摘要
目的:探究基于授权理论的看图对话工具在老年糖尿病患者初次胰岛素注射中应用的可行性。方法:选取2017年2月-2019年10月本院收治的2型老年糖尿病患者186例,按随机数字表法分为研究组与对照组,各93例。对照组给予糖尿病讲座干预,研究组给予基于授权理论采用看图对话工具干预。比较两组干预前后自护能力、血糖水平、授权能力及胰岛素不良事件情况。结果:干预后,研究组各项自护能力评分均高于对照组(P<0.05)。干预后,研究组晨起空腹血糖(FPG)、餐后2 h血糖(2 h PG)及糖化血红蛋白(HbA1c)均低于对照组(P<0.05)。干预后,研究组授权能力评分高于对照组(P<0.05)。研究组胰岛素不良事件发生率低于对照组(P<0.05)。结论:采用基于授权理论的看图对话工具对初次注射胰岛素的老年糖尿病患者进行糖尿病相关知识的教育,可有效提升患者自护能力,利于胰岛素注射后血糖指标的控制,提升患者自身授权能力,减少胰岛素不良事件的发生,值得在临床中推广及深层研究。
Objective:To explore the feasibility of the application of map reading dialogue tool based on authorization theory in the first insulin injection of elderly diabetic patients.Method:A total of 186 elderly patients with type 2 diabetes admitted to our hospital from February 2017 to October 2019 were selected and divided into study group and control group according to the random number table method,93 cases in each group.The control group was given diabetes lecture intervention,and the study group was given map reading dialogue tool based on authorization theory intervention.Self-care ability,blood glucose level,authorization ability and insulin adverse events before and after intervention were compared between the two groups.Result:After the intervention,the all self-care ability scores of the study group were higher than those of the control group(P<0.05).After the intervention,the fasting blood glucose(FPG),2 h postprandial blood glucose(2 h PG),and glycated hemoglobin(HbA1c)in the study group were lower than those in the control group(P<0.05).After the intervention,the authorization ability score in the study group was higher than that in the control group(P<0.05).The incidence of insulin adverse events in the study group was lower than that in the control group(P<0.05).Conclusion:The map reading dialogue tool based on authorization theory in the first insulin injection of elderly diabetic patients for the education of diabetic knowledge,which can effectively improve patients self nursing ability,facilitate the control of blood glucose index after insulin injection,improve the patients’authorization ability and reduce the occurrence of adverse events of insulin,which is worthy of promotion and in-depth study in clinical practice.
作者
陈英
CHEN Ying(Huidong Hospital Affiliated to Guangdong Medical University,Huidong 516300,China)
出处
《中国医学创新》
CAS
2020年第7期155-159,共5页
Medical Innovation of China
基金
惠州市科技计划项目(180515151743243)。
关键词
授权理论
看图对话工具
老年糖尿病
初次胰岛素注射
Authorization theory
Map reading dialogue tool
Elderly diabetes
First insulin injection
