早期糖尿病肾病患者实施循证健康教育对其自我护理能力的影响  

Effect of evidence-based health education on self-care ability in early diabetic nephropathy patients

作　　者：郭志梅 王明明 Guo Zhimei;Wang Mingming(Department of Nephrology Second disease area,Zhoukou Central Hospital,Zhoukou Henan 466000,China)

机构地区：[1]周口市中心医院肾内科二病区,河南周口466000

出　　处：《青岛医药卫生》2024年第5期351-355,共5页Qingdao Medical Journal

基　　金：国家卫生健康委“十四五”规划全国重点课题(YYWS4832)。

摘　　要：目的 分析早期糖尿病肾病患者实施循证健康教育对其自我护理能力的影响。方法 选择院内2021.10-2023.10收治的早期糖尿病肾病104例患者,按照随机数字表法分为参照组与试验组,各52例。参照组进行基础护理干预,试验组在此同时进行循证健康教育干预。统计两组患者干预后满意率,干预前后自我护理能力、遵医行为评分,干预前及干预2、4周后负性情绪,以及干预前后生活质量。结果 两组经过干预总满意率为84.62%(44/52)、98.08%(51/52),试验组比参照组更高(P<0.05)。干预后试验组患者健康知识(52.65±2.51)分、自护技能(32.25±2.74)分、自我概念(31.56±3.15)分、自护责任感(29.45±2.14)分比参照组[(44.20±2.16)分、(26.86±2.45)分、(28.45±2.45)分、(27.52±2.62)分]更高(P<0.05)。干预后试验组患者血糖监测(8.53±0.52)分、饮食控制(8.24±1.16)分、用药(8.62±1.01)分比参照组[(7.25±1.52)分、(7.42±1.02)分、(6.89±1.23)分]更高(P<0.05)。干预2、4周后试验组焦虑(34.23±1.25)分、(33.05±1.71)分、抑郁(37.53±2.46)分、(33.58±2.76)分与参照组[(36.59±1.05)分、(34.05±1.27)分,(40.58±2.67)分、(36.56±2.42)分]比更低(P<0.05)。干预后试验组患者精力(69.05±2.43)分、躯体(70.56±2.42)分、精神方面(73.55±3.06)分比参照组[(64.56±2.47)分、(67.22±2.66)分、(70.56±3.14)分]更高(P<0.05)。结论 早期糖尿病肾病患者采用循证健康教育干预护理满意度较好,显著提升自我护理能力、遵医行为,消除消极情绪,恢复精力、躯体、精神方面生活质量。Objective To analyze the effect of evidence-based health education on self-care ability of early diabetic nephropathy patients.Methods A total of 104 patients with early diabetic ne-phropathy admitted to the hospital from 2021.10 to 2023.10 were divided into the reference group and the experimental group according to random number table method,with 52 cases in each group.The reference group received basic nursing intervention,and the experimental group received evidence-based health education intervention at the same time.The satisfaction rate after intervention were counted.Self-care ability,compliance behavior score before and after interven-tion,negative emotion before and after intervention 2 and 4 weeks,and quality of life before and after intervention were analyzed.Results The total satisfaction rate of the two groups after intervention was 84.62%(44/52)and 98.08%(51/52),and the experimental group was higher than the reference group(P<0.05).After the intervention,the scores of health knowledge(52.65±2.51),self-care skills(32.25±2.74),self-concept(31.56±3.15)and self-care respon-sibility(29.45±2.14)in experimental group were higher than those in the control group[(44.20±2.16),(26.86±2.45)and(28.45±2.45),(27.52±2.62)](P<0.05).After interven-tion,blood glucose monitoring(8.53±0.52)scores,diet control(8.24±1.16)scores and medi-cation(8.62±1.01)scores in experimental group were higher than those in control group[(7.25±1.52)scores,(7.42±1.02)scores,(6.89±1.23)scores](P<0.05).After intervention for 2 and 4 weeks,the anxiety scores(34.23±1.25),(33.05±1.71),depression scores(37.53±2.46),and(33.58±2.76)in the experimental group were lower than those in the reference group[(36.59±1.05),(34.05±1.27),(40.58±2.67),and(36.56±2.42)].After inter-vention,the energy score(69.05±2.43),physical score(70.56±2.42)and mental score(73.55±3.06)in experimental group were higher than those in the control group[(64.56±2.47),(67.22±2.66),(70.56±3.14)](P<0.05).Conclusion Early diabetic nephropathy patients wit

关 键 词：糖尿病肾病 循证健康教育 自我护理能力 

分 类 号：R587.1[医药卫生—内分泌]