基于IKAP理论的护理干预对老年2型糖尿病患者自我管理与血糖控制的实践研究  

Practical Study of Nursing Intervention Based on IKAP Theory on Self management and Blood Glucose Control in Elderly Patients with Type 2 Diabetes Mellitus

作　　者：朱耀华[1] 贲曙萍[1] ZHU Yaohua;BEN Shuping(Department of Endocrinology,Dongtai People's Hospital,Dongtai 224200,Jiangsu,China)

机构地区：[1]东台市人民医院内分泌科,江苏东台224200

出　　处：《糖尿病新世界》2024年第14期18-21,29,共5页Diabetes New World

摘　　要：目的 探讨基于信息-知识-信念-行为(information-knowledge-attitude-practice, IKAP)理论的护理干预对老年2型糖尿病患者自我管理与血糖控制的实践效果。方法 选取2022年11月—2023年10月东台市人民医院收治的200例老年2型糖尿病患者作为研究对象,根据不同的护理方法分为两组,各100例。常规组接受标准的常规护理,研究组在常规护理的基础上,接受基于IKAP理论的护理干预。比较两组护理依从性、血糖水平、护理满意度、自我管理能力评分。结果 护理后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于常规组,护理依从性、护理满意度和自我管理能力评分均高于常规组,差异有统计学意义(P均<0.05)。结论 基于IKAP理论的护理干预对老年2型糖尿病患者自我管理与血糖控制有积极影响,能有效改善患者血糖水平,提高自我管理能力,提升患者护理效果满意度和依从性。Objective To explore the practical effect of nursing intervention based on information-knowledge-attitude-practice(IKAP)theory on self-management and blood glucose control in elderly patients with type 2 diabetes mellitus.Methods A total of 200 elderly patients with type 2 diabetes mellitus admitted to Dongtai People's Hospital from November 2022 to October 2023 were selected as the research objects.According to different nursing methods,they were divided into two groups,with 100 cases in each group.The routine group received standard routine nursing,and the study group received nursing intervention based on IKAP theory on the basis of routine nursing.The nursing compliance,blood glucose levels,nursing satisfaction and self-management ability scores were compared between the two groups.Results After nursing,the levels of fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the study group were lower than those of the routine group,and the nursing compliance,nursing satisfaction and scores of self-management ability were higher than those of the routine group,the differences were statistically significant(all P<0.05).Conclusion The nursing intervention based on IKAP theory has a positive impact on the self-management and blood glucose control of elderly patients with type 2 diabetes mellitus.It can effectively improve the blood glucose level of patients,improve the self-management ability,and improve the satisfaction and compliance of patients with nursing effect.

关 键 词：IKAP理论 老年2型糖尿病 自我管理能力 

分 类 号：R47[医药卫生—护理学]