基于希望理论的护理干预结合信息-动机-行为技巧模式对2型糖尿病合并冠心病患者希望水平的影响  

Impacts of nursing intervention based on expectancy theory combined with information-motivation-behavior skill mode on the expectancy levels of patients with type 2 diabetes mellitus complicated with coronary heart disease

作　　者：李小娜[1] 欧林敏 LI Xiaona;OU Linmin(Wuchuan People's Hospital,Guangdong,Wuchuan 524500,China)

机构地区：[1]广东省吴川市人民医院,广东吴川524500

出　　处：《中国医药科学》2020年第18期124-127,共4页China Medicine And Pharmacy

基　　金：广东省湛江市科技攻关计划项目(2017B01231)。

摘　　要：目的探讨基于希望理论的护理干预结合信息-动机-行为技巧模式对2型糖尿病合并冠心病患者希望水平的影响。方法选择2017年5月~2019年12月我院收治的2型糖尿病合并冠心病住院患者300例进行研究,按照随机数字表法分为对照组与观察组,每组各150例,对照组接受常规护理,观察组在对照组基础上行基于希望理论的护理干预结合信息-动机-行为技巧模式,对两组干预前后希望水平、健康行为、血糖控制达标率进行比较。结果两组干预前的希望水平量表评分比较,差异无统计学意义(P>0.05),观察组干预后的希望水平量评分明显高于对照组(P<0.05);两组干预前的遵医服药、血糖监测、饮食管理、运动管理等健康行为评分比较,差异无统计学意义(P>0.05),观察组干预后上述健康行为评分明显高于对照组(P<0.05);观察组患者血糖控制达标率为90.00%,明显高于对照组80.67%(P<0.05)。结论基于希望理论的护理干预结合信息-动机-行为技巧模式可提高2型糖尿病合并冠心病患者希望水平,改善其健康行为,提高血糖控制达标率,值得推广。Objective To investigate the efficacy of nursing intervention based on expectancy theory combined with information-motivation-behavior skill mode on the expectancy levels of patients with type 2 diabetes mellitus(T2DM)complicated with coronary heart disease(CHD).Methods From May 2017 to December 2019,300 inpatients with T2DM complicated with CHD admitted to our hospital were selected for research.They were randomly divided into the control group(n=150)and the observation group(n=150).The control group was given conventional nursing,while the observation group was given nursing intervention based on the expectancy theory combined with information-motivation-behavior skill mode.And the expectancy levels,healthy behavior and blood glucose control compliance rates before and after intervention between the two groups were compared.Results There was no significant difference between the two groups in the score of expectancy level scale before intervention(P>0.05).After intervention,the score of expectancy level in the observation group was significantly higher than that in the control group(P<0.05).Before intervention,there were no significant differences between the two groups in health behavior scores such as compliance with medical treatment,blood glucose monitoring,diet management and exercise management(P>0.05).After intervention,the above health behavior scores in the observation group were significantly higher than those in the control group(P<0.05).The compliance rate of blood glucose control in the observation group was 90.00%,which was significantly higher than 80.67%in the control group(P<0.05).Conclusion Nursing intervention based on the expectancy theory combined with information-motivation-behavior skill mode can improve the expectancy level of patients with T2DM complicated with CHD,improve their health behavior,and increase the compliance rate of blood glucose control,which is worthy of promotion.

关 键 词：希望理论 信息-动机-行为技巧模式 2型糖尿病 冠心病 

分 类 号：R473.5[医药卫生—护理学]