循证护理对老年糖尿病患者自我效能和血糖的影响

2014-10-17胡芳英沈文娟周军娟朱丽敏

浙江医学教育 2014年2期

关键词：血糖糖尿病护理

胡芳英，沈文娟，周军娟，朱丽敏

(杭州市第三人民医院，浙江杭州 310009)

循证护理对老年糖尿病患者自我效能和血糖的影响

胡芳英，沈文娟，周军娟，朱丽敏

(杭州市第三人民医院，浙江杭州 310009)

目的：应用循证护理对老年干部病房糖尿病患者进行护理干预，探讨其对自我效能和控制血糖的影响。方法将62例糖尿病患者随机分为干预组和对照组，对照组予以常规治疗和护理，干预组在常规治疗和护理基础上，进行循证护理干预3个月，入院时和实验结束后采用一般自我效能感量表和血糖控制情况进行测量评价。结果干预组老年干部糖尿病患者自我效能得分及血糖控制情况均优于对照组，差异有统计学意义(P<0.05)。结论运用循证护理对老年干部糖尿病患者进行护理干预有助于患者提高自我效能，提高生活质量，维持血糖平稳。

循证护理；老年干部；糖尿病；自我效能

Abstract：[Objective] To study the impact of Evidence-based Nursing on the self-efficacy and blood glucose of old cadres with diabetes .[Method] A total of 62 patients with diabetes were randomly divided into invent group and control group after they were admitted to our ward. The both groups received routine treatment and care. The invent group also received Evidence-based Nursing for 3 months. The General Self-efficacy Scale and blood glucoses were used to evaluate the self-efficacy and health conditions of the patients. [Result] The scores of self-efficacy in the invent group were higher than that of the control group ,and the difference between two groups was statistically significant P<0.05. The blood glucoses of the experimental group were lower than the control group, and had significant differences(P<0.05). [Conclusion] The application of Evidence-based Nursing to old cadres with diabetes can not only improve the patient’s self-efficacy, but also improve the patient’s quality of life, and make blood glucoses more stable.

Keywords:evidence-based nursing; old cadre; diabetes mellitus; self-efficacy

糖尿病是一种以慢性高血糖为特征的慢性终身性疾病，其晚期并发症多并且严重危害患者的身心健康，极大地增加了糖尿病的致残率和死亡率，严重影响患者的生活质量，给社会和家庭造成了巨大的负担。目前糖尿病尚无根治方法，其有效控制的关键在于良好的自我管理及护理，自我效能则是影响患者自我管理和治疗依从性的重要因素。本研究旨在探讨循证护理对老年干部糖尿病患者自我效能及血糖控制的影响，为进一步制定护理干预措施提供依据。