基于Swanson关怀理论的健康教育在社区老年糖尿病患者中的应用  

Effect of health education based on Swanson's caring theory in community elderly diabetic patients

作　　者：李巧云[1] 张炎 Li Qiaoyun;Zhang Yan(Outpatient Endocrinology,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China;Department of Critical Care Medicine,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]江苏省中医院门诊内分泌科,南京210029 [2]江苏省中医院重症医学科,南京210029

出　　处：《中华现代护理杂志》2022年第3期357-361,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于Swanson关怀理论的健康教育在社区老年糖尿病患者中的应用效果。方法采用便利抽样法,于2019年8月—2020年8月选取南京市止马营和华侨路2个社区的103例建档的老年糖尿病患者为研究对象,将2019年8月—2020年1月纳入的51例患者设为对照组,将2020年2—8月纳入的52例患者设为观察组。对照组实施常规健康教育模式,观察组在此基础上实施基于Swanson关怀理论的健康教育模式。分别于干预前、干预3个月后比较两组患者的自我管理能力和血糖代谢指标。结果干预前,两组患者自我管理能力和血糖代谢指标比较,差异均无统计学意义(P>0.05)。干预3个月后,观察组患者的自我管理能力得分高于对照组,且高于本组干预前,差异均有统计学意义(P<0.05);观察组患者的空腹血糖、餐后2 h血糖及糖化血红蛋白水平低于对照组,差异均有统计学意义(P<0.05)。结论基于Swanson关怀理论的健康教育能够提高社区老年糖尿病患者自我管理能力,改善其血糖控制水平,值得临床推广。Objective To explore the effect of health education based on Swanson's caring theory in community elderly diabetic patients.Methods From August 2019 to August 2020,convenience sampling was used to select 103 elderly diabetic patients in the two communities of Zhimaying and Huaqiao Road in Nanjing as the research object.The 51 patients enrolled from August 2019 to January 2020 were set as the control group,and the 52 patients enrolled from February to August 2020 were set as the observation group.The control group implemented the routine health education,and the observation group conducted the health education based on Swanson's caring theory on this basis.The self-management ability and blood glucose metabolism indexes of the two groups of patients were compared before the intervention and 3 months after the intervention.Results Before the intervention,there were no significant differences in the self-management ability and blood glucose metabolism indexes between the two groups of patients(P>0.05).After 3 months of intervention,the score of self-management ability of the observation group was higher than that of the control group,and higher than that before the intervention,and the differences were statistically significant(P<0.05).The fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Health education based on Swanson's caring theory can improve the self-management ability of elderly diabetic patients in the community and improve their blood glucose control.It is worthy of clinical promotion.

关 键 词：糖尿病 老年人 患者 Swanson关怀理论 

分 类 号：R473.2[医药卫生—护理学]