结合保护动机理论的护理干预在糖尿病周围神经病变患者中的应用效果分析

Analysis on Application Effect of Nursing Interventions Combining the Theory of Protective Motivation in Patients with Diabetic Peripheral Neuropathy

目的:探讨结合保护动机理论的护理干预在糖尿病周围神经病变(DPN)患者中的应用效果。方法:选取2020年12月-2021年12月锦州医科大学附属第一医院收治的92例DPN患者作为研究对象,根据随机数字表法分为观察组和对照组,各46例。对照组给予常规护理,观察组在对照组基础上给予结合保护动机理论的护理干预,比较两组干预前后血糖水平、自我管理行为量表(SDSCA)评分、生活质量评定量表(SF-12)评分。结果:干预前,两组空腹血糖(FBG)、餐后2 h血糖(2 hPBG)水平比较,差异无统计学意义(P>0.05);干预后,两组FBG、2 hPBG水平均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组普通饮食、特殊饮食、运动、血糖监测、足部护理、遵医嘱用药评分及SDSCA总分比较,差异无统计学意义(P>0.05);干预后,两组普通饮食、特殊饮食、运动、血糖监测、足部护理、遵医嘱用药评分及SDSCA总分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前两组生理、心理评分及总分比较,差异无统计学意义(P>0.05);干预后,两组生理、心理评分及总分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:结合保护动机理论的护理干预,有利于改善DPN患者的血糖水平,可有效提高其自我管理能力和生活质量。

Objective:To explore the application effect of nursing interventions combining the theory of protective motivation in patients with diabetic peripheral neuropathy(DPN).Methods:A total of 92 patients with DPN who were treated in the First Affiliated Hospital of Jinzhou Medical University from December 2020 to December 2021 were selected as the study subjects.They were randomly divided into an observation group and a control group,with 46 cases in each group.The control group was given routine nursing care and the observation group was given nursing interventions combing the theory of protective motivation on the basis of control group.Blood glucose levels,self-management behavior scale(Summary of Diabetes Self-Care Activities,SDSCA)scores,and quality of life rating scale(Short-Form Health Survey,SF-12)scores were compared between the two groups before and after the intervention.Results:Before the intervention,there were no significant differences in fasting blood glucose(FBG)and 2 h postprandial blood glucose(2 hPBG)levels between the two groups(P>0.05).After the intervention,the levels of FBG and 2 hPBG in the two groups were lower than those before the intervention,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Before the intervention,there were no significant differences in the scores of general diet,special diet,exercise,blood glucose monitoring,foot care,medication compliance score and the total SDSCA score between the two groups(P>0.05).After the intervention,the scores of general diet,special diet,exercise,blood glucose monitoring,foot care,medication compliance score and the total SDSCA score in the two groups were higher than those before the intervention,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).There were no significant differences in physiological and psychological scores and total scores between the two groups before the intervention(P>0.05).After the intervention,the physiological and psychological scores and total scores in the two groups were higher than those before the intervention,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:Nursing interventions combining the theory of protective motivation is conductive to improving blood glucose levels and can effectively improve the self-management ability and quality of life of DPN patients.