循证护理对2型糖尿病周围神经病变患者的效果分析  

Effect Analysis of Evidence-based Nursing in Patients with Type 2 Diabetic Peripheral Neuropathy

作　　者：彭园珠 肖凤连 邱咪咪 PENG Yuanzhu;XIAO Fenglian;QIU Mimi(Department of Endocrinology and Rheumatology,Jishui County People's Hospital,Ji'an 331600,China;Department of General Medicine,Jishui County People's Hospital,Ji'an 331600,China)

机构地区：[1]吉水县人民医院内分泌风湿免疫科,吉安331600 [2]吉水县人民医院全科医疗科,吉安331600

出　　处：《中国医药指南》2024年第6期149-152,共4页Guide of China Medicine

摘　　要：目的探讨循证护理在2型糖尿病周围神经病变中的效果、意义。方法参与研究的60例2型糖尿病周围神经病变患者为我院于2020年1月至2023年6月所收治,按随机数字表法分成两组:对照组(常规护理,n=30)和观察组(循证护理,n=30)。干预后对比两组患者的足部神经功能、自我效能、心理状态、自我护理能力、疾病知识掌握程度。结果干预后两组TCSS下降,且观察组各项评分低于对照组(P<0.05)。干预后两组GSES上升,且观察组各项评分高于对照组(P<0.05)。干预后两组SAS、SDS下降,且观察组各项评分低于对照组(P<0.05)。干预后两组ESCA上升,且观察组各项评分高于对照组(P<0.05)。干预后组间各项疾病知识掌握程度评分差别较大,观察组各项评分高于对照组(P<0.05)。结论对2型糖尿病周围神经病变患者实施循证护理,有利于改善患者足部神经、心理状态,提升患者的疾病知识掌握程度、自我效能以及自我护理能力。Objective To explore the effect and significance of evidence-based nursing in type 2 diabetes peripheral neuropathy.Methods 60 patients with type 2 diabetes peripheral neuropathy admitted to our hospital from January 2020 to June 2023 were divided into 2 groups according to random number table method:control group(routine care,n=30)and observation group(evidence-based care,n=30).After the intervention,the nerve function,self-efficacy,mental state,self-care ability and disease knowledge of the two groups were compared.Results After intervention,TCSS decreased in both groups,and the scores in the observation group were lower than those of the control group(P<0.05).After the intervention,GSES increased in both groups,and the scores in the observation group were higher than those of the control group(P<0.05).After the intervention,SAS and SDS decreased in both groups,and the scores in the observation group were lower than those of the control group(P<0.05).After the intervention,ESCA increased in both groups,and the scores in the observation group were higher than those of the control group(P<0.05).After intervention,the scores of disease knowledge were significantly different among the groups,and the scores of the observation group were higher than those of the control group(P<0.05).Conclusions The implementation of evidence-based nursing for patients with type 2 diabetes peripheral neuropathy is conducive to improving the foot nerve and psychological state of patients,and improving the disease knowledge,self-efficacy and self-care ability of patients.

关 键 词：循证护理 2型糖尿病 周围神经病变 自我效能 心理状态 自我护理能力 

分 类 号：R473.5[医药卫生—护理学] R587.2[医药卫生—临床医学]