|
|
Application effect of self-efficacy nursing in patients with gestational diabetes based on the theory of nurse-patient interaction reaching standard |
ZHENG Ting |
Department of Obstetrics and Gynecology,Shangrao Maternal and Child Health Hospital,Jiangxi Province,Shangrao 334000,China |
|
|
Abstract Objective To explore the application effect of self-efficacy nursing in patients with gestational diabetes mellitus(GDM)based on the theory of nurse-patient interaction reaching the standard.Methods A total of 80 patients with GDM who received treatment in Shangrao Maternal and Child Health Hospital from January 2017 to December 2020 were selected as the research objects,and were divided into observation group and control group by random number table method,with 40 cases in each group.The control group adopted routine intervention methods such as health education and psychological nursing,and the observation group adopted self-efficacy nursing under the theory of nurse-patient interaction standard on the basis of the control group.The serum glucose level(fasting plasma glucose[FPG],2 h postprandial blood glucose[2 h PG],glycosylated hemoglobin[HbAlc]),self-management ability score(selfefficacy for diabetes[SED],summary of diabetes self-care activities[SDSCA])and psychological status(symptom checklist-90[SCL-90])score of patients in the two groups were compared before intervention and 2 months after intervention.Results Before intervention,there was no significant difference in FPG,2 h PG and HbAlc levels between two groups(P>0.05).After intervention,the levels of FPG,2 h PG and HbAlc in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in SDSCA and SED scores between two groups(P>0.05).After intervention,SDSCA score of observation group was lower than control group,SED score was higher than control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in psychological status between the two groups(P>0.05).After intervention,the scores of anxiety,fear and depression in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Self-efficacy nursing under the theory of nurse-patient interaction compliance is beneficial to helping control blood glucose,improving selfmanagement ability and regulating negative emotions of patients with GDM,thus it is worthy of clinical promotion.
|
Received: 29 November 2021
|
|
|
|
[1] |
刘玉玲.产前强化培训对妊娠糖尿病病人疾病知识及自我效能的影响[J].蚌埠医学院学报,2017,42(9):1274-1276.
|
[2] |
吕美丹,吴燕,李华林.知—信—行理论模式配合孕期营养保健对妊娠期糖尿病孕妇营养状态、自我保健能力及妊娠结局的影响[J].中国妇幼保健,2019,34(21):4856-4859.
|
[3] |
中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(8):893-942.
|
[4] |
李晓娟,李海鸿,李雪娇,等.妊娠糖尿病患者自我效能状况与焦虑抑郁相关性研究[J].西部中医药,2019,32(11):84-87.
|
[5] |
黄婵娟,童丽灵,陈萍萍,等.个体化综合护理干预对2型糖尿病患者自我管理能力及血糖水平的影响[J].海南医学,2017,28(17):2916-2918.
|
[6] |
薛亚男,尚国爱,吕倩,等.健康自我管理对糖尿病足患者自我效能及心理状态的影响[J].实用预防医学,2017,24(2):137-140.
|
[7] |
张金丽,徐莹莹,刘华.妊娠合并糖尿病患者健康商数及自我效能的影响因子分析[J].中国妇幼保健,2019,34(10):2244-2247.
|
[8] |
马晓蕊.医护患一体化教育对老年2型糖尿病病人自我效能及健康知识掌握的影响[J].安徽医药,2019,23(8):1651-1653.
|
[9] |
谢海鹰,叶平.基于自我效能理论的护理干预在乳腺癌患者术后功能锻炼中的应用分析[J].中国医药科学,2020,10(14):136-139.
|
[10] |
王丽双,邹婷婷.双轨道互动式护理干预方法在糖尿病患者中的应用[J].中国当代医药,2020,27(23):75-77.
|
[11] |
郑新英,王佩.护患互动达标模式对妊娠期糖尿病患者自我管理效能及血糖控制的影响[J].医学临床研究,2018,35(3):615-617.
|
[12] |
王丹丹,戴文珍,林海燕.持续早期综合护理干预对妊娠期糖尿病患者围产期血糖及母儿结局的影响[J].中国医刊,2018,53(10):1157-1159.
|
[13] |
马绮丽.个性化护理干预对妊娠期糖尿病患者血糖水平及妊娠结局的影响[J].实用临床医药杂志,2018,22(2):110-112.
|
[14] |
陈洁,吴茜,程小霁.对妊娠期糖尿病患者基于保护动机理论的护理干预[J].护理学杂志,2017,32(6):25-27.
|
[15] |
刘宝霞.健康教育及心理护理干预对妊娠期糖尿病患者血糖控制及妊娠结局的影响[J].山西医药杂志,2017,46(3):353-355.
|
[16] |
罗向红,罗昆蓉,陈玉兰,等.心理护理联合运动疗法对妊娠期糖尿病患者的临床疗效[J].国际精神病学杂志,2017,44(2):329-331+336.
|
[17] |
刘婷婷.互动达标理论在乳腺癌病人术后护理中的应用[J].护理研究,2018,32(18):2984-2986.
|
[18] |
杜稳侠,李佰成,王荣,等.综合护理干预对妊娠合并糖尿病患者围生期血糖和妊娠结局的影响[J].检验医学与临床,2017,14(19):2934-2936.
|
[19] |
李丽君,高瑞英.基于自我效能理论的老年高血压延续护理网络平台构建的应用研究[J].内蒙古医科大学学报,2019,41(S1):100-105.
|
[20] |
王亚楠,李平,叶苓,等.互动达标理论在乳腺癌患者术后康复护理中的应用研究[J].重庆医学,2017,46(20):2873-2875.
|
[21] |
冯敏,潘岁月,刘清.互动达标模式干预对慢性阻塞性肺疾病患者自我管理能力及康复训练效果的影响[J].护士进修杂志,2019,34(17):1623-1627.
|
|
|
|