家属参与网络延续性干预对老年2型糖尿病合并高血压患者自我效能的影响  

Effect of family participation in a network continuity intervention on the self-efficacy of elderly patients with type 2 diabetes mellitus combined with hypertension

作　　者：谢红 蒋冬芳 毛秀彩 黎涛 覃小燕 何婷 黄丽师 黎水莲 XIE Hong;JIANG Dongfang;MAO Xiucai(Department of Endocrinology,Hezhou People’s Hospital,Guangxi,Hezhou 542899,China)

机构地区：[1]广西壮族自治区贺州市人民医院内分泌科,542899

出　　处：《河北医药》2024年第4期555-558,共4页Hebei Medical Journal

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20210908)。

摘　　要：目的分析在老年2型糖尿病合并高血压患者干预中应用家属参与网络延续性干预的效果及对自我效能的影响。方法选取2021年3月至2022年3月住院的108老年2型糖尿病合并高血压患者作为研究对象,应用随机数字表法分为对照组和观察组,每组54例。对照组给予常规延续性干预,观察组给予家属参与网络延续性干预,比较2组患者干预前后社会网络水平、自我效能以及血糖和血压水平,并统计2组干预期间并发症发生率。结果干预后,观察组LSNS-6量表、C-DMSES量表和高血压患者自我效能评价表的评分均高于对照组(P<0.05),观察组FPG、PBG、SBP和DBP及并发症总发生率均低于对照组(P<0.05)。结论在老年2型糖尿病合并高血压患者干预中应用家属参与网络延续性干预的效果良好,可提高其社会网络水平和自我效能,帮助其更好的控制血糖和血压,减少并发症的发生。Objective To analyze the effect of family participation in a network continuity intervention on the self-efficacy of elderly patients with type 2 diabetes mellitus(T_(2)DM)combined with hypertension.Methods A total of 108 elderly T_(2)DM patients combined with hypertension admitted from March 2021 to March 2022 were included as study subjects.Using a random number table method,they were randomly into the control group and observation group,with 54 cases in each group.Conventional continuity intervention was performed in the control group,and the family participation in a network continuity intervention was conducted in the observation group.The level of social network,self-efficacy,blood glucose and blood pressure before and after the intervention were compared between groups.The incidence of complications during the intervention period was recorded.Results After the intervention,the scores of the Lubben Social Network Scale-6(LSNS-6),the Diabetes Management Self-Efficacy Scale—Chinese Version(C-DMSES)and the self-efficacy evaluation scale of hypertension patients were significantly higher in the observation group than those of the control group(P<0.05).The fasting plasma glucose(FPG),plasma blood glucose(PBG),systolic blood pressure(SBP)and diastolic blood pressure(DBP)and the incidence of complications were significantly lower in the observation group than those of the control group(P<0.05).Conclusion The application of family participation in a network continuity intervention f in elderly T_(2)DM patients combined with hypertension is effective in improving their social network level and self-efficacy,helping them to betteRcontrol their blood glucose and blood pressure and reduce the occurrence of complications.

关 键 词：家属参与网络延续性干预 老年 2型糖尿病合并高血压 自我效能 

分 类 号：R587.1[医药卫生—内分泌] R544.1[医药卫生—内科学]