循证健康教育应用于早期糖尿病肾病中的干预效果分析  

Analysis of the intervention effect of evidence-based health education in early diabetic nephropathy

作　　者：赵娜[1] 熊文 毛云[1] 侯红红 Zhao Na;Xiong Wen;Mao Yun;Hou Honghong(The Central Hospital City,Qianjiang,Hubei 433199)

机构地区：[1]潜江市中心医院,湖北潜江433199

出　　处：《基层医学论坛》2023年第21期91-93,共3页The Medical Forum

基　　金：潜江市公益性行业科研计划项目(2022GYX001)。

摘　　要：目的 探讨循证健康教育在早期糖尿病肾病(diabetic nephropathy,DN)患者中的应用价值。方法 选取潜江市中心医院2020年1月-2021年12月收治的110例DN患者为研究对象,随机分成2组,各55例。对照组开展常规护理,观察组在对照组基础上开展循证健康教育,比较2组患者遵医行为、并发症发生率、满意度、Orem的自我护理能力测定量表中文版(ESCA)评分、生活质量评分。结果 干预后观察组遵医用药、遵医饮食、遵医血糖管理、遵医运动评分均高于对照组(P<0.05)。观察组DN相关并发症发生率低于对照组(P<0.05)。观察组护理满意度为96.36%,高于对照组的81.82%(P<0.05)。干预后观察组ESCA各维度评分均高于对照组(P<0.05)。结论 循证健康教育可促进早期DN患者遵医行为改善,使并发症发生率降低,护理满意度得到提升,同时还可提高患者自我管理能力和生活质量。Objective To explore the influence of evidence-based health education on the compliance behavior of patients with early diabetes nephropathy(DN),and analyze the application value for DN patients.Methods 110 patients with DN admitted in our hospital from January 2020 to December 2021 were selected as the research objects,and randomly divided into two groups by diferent nursing methods,55 patients in each group.Control group:routine nursing.Observation group:evidence-based health education was carried out on the basis of the control group.Compare the compliance behavior,complication rate,satisfaction,Chinese version of Orem self-care ability measurement scale(ESCA)score and quality of life score between the two groups.Results After intervention,the scores of medication,diet,blood glucose management and exercise in the observation group were higher than those in the control group(P<0.05).The incidence of DN related complications in the observation group was significantly lower than that in the control group(P<0.05).The nursing satisfaction of the observation group was 96.36%(53/55),higher than that of the control group(P<0.05).Affer intervention,the ESCA scores in the observation group were higher than those in the control group.Conclusion The development of evidence-based health education model can improve the compliance behavior of early DN patients,reduce the incidence of complications,improve the satisfaction of nursing,and promote the self-management ability of patients,so that the quality of life of patients can be reversed.

关 键 词：早期糖尿病肾病 循证健康教育 遵医行为 自我管理 

分 类 号：R473.5[医药卫生—护理学]