摘要
目的:探讨基于计划行为理论的延续性护理模式对糖尿病视网膜病变(DR)出院患者自我管理能力、生活质量的影响。方法:选取2021年3月—2022年3月中山大学附属第五医院收治的100例DR患者作为研究对象,根据随机数表法将其分为对照组50例和观察组50例。对照组接受常规出院宣教,观察组在对照组基础上实施基于计划行为理论的延续性护理干预,两组出院后均随访3个月。对比两组护理前后空腹血糖和餐后2 h血糖水平、健康素养[慢性病患者健康素养调查量表(HeLMS)]、自我管理能力[自我管理量表(ESCA)]及生活质量[中文版低视力患者生活质量量表(CLVQOL)]。结果:两组护理前空腹血糖和餐后2 h血糖水平、HeLMS评分、ESCA评分及CLVQOL评分比较,差异无统计学意义(P>0.05);观察组护理后空腹血糖和餐后2 h血糖水平明显低于对照组,HeLMS评分、ESCA评分及CLVQOL评分明显高于对照组,差异有统计学意义(P<0.05)。结论:DR患者出院后实施基于计划行为理论的延续性护理,能有效控制血糖水平,提高健康素养及自我管理能力,改善生活质量。
Objective:To explore the effect of continuous nursing model based on planned behavior theory on self-management ability and quality of life of discharged patients with diabetic retinopathy(DR).Method:A total of 100 patients with DR who admitted to the Fifth Affiliated Hospital of Sun Yat-sen University from March 2021 to March 2022 were selected as the study objects,and they were divided into the control group 50 cases and the observation group 50 cases according to random number table method.The control group was given routine discharge education,and the observation group was given continuous nursing based on planned behavior theory on the basis of the control group,two groups were followed up for 3 months after discharge.The levels of fasting blood glucose and 2 h postprandial blood glucose,health literacy[health literacy management scale(HeLMS)],self-management ability[exercise of self-care agency scale(ESCA)]and quality of life[Chinese version of the low vision quality of life questionnaire(CLVQOL)]were compared between two groups before and after nursing.Result:There were no significant differences in the fasting blood glucose and 2 h postprandial blood glucose levels,HeLMS score,ESCA score and CLVQOL score between two groups before nursing(P>0.05);the levels of fasting blood glucose and 2 h postprandial blood glucose in the observation group were significantly lower than those in the control group,and the HeLMS score,ESCA score and CLVQOL score were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of continuous nursing based on planned behavior theory in discharged patients with DR can effectively control blood glucose levels,improve health literacy and self-management ability,and improve the quality of daily life.
作者
黄杏
曾小容
钟珊珊
寇梦娟
HUANG Xing;ZENG Xiaorong;ZHONG Shanshan;KOU Mengjuan(The Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China;不详)
出处
《中外医学研究》
2024年第6期81-85,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
