摘要
目的:探讨基于知-信-行(KAP)理论的护理干预对老年糖尿病患者血糖水平、疾病不确定感、自我管理能力的影响。方法:选取2021年1月—2022年8月遵义市第一人民医院收治的104例老年糖尿病患者作为研究对象,按随机数表法将患者分为观察组和对照组,各52例。对照组给予常规护理,观察组采用基于KAP理论的护理干预,两组均持续6个月。比较两组血糖水平、疾病不确定感、自我管理能力。结果:两组护理前血糖水平、疾病不确定感、自我管理能力比较,差异无统计学意义(P>0.05);观察组护理后空腹血糖、餐后2 h血糖、糖化血红蛋白水平及疾病不确定感量表(MUIS-A)中不确定性、复杂性、不可预测性、信息缺乏评分低于对照组,2型糖尿病自我管理行为量表(2-CDSG)量表中饮食控制、血糖监测、足部护理、遵医嘱用药、规律运动、高低血糖处理评分高于对照组,差异有统计学意义(P<0.05)。结论:基于KAP理论的护理干预可有效改善老年糖尿病患者自我管理能力,降低疾病不确定感,稳定血糖水平。
Objective:To explore the effect of the nursing intervention based on knowledge,attitude,practic(KAP)theory on blood glucose level,disease uncertainty and self-management ability of elderly patients with diabetes.Method:A total of 104 elderly patients with diabetes who admitted to the First People's Hospital of Zunyi from January 2021 to August 2022 were selected as the study objects,the patients were divided into the observation group and the control group according to the random number table method,52 cases in each group.The control group was given routine care,while the observation group was given nursing intervention based on KAP theory,two groups were lasted for 6 months.The blood glucose levels,disease uncertainty and self-management abilities between two groups were compared.Result:There were no statistically significant differences in the blood glucose levels,disease uncertainty and self-management ability between two groups before nursing(P>0.05);the levels of fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin,the scores of uncertainty,complexity,unpredictability and lack of information in the Mishel uncertainty in illness scale-adult(MUIS-A)in the observation group after nursing were lower than those in the control group,the scores of diet control,blood glucose monitoring,foot care,medication compliance,regular exercise,and treatment of high and low blood glucose in the self-management behavior scale for type 2 diabetes(2-CDSG)were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Nursing intervention based on KAP theory can effectively improve the self-management ability of elderly patients with diabetes,reduce the uncertainty of disease,and stabilize the blood sugar level.
作者
赵瑾
税云英
ZHAO Jin;SHUI Yunying(The First People's Hospital of Zunyi,Zunyi 563099,China)
出处
《中外医学研究》
2023年第33期105-109,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
糖尿病
知信行理论
血糖
疾病不确定感
自我管理能力
Diabetes
Knowledge,attitude,practic theory
Blood glucose
Disease uncertainty
Self-management ability
