基于Roy适应理论的护理干预在妊娠期糖尿病胰岛素泵治疗期间的应用效果  

Application Effect of Nursing Intervention Based on Roy Adaptation Theory During Insulin Pump Treatment of Gestational Diabetes Mellitus

作　　者：彭淼 张连琴[1] PENG Miao;ZHANG Lianqin(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《中国药物滥用防治杂志》2024年第7期1366-1369,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省自然科学基金项目(编号:232300420269)。

摘　　要：目的:探讨基于Roy适应理论的护理策略在妊娠期糖尿病(GDM)患者接受胰岛素泵治疗期间的干预效果。方法:选取2022年1月—2024年2月医院接受胰岛素泵治疗的GDM患者128例,随机分为对照组和观察组,每组64例。对照组接受常规护理,观察组接受常规护理+基于Roy适应理论的护理干预,比较两组血糖控制效果、焦虑和抑郁自评量表(SAS、SDS)和自我管理行为量表得分情况。结果:干预后,观察组空腹血糖、餐后2 h血糖、SAS和SDS评分低于对照组,自我管理行为评分高于对照组(P<0.05)。结论:基于Roy适应理论的护理干预在GDM患者使用胰岛素泵治疗过程中有助于降低血糖水平,改善患者的心理健康状况,并提高自我管理能力。Objective:To explore the intervention effect of nursing strategy based on Roy adaptation theory during insulin pump therapy in patients with gestational diabetes mellitus(GDM).Methods:A total of 128 GDM patients treated with insulin pump in our hospital from January 2022 to February 2024 were selected and randomly divided into control group and observation group,with 64 patients in each group.The control group received routine nursing,and the observation group received routine nursing+nursing intervention based on Roy adaptation theory.The blood glucose control effect,anxiety and depression self-rating scale(SAS,SDS)and self-management behavior scale scores were compared between the two groups.Results:After intervention,the scores of fasting blood glucose,2 h postprandial blood glucose,SAS and SDS in the observation group were lower than those in the control group,and the scores of self-management behavior were higher than those in the control group(P<0.05).Conclusion:Nursing intervention based on Roy adaptation theory is helpful to reduce blood glucose level,improve patients'mental health and improve self-management ability in GDM patients treated with insulin pump.

关 键 词：妊娠期糖尿病 胰岛素泵 Roy适应理论 心理状态 自我管理行为 

分 类 号：R473.71[医药卫生—护理学]