郭正卿

【摘 要】目的：分析并评价激励性护理对糖尿病足患者自我管理能力、遵医行为及生活质量的影响。方法：选择我院收治的70例糖尿病足患者进行研究，根据不同护理方法分组：实施常规护理干预的为对照组，共计35例；实施激励性护理干预的为观察组，共计35例；比较两组患者自我管理能力、遵医行为及生活质量，评价其护理效果。结果：观察组患者自我管理能力、遵医行为评分均显著优于对照组相应指标评分，差异具有统计学意义（P<0.05）；观察组患者情绪职能、社会功能、躯体功能、健康情况等维度评分均高于对照组相应指标评分，差异均具有统计学意义（P<0.05）。结论：激励性护理在糖尿病足患者护理中效果显著，能提高患者自我管理能力及其遵医行为，改善生活质量，值得推广。

【关键词】激励性护理；糖尿病足；自我管理能力；遵医行为；生活质量

Effect of motivational nursing on self-management ability， compliance behavior and quality of life of diabetic foot patients

Zheng QingGuo

Wuwei Second People’s Hospital， Wuwei Gansu， 733009， China

【Abstract】Objective：To analyze and evaluate the influence of motivational nursing on self-management ability， compliance behavior and quality of life of diabetic foot patients. Methods：70 diabetic foot patients in our hospital were selected and divided into groups according to different nursing methods. The control group received routine nursing intervention， 35 cases. The observation group implemented incentive nursing intervention， 35 cases. The self-management ability， compliance behavior and quality of life of the two groups were compared， and the nursing effect was evaluated. Results：The scores of self-management ability and compliance behavior in the observation group were significantly better than those in the control group（P<0.05）.The scores of emotional function， social function， physical function and health status in the observation group were higher than those in the control group（P<0.05）. Conclusion：The incentive nursing is effective in the nursing of diabetic foot patients. It can improve patients’ self-management ability and compliance behavior， and improve their quality of life. It is worth promoting.

【Key？Words】incentive nursing； diabetic foot； self management ability； medical compliance； quality of life

糖尿病属于临床常见的一种疾病，是指因为胰岛素作用缺陷、胰岛素分泌不足等，引发的脂肪、糖、水、蛋白质等系列代谢紊乱，主要特征为长期高血糖[1]。糖尿病足是糖尿病常见的并发症，主要是因为患者末梢神经及血管发生病变，血液黏稠度升高，使得患者下肢发生缺血、坏死、感染、动脉供血不足等症状，临床表现为疼痛、麻木、肿胀、坏疽、溃疡等，是糖尿病患者病死、病残的主要原因，严重威胁患者的身心健康[2]。在糖尿病足的治疗中，实施良好的护理能帮助患者树立正确的健康观念，保持良好的生活及饮食习惯，提高自我管理能力及遵医行为，改善生活质量。……