摘要
目的:探讨目标设定护理对代谢综合征患者自我效能的影响。方法:选取2019年1月-2020年6月汕头市潮阳区大峰医院内分泌科收治的97例代谢综合征患者,以随机数表法分为两组。试验组49例,实施目标设定护理;对照组48例,实施常规护理。比较两组护理前后自我护理能力测定量表(ESCA)评分及体重指数(BMI)、空腹血糖(FPG)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)水平。结果:护理前,两组ESCA各维度评分与总评分比较,差异均无统计学意义(P>0.05);护理后,试验组ESCA各维度评分与总评分均高于对照组,差异有统计学意义(P<0.05)。护理前,两组BMI、FPG、TG、HDL-C水平比较,差异无统计学意义(P>0.05);护理后,试验组BMI、FPG、TG水平均低于对照组,HDL-C水平高于对照组,差异有统计学意义(P<0.05)。结论:予以代谢综合征患者目标设定护理,可以有效提高患者疾病自我管理效能,更好地改善患者代谢指标,值得临床推广。
Objective:To explore the influence of goal-setting nursing on self-efficacy in patients with metabolic syndrome.Methods:A total of 97 patients with metabolic syndrome who were admitted to the Department of Endocrinology,Dafeng Hospital of Chaoyang District of Shantou City from January 2019 to June 2020 were selected and divided into two groups by random number table method.The 49 cases in the experimental group received goal setting nursing;48 cases in the control group received routine nursing care.The exercise of self-care agency(ESCA)scores,body mass index(BMI),fasting blood glucose(FPG),triglyceride(TG),and high-density lipoprotein cholesterol(HDL-C)levels were compared between the two groups before and after nursing.Results:Before nursing,there was no significant difference in the scores of each ESCA dimension and total score between the two groups(P>0.05);after nursing,the scores of each ESCA dimension and total score in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in the levels of BMI,FPG,TG and HDL-C between the two groups(P>0.05).After nursing,the levels of BMI,FPG and TG in the experimental group were lower than those in the control group,and the level of HDL-C was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The goal-setting nursing for patients with metabolic syndrome can effectively improve the patients'disease self-management efficiency and better improve the patients'metabolic indicators,which is worthy of clinical promotion.
作者
李纯香
王贤君
黄燕芬
许伟珠
陈淑怀
Li Chun-xiang;Wang Xian-jun;Huang Yan-fen;Xu Wei-zhu;Chen Shu-huai(Department of Endocrinology,Dafeng Hospital of Chaoyang District of Shantou City,Shantou 515100,Guangdong Province,China)
出处
《中国社区医师》
2022年第25期118-120,共3页
Chinese Community Doctors
关键词
代谢综合征
目标设定护理
自我效能
Metabolic syndrome
Goal setting nursing
self-efficacy
