摘要
目的探讨问题导向干预模式对老年2 型糖尿病患者主要护理问题、自护行为、疾病感知的影响。方法采用便利抽样法纳入2016 年9 月—2017 年9 月嘉兴市第一医院收治的老年2 型糖尿病患者112 例,按照入院顺序分为对照组和观察组,每组各56 例。对照组予以常规护理,观察组实施常规护理+问题导向干预模式护理,干预前后采用奥马哈问题分类系统评估两组护理问题,采用中文版糖尿病自护行为量表、疾病感知问卷简版评估两组干预效果。结果干预6 个月后,观察组主要护理问题解决率为82.93%(68/82),对照组主要护理问题解决率为63.16%(48/76),两组比较差异有统计学意义(χ2=7.898,P< 0.05)。干预后观察组患者糖尿病自护行为总分(27.33±7.36)分,疾病感知总分(38.49±5.76)分,均高于对照组,差异有统计学意义(t值分别为5.180、7.201;P< 0.01)。结论采用问题导向干预模式护理能有效提高老年2 型糖尿病患者自护能力,改善其对疾病的感知能力。
Objective To explore the effects of the problem-oriented intervention model on major nursing issues, self-care behavior and illness perception in elderly patients with type 2 diabetes. Methods Totally 112 elderly patients with type 2 diabetes admitted in the First Hospital of Jiaxing from September 2016 to September 2017 were selected by convenient sampling and divided into the control group( n=56) and the observation group( n=56) based on the time of admission. Patients in the control group received conventional nursing care, while patients in the observation group received conventional nursing care in addition to problemoriented nursing interventions. The Omaha Problem Classification Scheme was used to evaluate the nursing issues in the two groups, and the Chinese version of Summary of Diabetes Self-Care Activities( SDSCA) and the Brief Illness Perception Questionnaire( BIPQ) were used to evaluate the intervention effects between the two groups. Results After 6 months, the resolution rate of major nursing issues in the observation group was 82.93%( 68/82), while that in the control group was 63.16%( 48/76);(χ2=7.898, P < 0.05). The self-care behavior and illness perception in the observation group totaled( 27.33±7.36) and( 38.49±5.76), respectively, both higher than that in the control group( t=5.180, 7.201;P < 0.01). Conclusions The problem-oriented nursing intervention model can effectively enhance the self-care ability and illness perception in elderly patients with type 2 diabetes.
作者
章美琪
金霞明
许海群
张建群
王黎梅
刘学英
盛晗
Zhang Meiqi;Jin Xiaming;Xu Haiqun;Zhang Jianqun;Wang Limei;Liu Xueying;Sheng Han(Department of Endocrinology,the First Hospital of Jiaxing,Zhejiang Province,Jiaxing 314000,China;Department of Nursing,the First Hospital of Jiaxing,Zhejiang Province,Jiaxing 314000,China)
出处
《中华现代护理杂志》
2019年第5期606-610,共5页
Chinese Journal of Modern Nursing
基金
浙江省嘉兴市科技局计划项目(2017AY33011).
关键词
老年人
糖尿病
2
型
问题导向干预
自护
疾病感知
Diabetes, type 2
Problem-oriented intervention
Self-care
Illness perception
