糖尿病合并支气管扩张应用基于保护动机理论的干预方案的作用价值

Role Value of the Application of an Intervention Program Based on the Theory of Protective Motivation in Diabetes Mellitus Combined with Bron⁃chiectasis

目的探究糖尿病合并支气管扩张患者护理中选择基于保护动机理论的干预方案的应用效果。方法随机选取2021年3月—2023年3月辽源市中心医院呼吸科收治的105例糖尿病合并支气管扩张患者为研究对象,以信封法分为常规组(n=54,接受常规护理)、观察组(n=51,在常规组基础上接受基于保护动机理论的干预方案),观察并比较两组血糖指标、健康促进生活方式量表评分、圣乔治呼吸问卷评分及心理状态评分。结果干预半年后,与常规组相比,观察组血糖水平更低、健康促进生活方式量表评分更高,圣乔治呼吸问卷评分更低,差异有统计学意义(P均<0.05)。观察组抑郁自评量表评分为(22.14±2.16)分、焦虑自评量表评分为(23.15±2.17)分,低于常规组的(23.45±2.13)、(24.19±2.19)分,差异有统计学意义(t=3.128、2.443,P均<0.05)。结论糖尿病合并支气管扩张患者护理中,基于保护动机理论的干预方案可改善患者血糖水平,提高生活质量,使心理状态得到有效纠正。

Objective To investigate the application effect of choosing the intervention program based on the theory of protective motivation in the care of patients with diabetes mellitus combined with bronchiectasis.Methods A total of 105 patients with diabetes mellitus combined with bronchiectasis who were admitted to the respiratory Department of Respiratory Medicine of Liaoyuan Central Hospital from March 2021 to March 2023 were randomly selected as the re-search objects.They were divided into the conventional group(n=54,receiving routine care)and the observation group(n=51,receiving the intervention program based on the theory of protective motivation was added on the basis of the conventional group)by the envelope method.The blood glucose index,Health Promotion Lifestyle Profile(HPLP)score,St George's Respiratory Questionnaire(SGRQ)score and psychological state score between two groups were ob-served and compared.Results After 6 months of intervention,compared with the conventional group,the observation group had lower blood glucose levels,higher score of HPLP,and lower score on SGRQ,the differences were statisti-cally significant(all P<0.05).The observation group had Self-rating Depression Scale score of(22.14±2.16)points and Self-rating Anxiety Scale score of(23.15±2.17)points,those were lower than the control group(23.45±2.13)points,(24.19±2.19)points,and the differences were statistically significant(t=3.128,2.443,both P<0.05).Conclusion In the care of patients with diabetes mellitus combined with bronchiectasis,the intervention program based on the theory of protective motivation can improve the patients'blood glucose level,improve the quality of life,and the psychologi-cal state is effectively corrected.