基于自我效能理论的护理干预结合饮食疗法对2型糖尿病患者血糖控制、自我管理能力及疾病自我感受负担的影响  

Effects of nursing intervention based on self-efficacy theory combined with diet therapy on blood glucose control,self-management ability and disease self-perceived burden in patients with type 2 diabetes mellitus

作　　者：刘伟平 宋春苗 康格平[1] 朱海慧 陈静[1] LIU Weiping;SONG Chunmiao;KANG Geping;ZHU Haihui;CHEN Jing(Renal Endocrinology Department,the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038;Endocrinology Department,Shaanxi Provincial Hospital of Chinese Medicine,Xi'an 721200,China)

机构地区：[1]西安医学院第二附属医院肾脏内分泌科,陕西西安710038 [2]陕西省中医医院内分泌科,陕西西安721200

出　　处：《临床医学研究与实践》2023年第35期133-136,共4页Clinical Research and Practice

基　　金：陕西省中医药管理局科研课题(No.2019-ZZ-LC003)。

摘　　要：目的探究基于自我效能理论的护理干预结合饮食疗法对2型糖尿病(T2DM)患者血糖控制、自我管理能力及疾病自我感受负担的影响。方法择取2020年4月至2021年6月收治的100例T2DM患者为研究对象,根据护理方案不同将其分为对照组和观察组,各50例。对照组接受常规护理结合饮食疗法,观察组在对照组基础上加施基于自我效能理论的护理干预。比较两组的干预效果。结果干预后,观察组的餐后2 h血糖(2 h PG)、空腹血糖(FPG)、平均血糖波动幅度(MAGE)水平低于对照组(P<0.05)。干预后,观察组的自我管理能力、自我护理能力测定量表(ESCA)评分高于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0.05)。结论基于自我效能理论的护理干预结合饮食疗法可提高T2DM患者自我管理能力及自护能力,提升血糖控制效果,缓解疾病自我感受负担,值得推广。Objective To explore the effects of nursing intervention based on self-efficacy theory combined with diet therapy on blood glucose control,self-management ability and disease self-perceived burden in patients with type 2 diabetes mellitus(T2DM).Methods A total of 100 patients with T2DM admitted from April 2020 to June 2021 were selected as the research objects,and the patients were divided into control group and observation group according to different nursing schemes,with 50 cases in each group.The control group received routine nursing combined with diet therapy,and the observation group received nursing intervention based on self-efficacy theory on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the levels of 2 h postprandial blood glucose(2 h PG),fasting plasma glucose(FPG)and mean amplitude of glycemic excuisions(MAGE)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of self-management ability and Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on self-efficacy theory combined with diet therapy can improve the self-management ability and self-care ability of T2DM patients,promote the effect of blood glucose control,and alleviate the disease self-perceived burden,which is worthy of promotion.

关 键 词：基于自我效能理论的护理干预 饮食疗法 2型糖尿病 

分 类 号：R473.5[医药卫生—护理学]