Orem自护理论在糖尿病患者自我血糖监测中的应用

Application of Orem self- care theory to self monitoring of blood glucose in patients with diabetes

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2 h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。

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.