首页|基于健康行为理论的护理干预对糖尿病肾病患者遵医行为、自护能力和健康行为的影响

基于健康行为理论的护理干预对糖尿病肾病患者遵医行为、自护能力和健康行为的影响

扫码查看
目的 观察探讨糖尿病肾病患者辅以健康行为理论护理干预措施对其遵医行为、自护能力、健康行为的影响.方法 选取 2021 年 1 月—2022 年 1月章丘区中医医院收治的 100 例糖尿病肾病患者为研究对象,按随机数表法分为对照组和观察组.对照组(n=50)辅以常规临床护理,观察组(n=50)在对照组基础上辅以健康行为理论护理.对比两组的遵医行为依从率、自护能力、自我效能、健康行为.结果 观察组患者遵医行为优良率为 94%,高于对照组的 78%,差异有统计学意义(P﹤0.05).干预前,两组患者自我护理能力测定量表(ESCA)、中文版糖尿病管理自我效能量表(C-DMSES)、健康促进生活方式量表(HPLP-Ⅱ)评分总分对比,组间差异无统计学意义(P﹥0.05);干预后,两组ESCA、C-DMSES、HPLP-II评分总分高于干预前,且观察组高于对照组,差异有统计学意义(P﹤0.05).结论 基于健康行为理论的护理干预措施能够显著改善糖尿病肾病患者的遵医行为依从性,增强自护能力,提升自我效能,有利于健康行为养成.
Influence of Nursing Based on Health Behavior Theory on Compliance Behavior,Self Care Ability and Health Behavior of Patients with Diabetes Nephropathy
Objective To observe and explore the influence of nursing intervention measures supplemented with health behavior theory on compliance behavior,self-care ability and health behavior of patients with diabetes nephropathy.Methods 100 patients with diabetes nephropathy admitted to Zhangqiu District Hospital of Traditional Chinese Medicine from January 2021 to January 2022 were selected as research objects,divided into a control group and an observation group using a random number table method.The control group(n=50)was supplemented by routine clinical nursing,and the observation group(n=50)supplemented with health behavior theory nursing on the basis of the control group.Compare the compliance rate,self-care ability,self-efficacy,and health behavior between two groups.Results The excellent compliance rate of patients in the observation group was 94%,which was higher than 78% in the control group,the difference between groups was statistically significant(P﹤0.05).Before intervention,comparison of the total scores of Exercise of Self-care Agency Scale(ESCA),Chinese Version of Diabetes Management Self-Efficacy Scale(DMSES)and Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)in the two groups,there is no statistically significant difference between groups(P﹥0.05);After intervention,the total scores of ESCA,C-DMSES,and HPLP-Ⅱ in two groups were higher than before intervention,and the observation group was higher than the control group,the difference between groups was statistically significant(P﹤0.05).Conclusion Nursing interventions based on health behavior theory can significantly improve patient compliance,enhance self-care ability,enhance self-efficacy,promote healthy behavior development.

Diabetes nephropathyHealth behavior theoryNursingCompliance behaviorSelf care abilityHealth

郑桂香

展开 >

济南市章丘区中医医院内分泌肾病科,山东济南 250200

糖尿病肾病 健康行为理论 护理 遵医行为 自护能力 健康行为

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
  • 10