中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
20期
2404-2405
,共2页
行为转变理论%糖尿病%护理%血糖水平
行為轉變理論%糖尿病%護理%血糖水平
행위전변이론%당뇨병%호리%혈당수평
Behavioral change theory%Diabete%Nursing%Blood glucose level
目的 探讨行为转变理论在糖尿病患者护理中的作用,帮助糖尿病患者建立健康的行为方式,提高自我管理能力,控制血糖和糖化血红蛋白水平,减少并发症的发生.方法 将76例糖尿病患者随机分为对照组和观察组各38例,对照组采用常规的护理措施,观察组采用行为转变理论进行生活方式干预.通过发放自我管理调查表的方式收集资料,比较血糖和糖化血红蛋白等达标情况.结果 观察组空腹血糖达标者为30例,对照组为20例,两组比较差异有统计学意义(x2=5.846,P＜0.05),糖化血红蛋白达标率两组比较差异有统计学意义(31比17,x2=11.083,P＜0.05);观察组餐后2 h血糖、体重指数达标率均高于对照组(P＜0.05);两组患者自我管理能力评价比较差异均有统计学意义(x2=11.156,P＜0.05).结论 行为转变理论在帮助糖尿病患者改变生活方式中有积极促进的作用.使糖尿病患者提高自我管理技巧,有效地控制血糖和糖化血红蛋白.
目的 探討行為轉變理論在糖尿病患者護理中的作用,幫助糖尿病患者建立健康的行為方式,提高自我管理能力,控製血糖和糖化血紅蛋白水平,減少併髮癥的髮生.方法 將76例糖尿病患者隨機分為對照組和觀察組各38例,對照組採用常規的護理措施,觀察組採用行為轉變理論進行生活方式榦預.通過髮放自我管理調查錶的方式收集資料,比較血糖和糖化血紅蛋白等達標情況.結果 觀察組空腹血糖達標者為30例,對照組為20例,兩組比較差異有統計學意義(x2=5.846,P＜0.05),糖化血紅蛋白達標率兩組比較差異有統計學意義(31比17,x2=11.083,P＜0.05);觀察組餐後2 h血糖、體重指數達標率均高于對照組(P＜0.05);兩組患者自我管理能力評價比較差異均有統計學意義(x2=11.156,P＜0.05).結論 行為轉變理論在幫助糖尿病患者改變生活方式中有積極促進的作用.使糖尿病患者提高自我管理技巧,有效地控製血糖和糖化血紅蛋白.
목적 탐토행위전변이론재당뇨병환자호리중적작용,방조당뇨병환자건립건강적행위방식,제고자아관리능력,공제혈당화당화혈홍단백수평,감소병발증적발생.방법 장76례당뇨병환자수궤분위대조조화관찰조각38례,대조조채용상규적호리조시,관찰조채용행위전변이론진행생활방식간예.통과발방자아관리조사표적방식수집자료,비교혈당화당화혈홍단백등체표정황.결과 관찰조공복혈당체표자위30례,대조조위20례,량조비교차이유통계학의의(x2=5.846,P＜0.05),당화혈홍단백체표솔량조비교차이유통계학의의(31비17,x2=11.083,P＜0.05);관찰조찬후2 h혈당、체중지수체표솔균고우대조조(P＜0.05);량조환자자아관리능력평개비교차이균유통계학의의(x2=11.156,P＜0.05).결론 행위전변이론재방조당뇨병환자개변생활방식중유적겁촉진적작용.사당뇨병환자제고자아관리기교,유효지공제혈당화당화혈홍단백.
Objective To investigate the role of the behavioral change in diabetes care, to help diabetes developing a healthy behavior, to improve self-management, to control levels of blood glucose and glycated hemoglobin and to reduce complications.Methods 76 cases of diabetes were randomly divided into control group and observation group, each of group had 38 cases.Control group received routine nursing care, while observation group were treated with lifestyle intervention theory of behavioral change.Picked up data by questionnaire, and compared blood glucose and glycated hemoglobin compliance situation.Results 30 patients' Fasting Glucose in observation group and 20 cases in control group reached the standard , there was statistically significant difference in the two groups (x2 =5.846,P ＜0.05), the same to glycated hemoglobin(31 vs 17,x2 = 11.083,P＜0.05) ;the rate of reaching standard of blood glucose 2 hour after meal and BMI in observation group were higher than in control group (P ＜ 0.05) there was statistically significant difference in self-management in two groups (x2 =11.156, P＜0.05).Conclusions The theory of behavioral change have a positive role in helping to change the lifestyle of diabetes, to improve diabetes' self-management skills and control blood glucose and glycated hemoglobin effectively.
