基于保护动机理论护理在降低老年糖尿病患者低血糖发生率中的应用效果  

Application Effect of Nursing Based on Protective Motivation Theory in Reducing the Incidence of Hypoglycemia in Elderly Diabetic Patients

作　　者：张文洁 高玉庆 刘云 ZHANG Wenjie;GAO Yuqing;LIU Yun(Department of EndocrinologyⅡ,Affiliated Hospital of Binzhou Medical College,Binzhou 256603,Shandong,China)

机构地区：[1]滨州医学院附属医院内分泌二病区,山东滨州256603

出　　处：《糖尿病新世界》2025年第3期86-89,共4页Diabetes New World

摘　　要：目的探讨针对老年糖尿病患者应用基于保护动机理论(protection motivation theory,PMT)护理在降低其低血糖发生率中的临床价值。方法选取2021年10月-2023年10月滨州医学院附属医院就诊的80例老年糖尿病患者,按护理方法的不同分为参照组(n=40)和PMT组(n=40),参照组患者接受常规护理干预,PMT组患者接受基于PMT护理干预,对比两组患者的保护动机、血糖水平和低血糖发生率。结果护理后,PMT组患者的反应、严重性、易感性、自我效能评分相较于参照组患者更高;而反应代价、外部回报、内部回报等指标相较于参照组患者更低,差异均有统计学意义(P均<0.05)。护理后,PMT组患者的空腹血糖及餐后2 h血糖、糖化血红蛋白指标相较于参照组更低,差异均有统计学意义(P均<0.05)。PMT组患者低血糖发生率低于参照组,差异有统计学意义(P<0.05)。结论针对老年糖尿病患者将PMT作为核心护理要点开展积极干预,可在很大程度上帮助其控制血糖水平,降低低血糖的发生风险。Objective To explore the clinical value of nursing based on protective motivation theory(PMT)in reduc-ing the incidence of hypoglycemia in elderly diabetic patients.Methods A total of 80 elderly diabetic patients who were treated in the Affiliated Hospital of Binzhou Medical College from October 2021 to October 2023 were selected and divided into reference group(n=40)and PMT group(n=40)according to different nursing methods.The patients in the reference group received routine nursing intervention,and the patients in the PMT group received nursing inter-vention based on PMT.The protective motivation,blood glucose levels and the incidence of hypoglycemia were com-pared between the two groups.Results After nursing,the scores of response,severity,susceptibility and self-efficacy of patients in the PMT group were higher than those in the reference group,the response cost,external return,internal return scores were lower than those in the reference group,and the differences were statistically significant(all P<0.05).After nursing,the fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the PMT group were lower than those in the reference group,and the differences were statistically significant(all P<0.05).The incidence of hypoglycemia in the PMT group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion Active intervention based on the PMT as the core nursing points for el-derly diabetic patients can help them control blood glucose levels and reduce the risk of hypoglycemia to a large ex-tent.

关 键 词：老年糖尿病 低血糖 保护动机理论护理 

分 类 号：R473.71[医药卫生—护理学]