首页|以自我效能理论为导向的家庭护理干预应用于老年糖尿病患者护理中的作用价值

以自我效能理论为导向的家庭护理干预应用于老年糖尿病患者护理中的作用价值

Role Value of Self-efficacy Theory-oriented Home Care Intervention in the Care of Elderly Patients with Diabetes

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目的 探究老年糖尿病患者护理中以自我效能理论为导向的家庭护理的干预价值.方法 选取2022年3月—2023年3月北京航天总医院收治的79例老年糖尿病患者为研究对象,根据不同护理方法分为对照组(n=39,常规护理干预)和观察组(n=40,以自我效能理论为导向的家庭护理干预).对比两组自我护理能力(自我责任感、自我护理技能、健康知识水平、自我概念)、血糖指标(空腹血糖、餐后2 h血糖、糖化血红蛋白)及生存质量(生理功能、心理/精神、社会关系、治疗维度)评分.结果 干预90 d后,观察组自我护理能力各项评分及总分均高于对照组,差异有统计学意义(P均<0.05).干预90 d后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白及生存质量评分均高于对照组,差异有统计学意义(P均<0.05).结论 对于护理老年糖尿病患者,自我效能理论为导向的家庭护理干预可提高患者自我护理能力,改善患者血糖水平,提高其生存质量.
Objective To explore the intervention value of family nursing guided by self-efficacy theory in the nursing of elderly patients with diabetes.Methods A total of 79 elderly patients with diabetes mellitus admitted to Beijing Aerospace General Hospital from March 2022 to March 2023 were selected as the research objects.According to dif-ferent nursing methods,they were divided into control group(n=39,routine nursing intervention)and observation group(n=40,family nursing intervention guided by self-efficacy theory).The scores of self-care ability(self-responsibility,self-care skills,health knowledge level,self-concept),blood glucose index(fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin A1c)and quality of life(physiological function,psychology/spirit,social relationship,treatment dimension)were compared between the two groups.Results After 90 days of inter-vention,the scores and total scores of self-care ability in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After 90 days of intervention,the fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin A1c and quality of life scores in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion For nursing elderly patients with diabetes,self-efficacy theory-oriented family nursing intervention can improve patients'self-care ability,blood glucose level and quality of life.

Elderly diabetesFamily nursing interventionSelf-efficacy theorySelf-care abilityBlood glucose me-tabolism indexQuality of life

梁媛、谢丽娟、郑盼盼、常凯欣

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北京航天总医院干部医疗(老年医学)科一区,北京 100076

老年糖尿病 家庭护理干预 自我效能理论 自我护理能力 血糖代谢指标 生存质量

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(12)