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KAP护理对2型糖尿病患者心理和依从性的影响

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目的 分析知信行模式(KAP)护理对2型糖尿病患者心理及依从性的影响,探寻2型糖尿病患者的更佳护理方法.方法 按照随机数字表法将天津市河西医院门诊2019年4月-2020年9月收治的100例2型糖尿病患者分为对照组和观察组各50例.对照组行常规护理,观察组在对照组基础上加用KAP护理.比较两组护理前后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分,评估两组健康行为依从率及血糖水平.结果 护理前,两组SDS、SAS评分比较差异无统计学意义(P>0.05);护理后,两组SDS、SAS评分较护理前均降低,且观察组低于对照组,差异均有统计学意义(P<0.05).观察组合理运动、血糖监测、戒烟戒酒、饮食控制、遵医嘱用药依从率分别为90.00%、92.00%、94.00%、94.00%、98.00%,均高于对照组的72.00%、72.00%、80.00%、70.00%、84.00%,差异均有统计学意义(P<0.05).护理前,两组2hPBG、FBG比较差异无统计学意义(P>0.05);护理后,两组2hPBG、FBG均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05).结论 KAP护理能缓解2型糖尿病患者焦虑、抑郁情绪,提高治疗和护理依从性,更好控制血糖,值得临床推广与应用.
The influence of KAP nursing on psychology and compliance of patients with type 2 diabetes mellitus
Objective To analyze the influence of knowledge-attitude-practice(KAP)nursing on psychology and compliance of patients with type 2 diabetes mellitus,and to explore the better nursing method for type 2 diabetes mellitus.Methods A total of 100 patients with type 2 diabetes mellitus admitted to the outpatient department of Tianjin Hexi Hospital from April 2019 to September 2020 were divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group received routine nursing,and the observation group received KAP nursing on the basis of control group.The scores of self rating depression scale(SDS)and self rating anxiety scale(SAS)were compared between the two groups before and after nursing,the compliance rate of health behavior and the blood glucose level between the two groups were evaluated.Results There were no significant differences in the scores of SDS and SAS between the two groups before nursing(P>0.05);after nursing,the SDS and SAS scores of the two groups were lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The compliance rates of reasonable exercise,blood glucose monitoring,quitting smoking and alcohol,diet control and medication according to medical advice in the observation group were 90.00%,92.00%,94.00%,94.00%and 98.00%,respectively,which were higher than 72.00%,72.00%,80.00%,70.00%and 84.00%in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in 2hPBG and FBG between the two groups(P>0.05);after nursing,the 2hPBG and FBG of the two groups were lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion KAP nursing could relieve anxiety and depression emotion of patients with type 2 diabetes mellitus,improve treatment and nursing compliance,and better control blood sugar,which was worthy of clinical promotion and application.

Knowledge-attitude-practice modelNursingType 2 diabetes mellitusPsychological nursingComplianceAnalysis

王洪

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天津市河西医院综合内科,天津 300202

知信行模式 护理 2型糖尿病 心理护理 依从性 分析

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(7)