基于目标导向的护理干预模式在糖尿病肾病患者中的应用  

Application of Goal-Oriented Nursing Intervention Model in Diabetic Nephropathy Patients

作　　者：张丽婷[1] ZHANG Liting(Department of Internal Medicine,The Fifth People’s Hospital of Jinan,Jinan 250022,China)

机构地区：[1]山东省济南市第五人民医院内科,山东济南250022

出　　处：《中国伤残医学》2024年第16期140-144,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨基于目标导向的护理干预模式在糖尿病肾病患者护理中的应用价值。方法:选择2021年3月—2022年2月济南市第五人民医院内科84例糖尿病肾病患者为研究对象,随机将其分为对照组和观察组,各42例。对照组采用常规护理干预模式,观察组采用基于目标导向的护理干预模式,比较两组护理前后的血糖水平、自护能力、生活质量、负面情绪、不良反应发生情况及护理满意度。结果:护理后,观察组空腹血糖、餐后2 h血糖水平均低于对照组,观察组自护能力评分高于对照组,观察组生活质量综合评定问卷-74评分高于对照组,观察组焦虑自评量表和抑郁自评量表评分均低于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率4.76%低于对照组的14.28%,观察组护理满意度97.61%高于对照组的83.33%,差异均有统计学意义(P<0.05)。结论:基于目标导向的护理干预模式应用于糖尿病肾病患者的护理中,有助于降低血糖水平,提高患者的自护能力和生活质量,减少患者的焦虑和抑郁情绪,减少不良反应,提高患者的护理满意度。Objective:To explore the application value of goal-oriented nursing intervention model in the nursing of diabetic nephropathy patients.Methods:A total of 84 diabetic nephropathy patients in the internal medicine department of the Fifth People’s Hospital of Jinan from March 2021 to February 2022 were selected as the study objects,and randomly divided into a control group and an observation group,with 42 cases in each group.The control group adopted the conventional nursing intervention mode,and the observation group adopted the goal-oriented nursing intervention mode.The blood glucose level,self-care ability score,quality of life,negative emotion,occurrence of adverse reactions and nursing satisfaction of the two groups before and after nursing were compared.Results:After nursing,the fasting blood glucose and 2 h postprandial blood glucose levels of the observation group were lower than those of the control group,the self-care ability score of the observation group was higher than that of the control group,the Generic Quality of Life Inventory-74 score of the observation group was higher than that of the control group,and the scores of the self-rating anxiety scale and self-rating depression scale of the observation group were lower than those of the control group,with statistical significance(P<0.05).The incidence of adverse reactions in the observation group was 4.76%,which was lower than 14.28%in the control group,and the nursing satisfaction in the observation group was 97.61%,higher than 83.33%in the control group,with statistical significance(P<0.05).Conclusion:The application of goal-oriented nursing intervention mode in the nursing of diabetic nephropathy patients can help to reduce blood glucose level,improve patients’self-care ability and quality of life,reduce patients’anxiety and depression,reduce adverse reactions,and improve patients’nursing satisfaction.

关 键 词：糖尿病肾病 基于目标导向 护理干预 自护能力 

分 类 号：R47[医药卫生—护理学]