Snyder希望理论指导护理干预对糖尿病患者自我效能、自我管理及血糖水平的影响

Effectiveness of Snyder's Hope Theory-Guided Nursing Intervention on Improvement of Self-Efficacy,Self-Management,and Blood Glucose Levels in Diabetic Patients

目的观察Snyder希望理论指导护理干预对糖尿病患者自我效能、自我管理及血糖水平的影响。方法选取南平市建阳区莒口镇卫生院2020年1月至2022年12月收治的糖尿病患者100例,随机分为两组,对照组和观察组分别接受常规护理和Snyder希望理论指导护理。比较两组自我效能(C-DMSES)、自我管理水平、血糖水平、生活质量(GQOLI-74)变化情况。结果干预后,观察组自我效能各项评分高于对照组;饮食运动控制率为92.0%、药物或胰岛素治疗率为96.0%、血糖自我监测率为96.0%,高于对照组的74.0%、80.0%、78.0%;血糖水平低于对照组;生活质量各项评分高于对照组(P<0.05)。结论Snyder希望理论指导护理干预对糖尿病患者具有积极意义,利于患者血糖得到有效控制,进而强化患者自我效能,提高自我管理水平,改善生活质量。

Objective To explore the effects of Snyder's hope theory guiding nursing intervention on self-efficacy,self-management level and blood glucose in patients with diabetes.Methods A total of 100 cases of diabetic patients admitted to Jukou Town Health Hospital,Jianyang District,Nanping City,from January 2020 to December 2022 were selected and randomly divided into two groups,the control group and the observation group received conventional nursing and Snyder's hope theory guided nursing intervention,respectively.The changes of self-efficacy(C-DMSES),self-management level,blood glucose level and quality of life(GQOLI-74)were compared between the two groups.Results After the intervention,the observation group's self-efficacy scores were higher than those of the control group;the diet and exercise control rate was 92.0%,the medication or insulin treatment rate was 96.0%,and the glucose self-monitoring rate was 96.0%,which was higher than those of the control group's 74.0%,80.0%,and 78.0%;the glucose level was lower than that of the control group;and all the scores of the quality of life were higher than those of the control group(P<0.05).Conclusions Nursing intervention guided by Snyder's hope theory has positive significance for patients with diabetes,effectively improving blood glucose level,increasing self-efficacy and self-management level,and improving quality of life.