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基于授权原理的行为干预在2型糖尿病患者中的应用效果

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目的:观察基于授权原理的行为干预在 2 型糖尿病患者中的应用效果.方法:回顾性分析 2019 年 12 月至 2021 年 12 月该院收治的 122 例 2 型糖尿病患者的临床资料,根据护理方法不同将其分为对照组和观察组各 61 例.对照组实施常规护理,观察组实施基于授权原理的行为干预.比较两组用药依从性、护理前后血糖[空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbAlc)]水平、自我护理行为[糖尿病患者自我护理行为量表(SDSCA)]评分、生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分及不良事件发生率.结果:观察组用药依从性为 96.72%(59/61),高于对照组的 85.25%(52/61),差异有统计学意义(P<0.05);护理后,两组FPG、2hPG、HbAlc水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组用药、自我监测、饮食控制、足部护理、运动等各项SDSCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组生理健康、心理健康、社会关系、周围环境等各项WHOQOL-BREF评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率为 3.28%(2/61),低于对照组的 16.39%(10/61),差异有统计学意义(P<0.05).结论:基于授权原理的行为干预应用于 2 型糖尿病患者,可提高其用药依从性及自我护理行为,降低血糖水平,改善生命质量,减少不良事件发生率,效果优于常规护理.
Application effects of behavioral intervention based on authorization principle in patients with type 2 diabetes
Objective:To observe application effects of behavioral intervention based on authorization principle in patients with type 2 diabetes.Methods:The clinical data of 122 patients with type 2 diabetes admitted to the hospital from December 2019 to December 2021 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,61 cases in each group.The control group was given routine nursing,while the observation group was given the behavioral intervention based on the authorization principle.The medication compliance,the blood glucose[fasting blood glucose(FPG),2 h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbAlc)]levels,the self-care behavior[summary of diabetes self care activities(SDSCA)]score,the quality of life[World Health Organization quality of life-BREF(WHOQOL-BREF)]score,and the incidence of adverse events were compared between the two groups before and after the nursing.Results:The medication compliance of the observation group was 96.72%(59/61),which was higher than 85.25%(52/61)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the levels of FPG,2hPG and HbAlc in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The SDSCA scores of medication,self-monitoring,diet control,foot care and exercise in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The WHOQOL-BREF scores of physical health,mental health,social relations and surrounding environment in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events in the observation group was 3.28%(2/61),which was lower than 16.39%(10/61)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The behavioral intervention based on the authorization principle in the patients with type 2 diabetes can improve their medication compliance and the self-care behaviors,reduce blood glucose levels,improve the quality of life,and reduce the incidence of adverse events.Moreover,it is superior to the routine nursing.

Authorization principleBehavioral interventionType 2 diabetesMedication complianceBlood glucoseAdverse event

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郑州市第七人民医院感染防控科,河南 郑州 450000

授权原理 行为干预 2型糖尿病 用药依从性 血糖 不良事件

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(8)
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