摘要
目的分析基于Triangle分层分级管理的LEARNS(L-聆听,E-建立,A-应用,R-提高,N-反馈教学,S-强化)健康教育模式在2型糖尿病患者中的应用效果。方法本研究为类实验研究,选取2020年6月至2021年5月在首都医科大学附属北京天坛医院糖尿病护理门诊就诊的2型糖尿病患者212例,依据就诊时间分为对照组(102例)和干预组(110例)。对照组给予常规护理门诊随访,干预组患者在常规护理的基础上,施行Triangle分层分级管理并应用LEARNS健康教育模式进行护理门诊干预。6个月后比较2组患者干预前后的自我管理行为、满意度、依从性、糖化血红蛋白、空腹血糖、餐后2 h血糖。结果干预前2组的基线资料比较差异均无统计学意义,具有可比性(均P>0.05)。干预后3个月和6个月时干预组的HbA1c值分别为(6.18±0.57)%和(6.40±0.47)%,均显著低于同期对照组的(6.74±0.90)%和(6.99±0.91)%,2组比较差异均有统计学意义(t=8.05、9.12,均P<0.01)。干预组的糖尿病自我管理行为量表得分在干预后3个月及6个月时,分别为(46.51±5.80)分和(44.41±5.61)分,均高于同期对照组的(43.45±4.20)分和(42.08±3.67)分,差异均有统计学意义(t=6.56、5.32,均P<0.01)。干预后3个月和6个月时干预组的依从率和患者满意度水平均高于同期对照组(χ^(2)=5.52、7.26,均P<0.05;t=7.02、15.75,均P<0.01)。结论Triangle分层分级管理结合LEARNS模式可以有效改善T2DM患者的血糖水平,提高患者的自我管理水平、满意度及依从性,有助于护理人员合理分配随访时间。
Objective To analyze the effects of stratified follow-up intervention combined with LEARNS model on self-management,glucose metabolism,compliance and satisfaction in patients with type 2 diabetes mellitus(T2DM).Methods This study was a quasi-experimental study.A total of 212 patients with T2DM who visited the DM nursing clinic of Beijing Tiantan Hospital,Capital Medical University from June 2020 to May 2021 were selected and divided into control group(102 cases)and intervention group(110 cases)according to the treatment time.All the patients received the conventional medical treatment and health education guidance for 6 months,at the same time,the intervention group received management of the triangle stratified model combined with LEARNS mode.The glucose metabolism,self-management behavior,satisfaction and compliance were compared before and after the intervention.Results Before the intervention,the baseline data of the 2 groups had no significant difference(all P>0.05)and were comparable.Three and six months after the intervention,the HbA1c values of the intervention group were(6.18±0.57)% and(6.40±0.47)%,which were significant better than those in the control group,(6.74±0.90)% and(6.99±0.91)%,the differences were significant(t=8.05 and 9.12,both P<0.01).Three and six months after the intervention,the SDASC values in the intervention group were(46.51±5.80)and(44.41±5.61),which were higher than those in the control group,(43.45±4.20)and(42.08±3.67),the difference were significant(t=6.56 and 5.32,both P<0.01).Three and six months after the intervention,the compliance and patient satisfaction of intervention group were better than those in the control group(χ^(2)=5.52 and 7.26,t=7.02 and 15.75,all P<0.05).Conclusions Triangle hierarchical management combined with LEARNS model can effectively improve the blood glucose levels of T2DM patients as well as their self-management levels,satisfaction and compliance,which can help nurses reasonably allocate follow-up time.
作者
姚宁
董翠珍
于菲
Yao Ning;Dong Cuizhen;Yu Fei(Department of Endocrinology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)
出处
《中国实用护理杂志》
2023年第6期401-405,共5页
Chinese Journal of Practical Nursing
基金
国家自然科学基金青年科学基金项目(82100834)。
