随访干预对糖尿病合并非酒精性脂肪肝患者自我效能和应对方式的影响研究.pdfVIP

实践探索 Practice and Exploration 随访干预对糖尿病合并非酒精性脂肪肝患 者自我效能和应对方式的影响研究 方英 戴莉敏 谢菲 刘媛 [ 摘 要] 目的：探讨随访干预对糖尿病合并非酒精性脂肪肝患者自我效能和应对方式的影响。方法：选择 2 型糖尿病合并 非酒精性脂肪肝的患者102 例，随机分为实验组52 例和对照组50 例，对照组给予常规随访，实验组在此基础上进行 PDCA 循环结合全程健康教育形式的随访管理。结果：随访 6 个月时，实验组自我效能评分优于对照组，应对方式上回避、屈服因子 明显降低（P0.05）。结论：随访干预能充分发挥患者自我管理效能，使其采用积极的应对方式，对改善糖尿病合并非酒精性脂 肪肝患者健康状况和提高生活质量具有重要意义。 [ 关键词 ] 2型糖尿病；非酒精性脂肪肝；自我效能；应对方式；随访干预 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2013.010.037 The effect of follow-up intervention on the self-efficacy and coping styles among diabetic patients with non-alcoholic fatty liver / FANG Ying, DAI Li-min, XIE Fei, et al. // Department of Endocrinology, Zhenjiang First Peoples Hospital, Jiangsu University, Zhenjiang, 212002 China /// Chinese Nursing Management- 2013,13(10): 106-109 [ ] Abstract Objective: To explore follow-up intervention on self-efficacy and coping styles among diabetic patients with non- alcoholic fatty liver. Methods: Totally 102 diabetic patients with nonalcoholic fatty liver were recruited and randomly divided into control group (n=52) and experimental group (n=50). The patients in control group received routine follow-up and the patients in experimental group received additional follow-up management besides routine follow-up. Results: After 6 months follow- up, the self-efficacy level in experimental group were higher than that in control group, and the scores of avoidance and yield in experimental group were significantly lower than those in control group (P0.05). Conclusion: Follow-up intervention could make self-management more effective, guide the patients to use active coping styles, and play an important role in improving the patients health condition and quality of life. [ ] Key words type 2 diabetes; nonalcohol