首页|基于知信行理论的护理对糖尿病患者的影响研究

基于知信行理论的护理对糖尿病患者的影响研究

Effect of Nursing Based on Knowledge-attitude-practice Theory on Dia-betic Patients

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目的 探讨基于知信行理论的护理对糖尿病患者自护能力及血糖控制的影响.方法 选取2022年10月—2023年10月济宁市任城区人民医院收治的76例糖尿病患者为研究对象,根据护理方法不同分为常规组和研究组,各38例.常规组实施常规护理,研究组实施基于知信行理论的护理.比较两组患者用药依从率、血糖水平、自我护理能力量表(Exercise of Self-care Agency,ESCA)评分、糖尿病自我效能量表(Dia-betes Self-efficacy Scale,DSES)评分.结果 研究组用药依从率高于常规组,差异有统计学意义(P<0.05).研究组空腹血糖、餐后2 h血糖、糖化血红蛋白低于常规组,差异有统计学意义(P均<0.05).研究组ESCA、DSES评分高于常规组,差异有统计学意义(P均<0.05).结论 基于知信行理论的护理能有效改善糖尿病患者的自护能力和自我效能,提高用药依从率和血糖控制效果.
Objective To explore the effect of nursing based on knowledge-attitude-practice theory on self-care abil-ity and blood glucose control of diabetic patients.Methods A total of 76 diabetic patients admitted to Rencheng Dis-trict People's Hospital of Jining from October 2022 to October 2023 were selected as the research objects.According to different nursing methods,they were divided into routine group and study group,38 cases in each group.The rou-tine group was given routine nursing,and the study group was given nursing based on knowledge-attitude-practice theory.The medication compliance rate,blood glucose level,Exercise of Self-care Agency(ESCA)score and Diabetes Self-efficacy Scale(DSES)score were compared between the two groups.Results The medication compliance rate of the study group was higher than that of the routine group,and the difference was statistically significant(P<0.05).The levels of fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin A1c in the study group were lower than those in the routine group,and the differences were statistically significant(all P<0.05).The ESCA and DSES scores of the study group were higher than those of the routine group,and the differences were statistically sig-nificant(both P<0.05).Conclusion The nursing based on knowledge-attitude-practice theory can effectively improve the self-care ability and self-efficacy of diabetic patients,and improve the medication compliance rate and blood glu-cose control effect.

Knowledge-attitude-practice theoryDiabetes mellitusBlood glucose controlSelf-care ability

郭丙秀、贾燕、随春玲

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济宁市任城区人民医院门诊部,山东 济宁 272000

济宁市任城区人民医院内分泌科,山东 济宁 272000

知信行理论 糖尿病 血糖控制 自护能力

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(13)
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