论文部分内容阅读
目的观察自我效能理论在糖尿病骨折患者术前教育中的应用效果。方法选取2010年2月至2012年1月在河北省唐山市丰南区医院骨科住院的2型糖尿病下肢骨折拟行手术的80例患者作为研究对象,按入院先后顺序依次分为自我效能管理组和对照组,每组40例。对照组按常规护理模式进行术前教育,自我效能管理组采用自我效能理论为基础的护理干预,包括支持和授权患者开展自我管理、替代性经验、动员社会和家庭支持系统等方法实施术前教育,应用一般自我效能量表、焦虑自评量表在术前1 d评估干预后自我效能及焦虑程度,比较两组患者空腹血糖及餐后2 h血糖降至正常参考值所需天数。结果自我效能管理组自我效能感平均分为(2.99±0.48)分,对照组为(2.07±0.59)分,差异有统计学意义(t=7.67,P<0.01);自我效能管理组焦虑感平均分为(38.08±9.21)分,对照组为(47.53±9.38)分,差异有统计学意义(t=4.54,P<0.01);自我效能管理组空腹血糖降至正常参考值所需天数为(8.48±2.02)d,对照组为(12.20±2.77)d,两组比较,差异有统计学意义(t=6.89,P<0.01);自我效能管理组餐后2 h血糖降至正常参考值所需天数为(9.58±2.69)d,对照组为(13.28±1.72)d,两组比较,差异有统计学意义(t=4.59,P<0.01)。结论对糖尿病骨折患者运用自我效能理论,可有效提高患者自我效能水平,缓解焦虑情绪,有效控制血糖。
Objective To observe the effect of self-efficacy theory in the preoperative education of patients with diabetic fracture. Methods From February 2010 to January 2012, 80 patients with type 2 diabetic lower extremity fracture hospitalized in Fengnan District Hospital of Tangshan City, Hebei Province were enrolled in this study. The patients were divided into self-efficacy management group And control group, 40 cases in each group. The control group underwent pre-school education according to the usual nursing model. The self-efficacy management group used the self-efficacy theory as the basis for nursing interventions, including the support and empowerment of patients in self-management, alternative experiences, mobilization of social and family support systems, etc. , Self-efficacy and anxiety were evaluated 1 d before surgery by using general self-efficacy scale and self-rating anxiety scale. The fasting blood glucose and the number of days required for blood glucose to drop to normal reference value after 2 h were compared between two groups. Results Self-efficacy of the self-efficacy group was 2.99 ± 0.48 and 2.07 ± 0.59 respectively (t = 7.67, P <0.01). The average self-efficacy of the self- (38.08 ± 9.21), and the control group (47.53 ± 9.38), the difference was statistically significant (t = 4.54, P <0.01); the number of days required for the fasting blood glucose to drop to the normal reference value in the self-efficacy management group was 8.48 ± 2.02) d in control group and (12.20 ± 2.77) d in control group, the difference was statistically significant (t = 6.89, P <0.01); the blood glucose of self-efficacy management group dropped to normal reference value 2 h after meal The number of days needed was (9.58 ± 2.69) days, and the control group was (13.28 ± 1.72) days. The difference was statistically significant (t = 4.59, P <0.01). Conclusion The theory of self-efficacy in patients with diabetic fracture can effectively improve patients’ self-efficacy level, relieve anxiety and effectively control blood sugar.