基于健康信念模式的综合护理对糖尿病患者的影响  

Eff ect of health belief model-based comprehensive nursing on diabetic patients

作　　者：丁蓓[1] DING Bei(Wuxi People's Hospital,Wuxi,214023,China)

机构地区：[1]江苏省无锡市人民医院,214023

出　　处：《护理实践与研究》2022年第14期2105-2109,共5页Nursing Practice and Research

摘　　要：目的分析基于健康信念模式(HBM)的综合护理对糖尿病患者用药依从性、症状改善及疾病知信行水平等的影响。方法选取2020年10月—2021年10月医院行糖尿病治疗的78例患者作为研究对象,按照组间基本特征具有可比性的原则划分为对照组与观察组,每组39例,对照组实施常规护理干预,观察组在常规护理基础上实施基于HBM的综合护理干预,比较两组患者用药依从性、血糖状况、疾病自我管理行为、糖尿病知信行水平。结果干预后,观察组用药依从性优于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组空腹血糖(FBG)、餐后2 h血糖(2hPBG)及糖化血红蛋白(HbA1c)值比较差异无统计学意义(P>0.05);干预后,观察组FBG、2hPBG及HbA1c值低于对照组,差异有统计学意义(P<0.05)。干预后,观察组饮食、运动、药物、血糖及足部管理评分高于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组疾病知信行水平比较差异无统计学意义(P>0.05);干预后,观察组疾病知信行水平优于对照组,组间比较差异有统计学意义(P<0.05)。结论对糖尿病患者实施基于HBM的综合护理干预,可有效提高患者用药依从性,更利于控制患者血糖,提升患者疾病知识水平。Objective To analyze the eff ect of comprehensive nursing based on health belief model(HBM)on medication compliance,symptom improvement and disease knowledge,belief,and behavior of diabetic patients.Methods A total of 78 patients who received diabetes treatment in the hospital from October 2020 to October 2021 were selected as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 39 cases in each group,The control group was given routine nursing intervention,while the observation group was implemented with HBM-based comprehensive nursing intervention on the basis of routine nursing.The medication compliance,blood sugar status,disease self-management behavior,and diabetes knowledge,attitude,and practice level were compared between the two groups.Results After the intervention,the medication compliance in the observation group was better than that in the control group,and the diff erence between the groups was statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the values of fasting blood glucose(FBG),2 hours postprandial blood glucose(2hPBG)and glycated hemoglobin(HbA1c)between the two groups(P>0.05).After the intervention,the values of FBG,2hPBG and HbA1c in the observation group were lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).After the intervention,the scores of diet,exercise,drugs,blood sugar and foot management in the observation group were higher than those in the control group,and the diff erences between the groups were statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the level of disease knowledge,belief and behavior between the two groups(P>0.05).After the intervention,the level of disease knowledge,belief and behavior in the observation group was better than that in the control group,and the diff erence between the groups was statist

关 键 词：健康信念模式 综合护理 糖尿病 用药依从性 症状改善 疾病知信行水平 

分 类 号：R473.5[医药卫生—护理学]