齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2014年
9期
12-14
,共3页
Orem自护理论%糖尿病%自我血糖监测
Orem自護理論%糖尿病%自我血糖鑑測
Orem자호이론%당뇨병%자아혈당감측
Orem self-care theory%Diabetes%Self monitoring of blood glucose
目的：探讨Orem自护理论在糖尿病患者自我血糖监测（ SMBG）中的应用效果。方法：将100例糖尿病患者随机分为常规护理组和Orem自护组各50例，常规护理组给予常规护理，Orem自护组在常规护理基础上，采取Orem自护理论中支持教育系统给予护理指导。观察两组入院时、出院后3、6个月空腹血糖、餐后2h血糖、血糖变异、糖化血红蛋白及其达标率、血糖监测频率、低血糖等的差异。结果：Orem自护组与常规护理组比较，空腹血糖、餐后2 h血糖、糖化血红蛋白均明显得到控制，糖化血红蛋白达标率明显升高，而血糖变异性明显减少，血糖监测频率明显增加，低血糖事件明显降低（ P＜0．05，P＜0．01）。结论：在糖尿病患者SMBG中应用Orem自护理论，能有效提高患者对执行自护行为的能力、遵医行为，对护理实践有重要指导作用。
目的：探討Orem自護理論在糖尿病患者自我血糖鑑測（ SMBG）中的應用效果。方法：將100例糖尿病患者隨機分為常規護理組和Orem自護組各50例，常規護理組給予常規護理，Orem自護組在常規護理基礎上，採取Orem自護理論中支持教育繫統給予護理指導。觀察兩組入院時、齣院後3、6箇月空腹血糖、餐後2h血糖、血糖變異、糖化血紅蛋白及其達標率、血糖鑑測頻率、低血糖等的差異。結果：Orem自護組與常規護理組比較，空腹血糖、餐後2 h血糖、糖化血紅蛋白均明顯得到控製，糖化血紅蛋白達標率明顯升高，而血糖變異性明顯減少，血糖鑑測頻率明顯增加，低血糖事件明顯降低（ P＜0．05，P＜0．01）。結論：在糖尿病患者SMBG中應用Orem自護理論，能有效提高患者對執行自護行為的能力、遵醫行為，對護理實踐有重要指導作用。
목적：탐토Orem자호이론재당뇨병환자자아혈당감측（ SMBG）중적응용효과。방법：장100례당뇨병환자수궤분위상규호리조화Orem자호조각50례，상규호리조급여상규호리，Orem자호조재상규호리기출상，채취Orem자호이론중지지교육계통급여호리지도。관찰량조입원시、출원후3、6개월공복혈당、찬후2h혈당、혈당변이、당화혈홍단백급기체표솔、혈당감측빈솔、저혈당등적차이。결과：Orem자호조여상규호리조비교，공복혈당、찬후2 h혈당、당화혈홍단백균명현득도공제，당화혈홍단백체표솔명현승고，이혈당변이성명현감소，혈당감측빈솔명현증가，저혈당사건명현강저（ P＜0．05，P＜0．01）。결론：재당뇨병환자SMBG중응용Orem자호이론，능유효제고환자대집행자호행위적능력、준의행위，대호리실천유중요지도작용。
Objective:To investigate the effect of Orem self -care theory applied to self monitoring of blood glucose in diabetic patients . Methods:100 diabetic patients were randomly divided into the routine nursing group and Orem self -care group (50 cases in each group). The patients in the routine nursing group were given routine nursing care;the supportive education system of Orem self -care theory was a-dopted to give patients nursing instruction in the Orem self -care group based on the routine one .The differences of fasting blood glucose , 2 hr postprandial blood glucose ,glycated hemoglobin ,glucose variability and compliance rate ,blood glucose monitoring frequency and the incidence of hypoglycemia were observed in the two groups respectively on admission ,in 3 and 6 months after discharge .Results:Compared with routine nursing group ,fasting blood glucose ,2 hr postprandial blood glucose and glycated hemoglobin were under control obviously and the compliance rate of glycated hemoglobin increased significantly , while the glucose variability was significantly reduced , blood glucose monitoring frequency increased and the incidence of hypoglycemia was significantly lower in the Orem self -care group ( P<0.05,P<0.01).Conclusion:Application of Orem self-care theory can effectively improve the self -care ability and compliance behavior of diabetic patients.
