摘要
目的探讨同伴互动支持联合回授法健康教育对糖尿病肾病(diabetic nephropathy,DN)维持性血透患者自我管理能力及血糖的影响。方法选择2022年4月—2024年4月兴义市人民医院收治的120例DN维持性血透患者,按照护理方法不同分为两组,各60例。对照组采用常规护理,观察组采用同伴互动支持结合回授法健康教育。比较两组自我管理能力、血糖控制情况、护理满意度。结果干预后,观察组成年人健康自我管理能力测评量表各项分值及总分高于对照组,糖化血红蛋白、空腹血糖水平均低于对照组,差异均有统计学意义(P均<0.05)。观察组护理满意度为95.00%(57/60)高于对照组的83.33%(50/60),差异有统计学意义(χ^(2)=4.227,P<0.05)。结论在DN维持性血透患者中应用同伴互动支持联合回授法健康教育干预,可提高患者自我管理能力,有效控制血糖水平,且患者护理满意度较高。
Objective To explore the effect of peer interaction support combined with teach-back method health edu⁃cation on self-management ability and blood glucose in patients with diabetic nephropathy(DN)maintenance hemodi⁃alysis.Methods A total of 120 patients with DN maintenance hemodialysis admitted to Xingyi People's Hospital from April 2022 to April 2024 were selected and divided into two groups according to different nursing methods,60 cases in each group.The control group was given routine nursing,and the observation group was given peer interaction sup⁃port combined with teach-back method health education.The self-management ability,blood glucose control and nursing satisfaction were compared between the two groups.Results After intervention,the scores and total scores of the health self-management ability assessment scale for adults in the observation group were higher than those in the control group,and the levels of glycosylated hemoglobin and fasting blood glucose were lower than those in the control group,the differences were statistically significant(all P<0.05).The nursing satisfaction of the observation group was 95.00%(57/60)higher than that of the control group 83.33%(50/60),and the difference was statistically significant(χ^(2)=4.227,P<0.05).Conclusion The application of peer interaction support combined with teach-back method health edu⁃cation intervention in DN maintenance hemodialysis patients can improve patients'self-management ability,effec⁃tively control blood glucose level,and patients'nursing satisfaction is high.
作者
刘爽
LIU Shuang(Department of Nephrology,Xingyi People's Hospital,Xingyi 562400,Guizhou,China)
出处
《糖尿病新世界》
2025年第12期159-162,共4页
Diabetes New World
关键词
糖尿病肾病
维持性血液透析
同伴互动支持
回授法健康教育
自我管理能力
血糖水平
Diabetic nephropathy
Maintenance hemodialysis
Peer interaction support
Teach-back health educa⁃tion
Self-management ability
Blood glucose level
