基于保护动机理论的护理干预对糖尿病患者血糖监测的-中国护理管理.PDF

专科管理 Advanced Nursing Practice 基于保护动机理论的护理干预对糖尿病 患者血糖监测的影响 康烁 田素斋 高俊香 王丽娟 赵秀君 葛艳红 [ 摘 要 ] 目的：评价基于保护动机理论的护理干预对糖尿病患者血糖监测的影响。方法：采用便利抽样法选择 2014 年10月至 2015 年3月在我院内分泌科住院的糖尿病患者 96 例作为研究对象，随机分为干预组和对照组各 48 例， 对照组给予常规护理，干预组给予为期 3 个月的基于保护动机理论的护理干预。比较两组患者干预前后血糖监测知识 和技能、血糖监测保护动机、血糖和糖化血红蛋白指标的变化。结果：干预后干预组患者血糖监测知识和技能得分、 血糖监测保护动机得分、血糖和糖化血红蛋白值均优于对照组患者（P0.05）。结论：基于保护动机理论的护理干预措 施可以提高糖尿病患者血糖监测知识和技能的掌握程度，增强血糖监测保护动机，促进代谢指标达标。 [ 关键词 ] 糖尿病；保护动机；血糖自我监测 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.02.025 Effects of nursing intervention based on protection motivation theory on the blood glucose monitoring among patients with diabetes mellitus / KANG Shuo, TIAN Suzhai, GAO Junxiang, WANG Lijuan, ZHAO Xiujun, GE Yanhong // Endocrinology Department, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000 China /// Chinese Nursing Management-2016,16(2): 242-246 [Abstract] Objective: To investigate the effect of the nursing intervention based on protection motivation theory on the blood glucose self-monitoring for patients with diabetes mellitus. Methods: A total of 96 patients with diabetes mellitus were recruited and divided into the control group and the intervention group randomly with 48 patients in each group. Patients in control group received routine care and patients in intervention group received a further 3-month protection motivation theory-based nursing intervention besides routine care. We compared the knowledge, skill and protection motivation of blood glucose self-monitoring, blood glucose, and glycosylated hemoglobin between the two groups before and after 3 months of intervention. Results: After the intervention, the scores of the knowledge, skill and protection motivation of blood glucose self-monitoring in intervention group was higher than