基于授权原理的综合性护理干预对2型糖尿病患者用药依从性及自我效能的影响

Effects of comprehensive nursing intervention based on empowerment principle on medication compliance and self-efficacy in patients with type 2 diabetes mellitus

目的:探讨基于授权原理的综合性护理干预对2型糖尿病患者用药依从性及自我效能的影响。方法:选取2017年2月至2019年4月就诊于河北北方学院附属第一医院内分泌门诊的初诊2型糖尿病患者120例,按照随机数字表法分为观察组(n=60)与对照组(n=60),对照组使用传统护理干预,观察组给予基于授权原理的综合性护理干预。比较两组用药依从性、干预前后糖尿病代谢指标、自我护理行为、自我效能、生存质量。结果:观察组用药依从优良率(93.33%)高于对照组(80.00%,P<0.05);观察组干预后3,6个月空腹血糖(fasting blood glucose,FPG)、餐后2h血糖(2h postprandia lblood glucose,2hPG)、糖化血红蛋白(glycated hemoglobin,HbA1c)均低于对照组(P<0.05);观察组干预后1,3,6个月自我护理行为量表(Summary of Diabetes Self-Care Activities,SDSCA)评分均高于对照组(P<0.05);观察组干预后1,3,6个月自我效能量表(Diabetes Self Efficacy Scale,DSES)评分均高于对照组(P<0.05);观察组干预后1,3,6个月WHO生存质量评估简表(World Health Organization Quality of Life-Brief Version,WHOQOL-BREF)评分均高于对照组(P<0.05)。结论:基于授权原理的综合性护理干预可以提升2型糖尿病患者的用药依从性,改善糖尿病代谢指标,提升患者自我护理能力、自我效能和生存质量。

Objective:To explore effects of comprehensive nursing intervention based on empowerment principle on medication compliance and self-efficacy in patients with type 2 diabetes mellitus(T2DM).Methods:A total of 120 newly diagnosed T2DM patients who were treated in endocrine clinic of the hospital from February 2017 to April 2019 were enrolled.They were divided into an observation group(n=60)and a control group(n=60)according to random number table method.The control group was given traditional nursing intervention,while the observation group was given comprehensive nursing intervention based on empowerment principle.The medication compliance,diabetes metabolic indexes,self-care behaviors,self-efficacy and quality of life before and after intervention were compared between the 2 groups.Results:The good rate of medication compliance in the observation group was higher than that in the control group(93.33%vs 80.00%)(P<0.05).After 3 and 6 months of intervention,fasting blood glucose(FPG),2 h postprandial blood glucose(2hPG)and glycated hemoglobin(HbA1c)in the observation group were lower than those in the control group(P<0.05).After 1,3 and 6 months of intervention,scores of Summary of Diabetes Self-Care Activities(SDSCA)in the observation group were higher than those in the control group(P<0.05),scores of diabetes self-efficacy scale(DSES)were higher than those in the control group(P<0.05),and scores of World Health Organization Quality of Life-Brief Version(WHO QOLBREF)were higher than those in the control group(P<0.05).Conclusion:Comprehensive nursing intervention based on empowerment principle can improve medication compliance,improve diabetes metabolic indexes,improve self-care ability,self-efficacy and quality of life in T2DM patients.