CAJ | 학술논문

目的：探讨目标设定护理方案对代谢综合征患者行为的影响。方法选取2012年5—9月期间在本院治疗的代谢综合征患者100例作为研究对象,根据随机数字表法将患者分为对照组和观察组,每组各50例。对照组给予常规护理,观察组给予目标设定护理方案,根据自我护理能力测定表( ESCA)对代谢综合征患者的自我效能感进行评价,采用“惠尔”生活方式评估问卷评定患者的健康行为。结果护理后,两组患者进行比较,健康知识水平评分观察组为(47.45±6.23)分,高于对照组的(42.26±5.65)分；自我责任感的评分观察组为(25.17±5.26)分,高于对照组的(18.95±4.38)分；自我护理技能的评分观察组为(27.49±4.63)分,高于对照组的(22.76±4.26)分；自我概念的评分观察组(27.02±4.51)分,高于对照组的(23.83±4.47)分；自我效能总分观察组为(127.13±10.42)分,高于对照组的(107.80±9.74)分,观察组和对照组患者的自我效能总分、4个维度的评分及自护行为评分差异均具有统计学意义(Z值分别为3.927,7.025,4.251,5.462,8.731；P<0.05)。两组健康行为比例分布中的膳食结构、运动以及熬夜指标的差异有统计学意义(t值分别为4.290,10.097,4.702；P<0.05)。结论目标设定护理方案可以有效改善代谢综合征患者自护行为和自我效能,值得临床推广。
목적：탐토목표설정호리방안대대사종합정환자행위적영향。방법선취2012년5—9월기간재본원치료적대사종합정환자100례작위연구대상,근거수궤수자표법장환자분위대조조화관찰조,매조각50례。대조조급여상규호리,관찰조급여목표설정호리방안,근거자아호리능력측정표( ESCA)대대사종합정환자적자아효능감진행평개,채용“혜이”생활방식평고문권평정환자적건강행위。결과호리후,량조환자진행비교,건강지식수평평분관찰조위(47.45±6.23)분,고우대조조적(42.26±5.65)분；자아책임감적평분관찰조위(25.17±5.26)분,고우대조조적(18.95±4.38)분；자아호리기능적평분관찰조위(27.49±4.63)분,고우대조조적(22.76±4.26)분；자아개념적평분관찰조(27.02±4.51)분,고우대조조적(23.83±4.47)분；자아효능총분관찰조위(127.13±10.42)분,고우대조조적(107.80±9.74)분,관찰조화대조조환자적자아효능총분、4개유도적평분급자호행위평분차이균구유통계학의의(Z치분별위3.927,7.025,4.251,5.462,8.731；P<0.05)。량조건강행위비례분포중적선식결구、운동이급오야지표적차이유통계학의의(t치분별위4.290,10.097,4.702；P<0.05)。결론목표설정호리방안가이유효개선대사종합정환자자호행위화자아효능,치득림상추엄。
Objective To investigate the effects of goal setting nursing strategy on behavior of patients with metabolic syndrome. Methods A total of 100 patients with the metabolic syndrome in our hospital for treatment from May to September in 2012, as research object, and all patients were divided into control group and observation group on average according to random number table. The patients of control group were given routine care, while the observation group underwent goal setting nursing. The self-efficacy and health behavior of patients with metabolic syndrome were evaluated by Exercise of Self-Care Agency Scale ( ESCA ) and the“whirlpool” way of life assessment questionnaire. Results After nursing care, the health knowledge score of observation group (47. 45 ± 6. 23) was significantly higher and that of the control group (42. 26 ± 5. 65);the sense of self responsibility score of observation group (25. 17 ± 5. 26) was significantly higher than that of the control group (18. 95 ± 4. 38);self care skill score the observation group (27. 49 ± 4. 63) was beyond (22. 76 ± 4. 26) in the control group;self concept scores in observation group (27. 02 ± 4. 51) was significantly higher than that of control group (23. 83 ± 4. 47);self-efficacy in observation group (127. 13 ± 10. 42) was significantly higher than that of the control group (107. 80 ± 9. 74). The score between the observation group and the control group with total score of self-efficacy and the 4 dimensions of the score and self-care behaviors were statistically significant ( t=3. 927, 7. 025, 4. 251, 5. 462, 8. 731;P <0. 05 ); patients in the two groups were compared after nursing care. The difference of the proportional distribution of dietary structure, movement and stay up index in two groups of healthy behavior was statistically significant (Z =4. 290,10. 097, 4. 702;P <0. 05). Conclusions Goal setting nursing strategy can effectively improve the metabolic syndrome patients′ self-care behavior and self-efficacy, and is worthy to promote in the clinical.