以时机理论为中心的家庭护理模式干预对老年糖尿病肾病患者自护行为及肾功能的影响

Effect of Timing Theory Centered Family Nursing Intervention on Self-care Behavior and Improvement of Renal Function in Elderly Patients with Diabetic Nephropathy

目的回顾性分析以时机理论为中心的家庭护理模式干预在老年糖尿病肾病(DN)中的临床应用价值。方法收集漯河市中心医院2021年11月至2023年11月收治的122例老年DN患者,按照护理方法分为时机组(61例)、对照组(61例),对照组接受常规护理,时机组在此基础上接受以时机理论为中心的家庭护理模式干预。比较两组肾功能改善情况、血糖水平、自护行为、生活质量。结果干预后,时机组24 h尿蛋白定量、血肌酐(Scr)指标水平低于对照组(P<0.05);时机组空腹血糖(FBG)、餐后2 h血糖(2 h PG)指标水平均低于对照组(P<0.05);干预后,时机组自我护理能力测量量表(ESCA)评分高于对照组(P<0.05);干预后,时机组生活质量综合评定问卷-74(GQOL-74)评分高于对照组(P<0.05)。结论以时机理论为中心的家庭护理模式干预能改善老年DN患者肾功能、血糖水平,提高自护行为、生活质量。

Objective To retrospectively analyze the clinical application value of the family nursing model intervention centered on the opportunity theory in elderly diabetic nephropathy(DN).Methods A total of 122 cases of elderly patients with DN nephropathy in Luohe Central Hospital from November 2021 to November 2023 were collected.The 1∶1 matching design was divided into two groups according to nursing methods:the time group(61 cases)and the control group(61 cases).The control group received routine nursing,and the time group received family nursing intervention based on the opportunity theory.The improvement of renal function,blood glucose level,self-care behavior and quality of life were compared between the two groups.Results After intervention,the levels of 24-hour urinary protein quantitation and serum creatinine(Scr)in the time group were lower than those in the control group(P<0.05).The levels of fasting blood glucose(FBG)and 2-hour postprandial blood glucose(2 h PG)in the time group were lower than those in the control group(P<0.05).After intervention,the score of the exercise of self-care agency scale(ESCA)in the time group was higher than that in the control group(P<0.05).After intervention,the score of the generic quality of life inventory-74(GQOL-74)in the time group was higher than that in the control group(P<0.05).Conclusion The family nursing intervention centered on the opportunity theory can improve renal function and blood glucose levels in elderly patients with DN,and enhance self-care behavior and quality of life.