基于保护动机理论护理用于老年糖尿病患者对自护能力及血糖水平的影响  

Effect of Nursing Care Based on Protective Motivation Theory on Self-care Ability and Blood Glucose Level of Elderly Patients with Diabetes

作　　者：林慧宜 LIN Huiyi(Department of Nursing,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350004,China)

机构地区：[1]福建医科大学附属第一医院护理部,福建福州350004

出　　处：《中国医药指南》2023年第24期17-20,共4页Guide of China Medicine

摘　　要：目的分析基于保护动机理论护理用于老年糖尿病患者对自护能力及血糖水平的影响。方法收集2021年2月至2022年2月本院收治的100例老年糖尿病患者,根据电脑随机数字表法进行分组,对照组50例予以常规护理,观察组50例予以基于保护动机理论护理,3个月后对比两组患者的保护动机、自护能力、自我效能感及血糖水平。结果护理后,观察组患者的糖尿病保护动机量表评分优于对照组(P<0.05);观察组的自我护理能力测定量表(ESCA)评分、糖尿病自我效能量表(DMSES)评分均高于对照组(P<0.05);观察组的糖化血红蛋白(HbA1c)、空腹血糖(FPG)与餐后2h血糖(2hPG)均显著低于对照组(P<0.05)。结论基于保护动机理论护理用于老年糖尿病患者可取得显著效果,不仅能增强其保护动机,提高自护能力及自我效能感,而且能促进血糖控制水平提高。Objective To analyze the effect of nursing based on protective motivation theory on self-care ability and blood sugar level of elderly patients with diabetes.Methods 100 elderly patients with diabetes admitted to our hospital from February 2021 to February 2022 were collected and divided into groups according to the method of computer random number table.50 patients in the control group were given routine nursing care,and 50 patients in the observation group were given nursing care based on the theory of protective motivation.Three months later,the protective motivation,self-care ability,self-efficacy and blood glucose level of the two groups were compared.Results After nursing,the score of diabetes protection motivation scale in the observation group was better than that in the control group(P<0.05);The scores of ESCA and DMSES in the observation group were higher than those in the control group(P<0.05);The glycosylated hemoglobin(HbA1c),fasting blood glucose(FPG),and postprandial blood glucose(2 hPG)in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Nursing based on the theory of protective motivation for elderly patients with diabetes can achieve significant results,which can not only enhance their protective motivation,improve their self-care ability and self-efficacy,but also promote the improvement of blood sugar control.

关 键 词：保护动机理论 老年糖尿病 自护能力 自我效能感 血糖水平 

分 类 号：R587.1[医药卫生—内分泌] R473[医药卫生—内科学]