摘要
目的探讨基于行为阶段理论的家庭访视护理对社区老年糖尿病患者服药依从性的影响。方法选取64例老年糖尿病患者为对照组,64例为试验组。对照组给予常规家庭访视护理干预,试验组给予基于行为阶段理论的社区家庭访视护理干预。干预前、干预后3个月、6个月对两组老年糖尿病患者服药依从性、血糖进行比较;干预前后对两组老年糖尿病患者的服药遵从行为改变阶段进行比较。结果干预后3个月、6个月试验组患者服药依从性得分均高于对照组(P<0.01或P<0.05);干预后3个月、6个月试验组患者空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组;干预后试验组服药遵从行为阶段改变优于对照组(P<0.01或P<0.05)。结论基于行为阶段理论的社区家庭访视护理可较好地改变老年糖尿病患者的服药遵从行为改变阶段,提高服药依从性,帮助控制血糖。
Objective To investigate the effects of community home visit based on behavioral stage theory on drug compliance behavior of elderly diabetes patients. Methods The elderly diabetics were divided into two groups with 64 cases in each.The control group were given conventional home nursing,and the experimental group received the community home nursing based on behavioral stage theory.Before intervention and 3,6 months after intervention,the drug compliance score and blood glucose between two groups were compared.The drug compliance behavioral stage changes were compared before and after intervation. Results The drug compliance score of the experimental group was higher than that of the control group at 3 and 6 months after intervention ( P <0.01 or P <0.05).After intervention,the fasting blood glucose,2 hours postprandial blood glucose and glycosglated hemoglobin of the experimental group were lower than those of the control group at 3 and 6 months after intervention,and drug compliance behavioral stage changes in the experimental group were better than that of the control group ( P <0.01 or P <0.05). Conclusion The community home visit based on behavioral stage theory can perfect drug compliance behavior of elderly diabetes patients,improve the drug compliance,and help them effectively control blood glucose.
作者
王君
王爱民
叶洪江
WANG Jun;WANG Aimin;YE Hongjiang(Department of Endocrinology,the 900th Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army,Fuzhou 350025,China)
出处
《护理管理杂志》
2019年第4期293-296,共4页
Journal of Nursing Administration
关键词
行为阶段理论
糖尿病
服药依从性
家庭访视
trans-theoretical model of change
diabetes
drug compliance
home visiting
