格林模式的健康教育在糖尿病患者术后留置导尿管并发尿路感染护理中的应用  

Application of Green model health education in the nursing care of urinary tract infection after indwelling urinary catheter in diabetic patients

作　　者：黄玉琪[1] 王晓辉[1] HUANG Yuqi;WANG Xiaohui(The First Affi liated Hospital of Henan University of Science and Technology,Luoyang,471000,China)

机构地区：[1]河南科技大学第一附属医院,河南省洛阳市471000

出　　处：《护理实践与研究》2021年第24期3729-3732,共4页Nursing Practice and Research

基　　金：2018年度河南省医学科技公关计划联合共建项目(编号:2018020290)。

摘　　要：目的探讨格林模式的健康教育在糖尿病患者术后留置导尿管并发尿路感染护理中的应用效果。方法选取2019年6月—2020年9月医院收治的糖尿病术后留置导尿管并发尿路感染患者98例,按照性别、年龄、病程、手术方式匹配的原则分为观察组和对照组,每组49例。对照组采用常规护理,观察组在对照组基础上采用格林模式的健康教育,比较两组患者导尿管留置时间、住院时间、血糖水平、满意度评分、焦虑和抑郁评分。结果观察组导尿管留置时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组空腹血糖、餐后2 h血糖、糖化血红蛋白干预前后差值均大于对照组,差异有统计学意义(P<0.05)。观察组汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分干预前后差值均大于对照组,差异有统计学意义(P<0.05)。观察组患者对健康指导、护理态度、专项处理与操作、知情权保障方面的评分均高于对照组,差异有统计学意义(P<0.05)。结论格林模式的健康教育可降低糖尿病术后留置导尿管患者的血糖水平,改善患者焦虑状态,提高护理服务质量。Objective To explore the application eff ect of Green model health education in the nursing care of urinary tract infection after indwelling urinary catheter in diabetic patients.Methods To select 98 patients with indwelling urinary catheters and urinary tract infections who were admitted to the hospital from June 2019 to September 2020 as the study objects,and they were divided into an observation group and a control group according to the principle of matching gender,age,course of disease,and surgical method,with 49 cases in each group.The control group used routine nursing care,and the observation group used Green model health education on the basis of the control group to compare the indwelling urinary catheter time,hospital stay,blood sugar level,satisfaction score,scores of anxiety and depression in the two groups.Results The indwelling urinary catheter time and hospital stay in the observation group were shorter than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The diff erence in fasting blood glucose,2 hours postprandial blood glucose,and glycosylated hemoglobin before and after intervention in the observation group were greater than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The diff erence between the Hamilton depression scale(HAMD)score and Hamilton anxiety scale(HAMA)score of the observation group before and after intervention were greater than those of the control group,and the diff erences were statistically signifi cant(P<0.05).The scores of patients in the observation group on health guidance,nursing attitude,special treatment and operation,and protection of the right to know were all higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion The application of Green model health education can reduce the blood sugar levels in patients with indwelling catheters after diabetic surgery,improve patient anxiety,and improve the quality of nursing services.

关 键 词：格林模式 健康教育 糖尿病 留置导尿管 尿路感染 

分 类 号：R473.5[医药卫生—护理学]