Pender健康促进模式在糖尿病患者中的应用

Application of Pender health promotion model for diabetic patients

目的探讨Pender健康促进模式在糖尿病患者中的应用效果,为临床护理干预提供依据.方法采用便利抽样法,选取2017年10月—2018年9月哈尔滨医科大学附属第一医院内分泌科住院糖尿病患者100例为研究对象.按照患者的住院时间进行分组,将2017年10月—2018年3月收治的患者设为对照组,2018年4—9月收治的患者设为观察组.对照组患者进行常规糖尿病患者健康宣教,观察组患者采用依据健康促进模式制定的干预措施.采用2型糖尿病患者自我管理行为量表、健康调查简表(SF-36)评价干预的效果.结果出院后1个月观察组患者自我管理行为量表总分及各维度得分均高于对照组,差异有统计学意义(P<0.05).干预后两组患者SF-36生理健康和心理健康得分差异均无统计学意义(P>0.05).结论Pender健康促进模式能够提高糖尿病患者的自我管理行为,值得推广应用.

Objective To explore the application effect of Pender health promotion model in patients with diabetes and provide evidence for clinical nursing intervention. Methods A convenient sampling method was used to select 100 patients with diabetes mellitus admitted to Department of Endocrinology, the First Affiliated Hospital of Harbin Medical University from October 2017 to September 2018. According to the patient's hospitalization time, the patients admitted from October 2017 to March 2018 were set as the control group, and the patients admitted from April to September 2018 were set as the observation group. Patients in the control group were given routine health education for diabetic patients, and patients in the observation group were treated with interventions based on the health promotion model. The effect of the intervention was evaluated using the Self-Management Behavior Scale for Type 2 Diabetes and the MOS 36-Item Short-From Health Survey (SF-36). Results The total score of the Self-Management Behavior Scale and scores of each dimensions in the observation group were higher than those in the control group at 1 month after discharge, and the differences were statistically significant (P<0.05). There was no statistical differences in the physical health and mental health scores in SF-36 between the two groups after intervention (P>0.05). Conclusions Pender health promotion model can improve the self-management behavior of diabetic patients and it is worthy of promotion and application.