摘要
目的:探究基于自我调节理论的护理干预对糖尿病患者自我管理行为和血糖控制的影响。方法:选取2018年1月至2021年10月合肥市第二人民医院收治的120例糖尿病患者为研究对象,按随机数字表法分为对照组(n=60)与观察组(n=60)。对照组予以常规护理干预,观察组在对照组基础上予以基于自我调节理论的护理干预。比较两组干预前后糖尿病自我管理活动问卷(Summary of Diabetes Self-CareActiv ities,SDSCA)、简易应对方式量表(Simplified Coping Style Questionnaire,SCSQ)评分及空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2-hour postprandial blood glucose,2hPG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)水平。结果:观察组干预后SDSCA中饮食、锻炼、用药、血糖监测、足部护理评分均明显高于对照组(P<0.05)。与对照组相比,观察组干预后积极应对评分更高、消极应对评分更低(P<0.05)。观察组干预后FPG、2hPG、HbA1c水平均明显低于对照组(P<0.05)。结论:基于自我调节理论的护理干预可有效提高糖尿病患者自我管理行为水平,使其积极应对疾病,进而更好地控制血糖。
Objective:To explore the effect of nursing intervention based on self-regulation theory on self-management behavior and blood glucose control of diabetic patients.Methods:A total of 120 patients with diabetes admitted to Hefei Second People’s Hospital from January 2018 to October 2021 were selected as the research subjects and randomly divided into the control group(n=60)and the observation group(n=60).The control group was given routine nursing intervention,and the observation group was given nursing intervention based on self-regulation theory on the basis of the control group.The Summary of Diabetes Self-care Activities(SDSCA)questionnaire,Simplified Coping Style Questionnaire(SCSQ),fasting plasma glucose(FPG),2 h postprandial blood glucose(2hPG)and glycated hemoglobin A1c(HbA1c)levels were compared between the two groups before and after intervention.Results:After intervention,the scores of diet,exercise,medication,blood glucose monitoring and foot care of SDSCA in the observation group were significantly higher than those in the control group(P<0.05).Compared with the control group,the observation group had higher positive coping score and lower negative coping score after intervention(P<0.05).After intervention,FPG,2hPG and HbA1c levels in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Nursing intervention based on self-regulation theory can effectively improve the level of self-management behavior of diabetic patients,actively respond to diseases,and better control blood sugar.
作者
张慧敏
殷世武
陈君
朱莹莹
杨凤兰
钱茜
ZHANG Huimin;YIN Shiwu;CHEN Jun;ZHU Yingying;YANG Fenglan;QIAN Qian(Department of Interventional Vascular Pain,Hefei Second People’s Hospital,Hefei 230011,China)
出处
《临床与病理杂志》
CAS
2022年第7期1687-1693,共7页
Journal of Clinical and Pathological Research
基金
安徽省科技惠民示范项目(202007d 07050004)。
关键词
自我调节理论
糖尿病
自我管理行为
血糖控制
self-regulation theory
diabetes
self-management behavior
blood glucose control
