基于保护动机理论的中医辨体施护在妊娠糖尿病患者中的应用

Application of Nursing Based on Constitution Differentiation of Chinese Medicine to Gestational Diabetes Mellitus Based on Protection Motivation Theory

目的:研究基于保护动机理论的中医辨体施护对妊娠糖尿病患者的护理效果。方法:将96例妊娠糖尿病患者按随机数字表法分为观察组和对照组各48例,对照组给予常规护理,观察组在对照组基础上行基于保护动机理论的中医辨体施护。比较2组患者自我护理能力、自我效能及血糖水平。结果:干预前,2组自我护理能力各维度得分和总分比较,差异无统计学意义(P>0.05)。干预后,2组自我护理能力各维度得分和总分较干预前升高,且观察组自我护理能力各维度得分和总分均高于对照组(P<0.05)。干预前,2组自我效能评分比较,差异无统计学意义(P>0.05)。干预后,2组自我效能评分较干预前升高,且观察组自我效能评分高于对照组(P<0.05)。干预前,2组空腹血糖、餐后2 h血糖水平比较,差异无统计学意义(P>0.05)。干预后,2组空腹血糖、餐后2 h血糖水平较干预前改善,且观察组空腹血糖、餐后2 h血糖水平优于对照组(P<0.05)。结论:基于保护动机理论的中医辨体施护可以有效控制患者血糖水平,提高患者自我护理能力和自我效能水平。

Objective:To study the effect of nursing based on constitution differentiation of Chinese medicine on patients with gestational diabetes mellitus on the basis of protection motivation theory.Methods:A total of 96 cases of patients with gestational diabetes mellitus were divided into the observation group and the control group according to random number table,48 cases in each group.The control group was given routine nursing;based on the nursing of the control group,the observation group was additionally given nursing based on constitution differentiation of Chinese medicine on the basis of protection motivation theory.The ability of self-nursing,self-efficacy,and the level of blood glucose were compared between the two groups.Results:Before intervention,when compared the scores of self-nursing ability in each dimension and the total scores between the two groups,there was no significance in the difference(P>0.05).After intervention,the scores of self-nursing ability in each dimension and the total scores in the two groups were increased when compared with those before intervention,and each score and the total score in the observation group were higher than those in the control group(P<0.05).Before intervention,when compared the score of self-efficacy between the two groups,there was no significance in the difference(P>0.05).After intervention,the score of self-efficacy in the two groups were increased when compared with those before intervention,and the score in the observation group was higher than that in the control group(P<0.05).Before intervention,when compared the levels of fasting blood glucose and postprandial 2 h blood glucose between the two groups,there was no significance in the difference(P>0.05).After intervention,the levels of fasting blood glucose and postprandial 2 h blood glucose in the two groups were improved when compared with those before intervention,and the levels in the observation group were better than those in the control group(P<0.05).Conclusion:On the basis of protection motivation theory,the nursing based on constitution differentiation of Chinese medicine can effectively control the level of blood glucose of patients,improve their self-nursing ability and the level of self-efficacy.