"一点二源"适应性护理策略对糖尿病足患者自我效能、治疗依从性和血糖水平的影响
Effect of"one point,two sources"adaptive nursing strategy on self-efficacy,treatment compliance and blood glucose level in diabetic foot patients
苏巧丹 1王俊 1屠昕1
作者信息
- 1. 绍兴市人民医院内分泌代谢科,浙江绍兴 312000
- 折叠
摘要
目的 糖尿病足存在诸多护理难点,致残率高.本研究探讨了"一点二源"适应性护理策略对糖尿病足患者自我效能、治疗依从性和血糖水平的影响.方法 选取2020年3月-2022年3月就诊于绍兴市人民医院内分泌门诊的糖尿病足患者84例,采用抽签法将其分为2组,对照组42例,予以常规护理;观察组42例,在常规护理基础上予以"一点二源"适应性护理,均护理3个月.比较2组自我效能感、治疗依从性以及血糖水平.方法 2组护理后自我效能感(DSES)各维度(饮食、药物、运动、疾病监测、足部护理及急症处理)评分和总分均较护理前升高(P＜0.05),且观察组评分高于对照组(P＜0.05);观察组护理后治疗依从性高于对照组(P＜0.05);2组护理后空腹血糖(FPG)、餐后2h血糖(2hPG)以及糖化血红蛋白(HbA1c)均较护理前下降(P＜0.05),且观察组上述指标参数分别为(6.44±1.32)mmol/L、(9.24±2.10)mmol/L 和(5.80±0.57)％,明显低于对照组[(7.13±1.45)mmol/L、(11.02±3.23)mmol/L和(6.19±0.56)％,P＜0.05].结论 对糖尿病足患者实施"一点二源"适应性护理策略能有效提高患者自我效能水平和治疗依从性,并降低血糖水平,效果理想.
Abstract
Objective There are many nursing difficulties in diabetic foot,and the disability rate is high.This study in-vestigated the effect of"one point,two sources"adaptive nursing strategy on self-efficacy,treatment compliance and blood glucose level in diabetic foot patients.Methods A total of 84 patients with diabetic foot who were admitted to the Endocrine Clinic of Shaoxing People's Hospital from March 2020 to March 2022 were selected and divided into control group(42 cases)and observation group(42 cases)by drawing lots.The control group was given routine care,and the observation group was given"one point,two sources"adaptive nusing on the basis of routine care for 3 months.Self-effi-cacy,treatment compliance and blood glucose levels were compared between the two groups.Results The score and to-tal score of self-efficacy(diabetes self-efficacy scale,DSES,diet,medication,exercise,disease monitoring,foot care and emergency management)were higher than before care(P＜0.05),and the scores of the observation group were high-er than that of the control group(P＜0.05).Post-care treatment compliance in the observation group was higher than that of the control group(P＜0.05).Fasting blood glucose(FPG),2 h postprandial blood glucose(2hPG)and glycosylated hemoglobin(HbA1c)were decreased compared with before care[(6.44±1.32)mmol/L,(9.24±2.10)mmol/L and(5.80±0.57)％vs.(7.13±1.45)mmol/L,(11.02±3.23)mmol/L and(6.19±0.56)％,P＜0.05].Conclusion The implementation of"one point,two sources"adaptive nursing strategy for diabetic foot patients can ef-fectively improve the level of self-efficacy and treatment compliance,and reduce the level of blood glucose,the effect is i-deal.
关键词
糖尿病足/一点二源/适应性护理策略/自我效能感/依从性/空腹血糖Key words
Diabetic foot/One point,two sources/Adaptive nursing strategy/Self-efficacy/Compliance/Fasting blood glucose引用本文复制引用
基金项目
浙江省医药卫生科技计划(2022RC274)
浙江省中医药科技计划(2022ZB363)
出版年
2024
NETL
NSTL
万方数据