intervention,145 valid questionnaires were recovered,including 73 in the control group and 72 in the research group.Before the intervention,there was no statistically significant difference in the scores of self-management behavior,self-care ability and blood glucose between the two groups(P>0.05).After the intervention,the self-management behavior score and self-care ability score of the research group were higher than those of the control group,while the blood glucose level was lower than that of the control group,and the differences between the two groups were statistically significant(P<0.01).Conclusions Evidence-based nursing interventions based on the protection motivation theory can give full play to patients'subjective initiative,effectively improve the self-management behavior and self-care ability of elderly diabetic patients,and help control blood glucose levels,thus preventing the occurrence of complications.

关 键 词：糖尿病 2型 保护动机理论 循证护理 自我管理能力 

分 类 号：R473.5[医药卫生—护理学] R-03[医药卫生—临床医学]