CAJ | 학술논문

目的探讨保护动机理论对糖尿病高危足患者足部护理的影响.方法选取2013年1月~2014年5月在本院门诊部治疗的104例糖尿病高危足患者,按就诊次序的先后分为实验组和对照组,每组各52例.对照组有2例失访退出,实验组有1例失访退出. 实验组患者接受6个月以保护动机理论为指导的糖尿病高危足健康教育,对照组接受常规的糖尿病高危足健康教育.比较两组患者干预前后的足部自护能力、足部情况和血糖水平等.结果干预后实验组患者的足部自护能力(除当足部有问题及时找医生外)、足部情况(除足癣外)和血糖水平均优于对照组,两组比较,均P<0.05,差异具有统计学意义. 结论采用保护动机理论为指导的健康教育能帮助糖尿病高危足患者提高足部自护能力,控制血糖水平,改善足部情况,避免糖尿病足的发生.
목적 탐토보호동궤이론대당뇨병고위족환자족부호리적영향.방법 선취2013년1월~2014년5월재본원문진부치료적104례당뇨병고위족환자,안취진차서적선후분위실험조화대조조,매조각52례.대조조유2례실방퇴출,실험조유1례실방퇴출. 실험조환자접수6개월이보호동궤이론위지도적당뇨병고위족건강교육,대조조접수상규적당뇨병고위족건강교육.비교량조환자간예전후적족부자호능력、족부정황화혈당수평등.결과 간예후실험조환자적족부자호능력(제당족부유문제급시조의생외)、족부정황(제족선외)화혈당수평균우우대조조,량조비교,균P<0.05,차이구유통계학의의. 결론 채용보호동궤이론위지도적건강교육능방조당뇨병고위족환자제고족부자호능력,공제혈당수평,개선족부정황,피면당뇨병족적발생.
Objective To explore the influence of the protection motivation theory (PMT) on the self-nursing ability of high-risk diabetic foot (DF) patients. Methods The outpatients in our hospital were selected with high-risk DF between January 2013 and May 2014, randomly divided into the control group and PMT group, 52 cases in each group. Guided under the protection motivation theory, PMT group received a six-month health education and management; and the control group accepted conventional health education of diabetes. Before and after the intervention, some observation indexes of the two groups respectively were evaluated including the ability of diabetic foot self-nursing, foot condition, fasting blood sugar, 2 h postprandial blood glucose. Result After six months, the scores of the self-care ability of diabetic foot and foot condition from the patients of PMT group were higher than that of PMT group before the intervention and that of control group after intervention (P<0.05). Conclusion PMT can help patients with high-risk DF enhance their foot self-care ability, improve their foot condition, control their blood sugar, and prevent the DF onset.