基于感恩拓延-建构理论的护理在糖尿病肾病患者中的应用效果  

Application effects of gratitude extension-construction theory-based nursing in patients with diabetic nephropathy

作　　者：林明霞 LIN Mingxia(Department of Internal Medicine of Putian Pingmin Hospital,Putian 351111 Fujian,China)

机构地区：[1]莆田平民医院内科,福建莆田351111

出　　处：《中国民康医学》2025年第6期174-177,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于感恩拓延-建构理论的护理在糖尿病肾病患者中的应用效果。方法:回顾性分析2022年2月至2023年5月该院收治的116例糖尿病肾病患者的临床资料,根据护理方法不同将其分为观察组和对照组各58例。对照组给予常规护理,观察组在对照组基础上给予基于感恩拓延-建构理论的护理,比较两组护理前后感恩水平[感恩水平问卷(GQ-6)]、心理复原力[Connor-Davidson心理弹性量表(CD-RISC)]、生命质量[简明健康调查表(SF-36)]评分。结果:护理后,两组GQ-6评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组忍受消极情感、接受变化、能力、精神、控制等CD-RISC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组生理职能、一般健康状况、生理机能、社会功能等SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上给予基于感恩拓延-建构理论的护理可提高糖尿病肾病患者感恩、心理复原力和生命质量评分的效果优于单纯常规护理。Objective:To observe application effects of gratitude extension-construction theory-based nursing in patients with diabetic nephropathy.Methods:The clinical data of 116 patients with diabetic nephropathy admitted to this hospital from February 2022 to May 2023 were retrospectively analyzed.According to different nursing methods,they were divided into observation group and control group,58 cases in each group.The control group was given routine nursing,while the observation group was given gratitude extension-construction theory-based nursing on the basis of that of the control group.The scores of gratitude level[gratitude questionnaire(GQ-6)],psychological resilience[Connor-Davidson resilience scale(CD-RISC)]and quality of life[the MOS 36-item short form health survey(SF-36)]were compared between the two groups before and after the nursing.Results:After the nursing,the GQ-6 scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the CD-RISC scores of negative emotion,acceptance of change,ability,spirit and control in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the SF-36 scores of physiological role,general health status,physiological function and social function in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the gratitude extension-construction theory-based nursing can improve the scores of gratitude,psychological resilience and quality of life in the patients with diabetic nephropathy.Moreover,it is superior to simple routine nursing.

关 键 词：感恩拓延-建构理论 护理 糖尿病肾病 感恩 心理复原力 生命质量 

分 类 号：R473.5[医药卫生—护理学]