摘要
目的探讨因时护理模式对新诊断2型糖尿病(T2DM)患者接纳与行动以及健康赋权认知水平的影响。方法采用便利抽样法,选取2018年1—12月于新疆医科大学第一附属医院内分泌科门诊确诊并住院的新诊断T2DM患者129例为研究对象,根据患者入院时间分组,将单月入院患者62例纳入常规护理组,双月入院患者67例纳入因时护理组。常规护理组采取糖尿病患者常规护理,因时护理组在常规护理的基础上,基于“因时制宜”的原则,选取9∶00—11∶00、16∶00—17∶00及19∶00—21:003个时段进行健康宣教、运动管理及回顾性指导。患者入院时和出院时采用糖尿病接纳与行动问卷(AADQ)中文版和慢性病赋权量表对患者进行评估,比较两组患者的接纳与行动以及健康赋权认知的水平。结果入院时两组患者AADQ中文版评分比较,差异无统计学意义(P>0.05);出院时两组AADQ中文版评分均较入院时降低,且因时护理组评分低于常规护理组,差异均有统计学意义(P<0.01)。入院时两组患者慢性病赋权量表各维度评分比较,差异无统计学意义(P>0.05);与入院时相比,出院时因时护理组评分提高,差异有统计学意义(P<0.01);且出院时因时护理组各维度评分均高于常规护理组,差异有统计学意义(P<0.01)。结论因时护理模式可以提高新诊断T2DM患者接纳与行动以及健康赋权认知水平,进而提升患者对疾病的接纳程度及自我意识感。
Objective To explore the effects of time-based nursing mode on acceptance and action,healthy empowerment cognition in patients with newly diagnosed type 2 diabetes mellitus(T2DM).Methods Using convenience sampling method,a total of 129 patients with newly diagnosed T2DM who were diagnosed and hospitalized in the Department of Endocrinology of the First Affiliated Hospital of Xinjiang Medical University were selected from January to December 2018.According to the admission time of patients,the 62 cases who were admitted in odd month were included in the routine nursing group,and the 67 cases who were admitted in even month were included in the time-based nursing group.Patients in the routine nursing group received routine nursing for patients with diabetes,while based on the routine nursing and the principle of"do the right thing at the right time",patients in the time-based nursing group received health education,exercise management and retrospective guidance in three time areas from 9∶00 to 11∶00,16∶00 to 17∶00 and 19∶00 to 21∶00.The degree of acceptance and action,healthy empowerment cognition was investigated and compared between two groups on admission and discharge by Chinese version of Acceptance and Action Diabetes Questionnaire(AADQ)and Health Empowerment Scale.Results There was no significant difference in Chinese version of AADQ score on admission between the two groups(P>0.05);on discharge,the Chinese version of AADQ score in two groups were reduced than those on admission,and the AADQ score in the time-based nursing group was lower than that in the routine nursing group,and the differences were statistical(P<0.01).The differences were not statistically significant on the score of Health Empowerment Scale on admission between two groups(P>0.05);compared with that at admission,the score of the time-based nursing group increased,and the difference was statistically significant(P<0.01);at discharge,the scores of each dimension of Health Empowerment Scale in the time-based nursing group were hi
作者
夏丽帕尔·艾克拜尔
热衣拉·艾力尤甫
阿丽亚·托乎提
谢秀华
Xialipaer Aikebaier;Reyila Ailiyoupu;Aliya Tuohuti;Xie Xiuhua(Department of Second General Internal Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《中华现代护理杂志》
2020年第7期909-913,共5页
Chinese Journal of Modern Nursing
关键词
糖尿病
2型
因时护理
接纳与行动
健康赋权认知
Diabetes mellitus,type 2
Time-based nursing
Acceptance and action
Healthy empowerment cognition
