目的 分析基于目标导向的护理在2型糖尿病(Diabetes Mellitus Type 2,T2DM)患者中的应用效果.方法 便利选取2021年3月—2023年2月厦门弘爱医院收治的T2DM患者81例为研究对象,使用随机数表法分为研究组(n=41)与对照组(n=40).对照组采取常规护理,研究组在其基础上采取基于目标导向的护理.比较两组患者的自我管理行为量表(Summary of Diabetes Self Care Activities,SDSCA)、一般自我效能感量表(General Self-Efficacy Scale,GSES)、健康调查简表-36(MOS Item Short From Health Survey,SF-36)评分,以及护理满意度.结果 干预前,两组SDSCA量表、GSES量表、SF-36量表评分比较,差异无统计学意义(P>0.05);干预3个月.研究组SDSCA量表评分(35.00±2.52)分高于对照组(30.65±3.54)分,差异有统计学意义(t=6.384,P<0.05).研究组GSES量表、SF-36量表评分均高于对照组,差异有统计学意义(P均<0.05).研究组护理总满意度为97.56%较对照组的80.00%高,差异有统计学意义(χ2=4.669,P<0.05).结论 基于目标导向的护理能够有效提高T2DM患者的自我管理情况与自我效能感,保障其生活质量,且增强了护理满意度.
Application of Goal-oriented Nursing in Patients with Type 2 Diabetes
Objective To analyze the effect of goal-oriented nursing in patients with diabetes mellitus type 2(T2DM).Methods A total of 81 T2DM patients admitted to Xiamen Hong'ai Hospital from March 2021 to February 2023 were randomly selected as the study objects and divided into study group(n=41)and control group(n=40)using a random number table method.The control group received routine nursing,while the study group received goal-oriented nurs-ing.The Self-management Behavior Scale(SDSCA),General Self-Efficacy Scale(GSES),Health Survey Summary Form-36(SF-36)score,and nursing satisfaction were compared between the two groups.Results Before intervention,there was no statistically significant difference in the scores of SDSCA scale,GSES scale and SF-36 scale between two groups(P>0.05).After 3 months of intervention,the SDSCA score of the study group(35.00±2.52)points was higher than that of the control group(30.65±3.54)points,and the difference was statistically significant(t=6.384,P<0.05).The GSES scale and SF-36 scale scores of the study group were both higher than those of the control group,and the difference was statistically significant(both P<0.05).The total satisfaction rate of nursing was 97.56%in the study group,whcih was higher than 80.00%in the control group,and the difference was statistically significant(χ2=4.669,P<0.05).Conclusion Goal-oriented nursing can effectively improve the self-management and self-efficacy of T2DM pa-tients,ensure their quality of life,and enhance nursing satisfaction.
Goal-orientedNursingType 2 diabetesSelf-managementSelf-efficacyQuality of life
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维普
