以自我管理为导向的护理模式结合正念饮食察觉训练对2型糖尿病患者自我管理能力及血糖控制的影响  

Effects of self-management-oriented nursing model combined with mindfulness diet awareness training on self-management ability and blood glucose control in patients with type 2 diabetes mellitus

作　　者：康格平[1] 陈静[1] 刘伟平 宋春苗 胡姣姣 朱海慧 李月[1] KANG Geping;CHEN Jing;LIU Weiping;SONG Chunmiao;HU Jiaojiao;ZHU Haihui;LI Yue(Kidney Endocrinology Department,the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038;Endocrinology Department,Shaanxi Provincial Hospital of Chinese Medicine,Xi'an 710003,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710003

出　　处：《临床医学研究与实践》2023年第36期146-149,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：目的探讨以自我管理为导向的护理模式结合正念饮食察觉训练对2型糖尿病患者自我管理能力及血糖控制的影响。方法选择2021年1月至2022年1月收治的80例2型糖尿病患者为研究对象,采用随机数字表法将其分为对照组与观察组,各40例。对照组采取常规护理干预,观察组在对照组基础上加以自我管理为导向的护理模式结合正念饮食察觉训练。比较两组的干预效果。结果干预后,观察组的自我管理行为量表各维度评分高于对照组(P<0.05)。干预后,观察组的自我效能感及健康知识掌握程度评分高于对照组(P<0.05)。干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)水平及糖化血红蛋白(HbA1c)低于对照组(P<0.05)。结论以自我管理为导向的护理模式结合正念饮食察觉训练能够提高2型糖尿病患者的自我管理能力,也能提高自我效能感及健康知识掌握程度,有助于血糖控制,值得推广。Objective To explore the effects of self-management-oriented nursing model combined with mindfulness diet awareness training on self-management ability and blood glucose control in patients with type 2 diabetes mellitus.Methods A total of 80 patients with type 2 diabetes mellitus admitted from January 2021 to January 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing intervention,and the observation group received self-management-oriented nursing model combined with mindfulness diet awareness training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of the self-management behavior scale in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of self-efficacy and health knowledge mastery in the observation group were higher than those in the control group(P<0.05).After intervention,the fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PBG)levels and glycosylated hemoglobin(HbA1c)in the observation group were lower than those in the control group(P<0.05).Conclusion The self-management-oriented nursing model combined with mindfulness diet awareness training can improve the self-management ability of patients with type 2 diabetes mellitus,and can also improve self-efficacy and health knowledge mastery,which is helpful for blood glucose control and worthy of promotion.

关 键 词：以自我管理为导向的护理模式 正念饮食察觉训练 2型糖尿病 自我管理能力 

分 类 号：R473[医药卫生—护理学]