首页|基于自我调节理论的护理干预对高脂血症合并糖尿病患者自我管理能力的影响

基于自我调节理论的护理干预对高脂血症合并糖尿病患者自我管理能力的影响

Effect of Nursing Intervention Based on Self-regulation Theory on Self-management Ability of Patients with Hyperlipidemia Combined with Dia-betes Mellitus

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目的 探究基于自我调节理论的护理干预对高脂血症合并糖尿病患者自我管理能力的影响.方法 选取2021年2月—2023年2月庆城县人民医院收治的69例高脂血症合并糖尿病患者为研究对象,以硬币法分为常规组(n=35,常规护理干预)与研究组(n=34,基于自我调节理论的护理干预),对比不同护理措施对患者血糖水平、血脂水平及自我管理能力的影响.结果 研究组干预4个月后空腹血糖(6.13±0.24)mmol/L、餐后2 h血糖(7.48±1.03)mmol/L均低于常规组的(6.28±0.18)、(8.02±1.01)mmol/L,差异有统计学意义(t=2.943、2.199,P均<0.05);干预4个月后研究组血脂水平改善情况优于常规组,差异有统计学意义(P<0.05);相较于常规组,干预4个月后研究组自我管理能力评分更高,差异有统计学意义(P<0.05).结论 基于自我调节理论的护理干预可改善高脂血症合并糖尿病患者血糖水平、血脂水平,提高其自我管理能力.
Objective To investigate the effect of nursing intervention based on self-regulation theory on self-management ability of hyperlipidemia combined with diabetes mellitus patients.Methods A total of 69 patients with hyperlipidemia combined with diabetes mellitus admitted to Qingcheng County People's Hospital from February 2021 to February 2023 were selected as study objects and divided into the conventional group(n=35,conventional nursing intervention)and the study group(n=34,nursing intervention based on the self-regulation theory)by coinage method,to compare the effects of different nursing measures on the patients'blood glucose levels,lipid levels and self-management abilities.Results The study group's fasting blood glucose[(6.13±0.24)mmol/L]and postprandial 2-h blood glucose[(7.48±1.03)mmol/L]were lower than in the conventional group(6.28±0.18),(8.02±1.01)mmol/L after 4 months of intervention,the differences were statistically significant(t=2.943,2.199,both P<0.05).The improvement of lipid levels in the study group after 4 months of intervention was better than that in the conventional group,the differ-ence was statistically significant(P<0.05).Compared to the conventional group,the self-management ability score was higher in the study group after 4 months of intervention,the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on self-regulation theory can improve the blood glucose level and lipid level of hyperlipidemia combined with diabetes mellitus patients and improve their self-management ability.

HyperlipidemiaDiabetes mellitusSelf-regulation theoryBlood glucose levelBlood lipid levelSelf-management ability

薛颖、樊百叶、赵转丽

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庆城县人民医院心血管内科,甘肃庆阳 745100

高脂血症 糖尿病 自我调节理论 血糖水平 血脂水平 自我管理能力

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(5)
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