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基于格林模式促进实习护生糖尿病管理能力的效果研究

Study on effect of PRECEDE-PROCEED model on improving diabetes management ability of internship nursing students
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摘要 目的探索基于格林模式的糖尿病管理教育项目对提高实习护生糖尿病管理能力的效果。方法采用便利抽样法抽取2020年8月-2021年12月在某医院实习的180名护生,采用随机数字表法将实习护生分为格林组和对照组,每组各90人,格林组采用以格林模式为框架构建的培训方案,对照组采用常规的路径式培训方案,对2组实习护生进行糖尿病相关知识以及技能的培训。比较培训前和培训1个月后2组实习护生的糖尿病理论知识、一般自我效能、血糖监测技能、胰岛素注射技能的得分情况。结果培训1个月后2组实习护生的糖尿病理论知识、一般自我效能、血糖监测技能、胰岛素注射技能得分均较培训前提高(均P<0.01),格林组实习护生得分高于对照组[糖尿病理论知识得分:(86.91±4.45)分vs.(75.24±7.09)分;一般自我效能得分:(3.14±0.41)分vs.(2.81±0.47)分;血糖监测技能得分:(95.81±1.87)分vs.(92.62±2.95)分;胰岛素注射技能得分:(93.69±4.11)分vs.(90.23±3.90)分],差异有统计学意义(均P<0.01)。结论以格林模式为理论框架的糖尿病管理教育项目提高了实习护生的糖尿病理论知识和自我效能水平,规范了血糖监测和胰岛素注射行为,提高了糖尿病管理能力。 Objective To explore the effects of diabetes management education project based on PRECEDE-PROCEED model on improving the diabetes management ability of internship nursing students.Methods Convenience sampling was used to select 180 internship nursing students who practiced in a hospital as the research object from August 2020 to December 2021.All students were divided into experimental group and control group according to the random number table,with 90 students in each group.The experimental group adopted PRECEDE-PROCEED mode as the framework of the training program,and the control group adopted the conventional path training program.The scores of theoretical knowledges of diabetes,general self-efficacy,blood glucose monitoring skills and insulin injection skills were compared between the two groups before and 1 month after training.Results After 1 month of training,the scores of theoretical knowledge of diabetes,general self-efficacy,blood glucose monitoring skills and insulin injection skills of internship nursing students in both groups were improved compared with those before training(all P<0.01),and the scores of nursing students in PRECEDE-PROCEED group were higher than those in control group[theoretical knowledge of diabetes:(86.91±4.45)points vs.(75.24±7.09)points;self-efficacy:(3.14±0.41)points vs.(2.81±0.47)points;blood glucose monitoring skills:(95.81±1.87)points vs.(92.62±2.95)points;insulin injection skills:(93.69±4.11)points vs.(90.23±3.90)points],the differences were statistically significant(all P<0.01).Conclusion The diabetes management education program based on PRECEDE-PROCEED model improves the diabetes theoretical knowledge and self-efficacy of internship nursing students,standardizes their blood glucose monitoring and insulin injection behaviors,and improves their abilities to manage diabetes.
作者 陈娜 施冠华 杨丽娟 雷婷婷 周静 陈永侠 CHEN Na;SHI Guanhua;YANG Lijuan;LEI Tingting;ZHOU Jing;CHEN Yongxia(Department of Plastic Surgery,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004,China)
出处 《中华全科医学》 2023年第11期1954-1957,共4页 Chinese Journal of General Practice
基金 安徽省高等学校质量工程教学研究一般项目(2021jyxm0951) 蚌埠医学院自然科学重点项目(BYKY2019072ZD)。
关键词 格林模式 实习护生 糖尿病 自我效能 PRECEDE-PROCEED model Internship nursing students Diabetes Self-efficacy
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