LERANS健康教育对糖尿病视网膜病变患者自我效能及心理情绪的影响  

Effects of LERANS health education on self-effi cacy and psychological emotion in patients with diabetic retinopathy

作　　者：王瑞娜[1] 李亚楠[1] 师秀叶 王莹莹[1] 王宇鹰[1] WANG Ruina;LI Ya’nan;SHI Xiuye;WANG Yingying(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,China)

机构地区：[1]郑州大学第一附属医院眼二科,河南省郑州市450000

出　　处：《护理实践与研究》2023年第11期1708-1712,共5页Nursing Practice and Research

基　　金：河南省医学科技攻关计划(联合共建)项目(编号:LHGJ20190073)。

摘　　要：目的探讨倾听、建立、应用、提高、反馈、强化(LEARNS)健康教育对糖尿病视网膜病变(DR)患者自我效能及心理情绪的影响。方法选择2021年1月—2022年1月医院收治的DR患者90例为研究对象,按组间基本资料匹配原则分为观察组和对照组,各45例。对照组行常规健康教育干预,观察组在常规健康教育的基础上应用LERANS健康教育模式干预。观察两组患者的疾病知识知晓情况;比较干预前后患者的抑郁评分(SDS)、焦虑评分(SAS)、自我效能评分(GSES)、空腹血糖(FBG)、餐后2 h血糖变化情况。结果LERANS健康教育模式干预后,观察组患者病因、危害、防治方法、定期眼科检查知晓率高于对照组,差异有统计学意义(P<0.05)。健康教育干预前,两组患者心理状态、GSES评分、血糖水平比较差异无统计学意义(P>0.05);健康教育干预后,观察组患者的SAS、SDS评分、FBG、2 hBG水平低于对照组,GSES评分高于对照组,差异有统计学意义(P<0.05)。两组三个时点,三项GSES评分均呈增加的趋势,时间之间差异有统计学意义(P时间<0.05);各时点均以观察组高于对照组,差异有统计学意义(P组间<0.05),并且随观察时间延长,组间差异逐渐增大(P交互<0.05)。结论LERANS在DR患者临床干预中具有确切的应用效果,其能提高患者健康知识知晓率,改善心理状态,提高自我效能,对血糖具有一定的控制作用。Objective To explore the influence of listening,establish,adopt,reinfore,name and strengthen(LEARNS)on self-efficacy and psychological emotion in patients with diabetic retinopathy(DR).Methods 90 patients with DR admitted to hospital from January 2021 to January 2022 were selected as the research objects,they were divided into observation group and control group according to the principle of matching basic data between groups,with 45 cases in each group.The control group received routine health education intervention,and the observation group received LERANS health education mode intervention on the basis of routine health education.The disease knowledge of the two groups was observed;The changes of depression score(SDS),Self-rating Anxiety Scale score(SAS),General Self-Efficacy Score(GSES),Fasting Blood Glucose(FBG)and blood glucose 2 h after meal were compared before and after intervention.Results After the intervention of LERANS health education mode,the awareness rate of etiology,harm,prevention and treatment methods and regular eye examination in the observation group was higher than the control group,the difference was statistically significant(P<0.05).Before health education intervention,there were no significant differences in mental state,GSES score and blood glucose level between the two groups(P>0.05).After health education intervention,the levels of SAS,SDS,FBG and 2 hBG in the observation group were lower than those in the control group,while the GSES scores were higher than those in the control group,with statistical significance(P<0.05).At three time points,the three GSES scores of the two groups showed an increasing trend,and the difference between the time was statistically significant(P<0.05).At all time points,the observation group was higher than the control group,the difference was statistically significant(P<0.05),and with the extension of observation time,the difference between groups gradually increased(P<0.05).Conclusion LERANS has a definite application effect in the clinical interventio

关 键 词：LEARNS健康教育 视网膜病变 自我效能 心理状态 知识掌握率 血糖水平 

分 类 号：R473.5[医药卫生—护理学]