摘要
目的 探讨基于自我效能理论结合国家标准化代谢性疾病管理中心(MMC)平台对糖尿病视网膜病变患者实施延续性护理的效果。方法 选取2023年10月—2024年4月贵州中医药大学某附属医院代谢内分泌科收治的糖尿病视网膜病变患者112例为研究对象,按照组间资料具有可比性的原则将其分为观察组和对照组,每组56例。对照组患者实施常规延续性护理,观察组患者实施基于自我效能理论的MMC平台延续性护理,干预时间为3个月。干预期间对照组退出2例,共完成110例。于干预前、干预后1个月、干预后3个月测量两组患者空腹血糖(FBG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)、视觉诱发电位(VEP)、糖尿病自我效能得分情况。结果 重复测量方差分析显示,两组患者FBG、2 hPG、HbA1c值比较,观察组低于对照组,差异有统计学意义(P_(组间)<0.05);两组患者FBG、2 hPG、HbA1c值随观察时间的延长而逐渐降低,差异有统计学意义(P_(时间)<0.05);随着观察时间的延长,观察组与对照组FBG、2 hPG、HbA1c值的差异逐渐增大,差异有统计学意义(P_(交互)<0.05);两组患者峰潜值、振幅值比较,观察组低于对照组,差异有统计学意义(P_(组间)<0.05)。两组患者峰潜值、振幅值随观察时间的延长而逐渐降低,差异有统计学意义(P_(时间)<0.05);随着观察时间的延长,观察组与对照组峰潜值、振幅值的差异逐渐增大,差异有统计学意义(P_(交互)<0.05)。两组患者自我效能得分比较,观察组高于对照组,差异有统计学意义(P_(组间)<0.05);两组患者自我效能得分随观察时间的延长而逐渐增加,差异有统计学意义(P_(时间)<0.05);随着观察时间的延长,观察组与对照组自我效能得分的差异逐渐增大,差异有统计学意义(P_(交互)<0.05)。结论 自我效能理论指导下的MMC平台延续性护理在糖尿病视网膜病变患者中的应用,可改善患者血糖水平和视觉诱发电位水平,提高患者的自我效能。
Objective To explore the effect of implementing continuity of care for patients with diabetic retinopathy based on self-efficacy theory combined with the national standardised Metabolic Disease Management Centre(MMC)platform.Methods To select 112 patients with diabetic retinopathy admitted to the Department of Metabolic Endocrinology of a hospital affiliated to Guizhou University of Traditional Chinese Medicine from October 2023 to April 2024 for the study,and were divided into an observation group and a control group of 56 patients each according to the principle of the comparability of data between the groups.The control group implemented conventional continuity of care,the observation group implemented MMC platform continuity of care based on self-efficacy theory,and the intervention time was 3 months.2 cases exit from the group during intervention,the final cases were 110 patients.Fasting blood glucose(FBG),2 h postprandial glucose(2 hPG),glycated haemoglobin(HbA1c),visual evoked potentials(VEP),and diabetes self-efficacy scores were compared in the two groups before,1 month after,and 3 months after the intervention.Results Repeated-measures ANOVA showed that,comparing the FBG,2 hPG,and HbA1c values of the two groups,the observation group was lower than the control group,and the difference was statistically signifi cant(P<0.05);the FBG,2 hPG,and HbA1c values of the two groups gradually decreased with the prolongation of the observation time,and the difference was statistically significant(P<0.05);with the prolongation of the observation time,the FBG,2 hPG,and HbA1c values of the observation group were lower than those of the control group.FBG,2 hPG,HbA1c values of the control group was gradually increased,the difference was statistically significant(P<0.05);the peak latency and amplitude values of the two groups of patients were compared,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The peak latency and amplitude values of the two groups of patients gradually decreased with the prolongation of the observation time,and the difference was statistically significant(P<0.05);with the prolongation of the observation time,the difference between the peak latency and amplitude values of the observation group and the control group gradually increased,and the difference was statistically significant(P<0.05).Comparing the self-efficacy scores of the two groups,the observation group was higher than the control group,and the difference was statistically signifi cant(P<0.05);the self-efficacy scores of the two groups gradually increased with the extension of the observation time,the difference was statistically significant(P<0.05);the difference between the self-efficacy scores of the observation group and those of the control group gradually increased with the extension of the observation time,and the diff erence was statistically significant(P<0.05).Conclusion The application of MMC platform continuity of nursing guided by self-efficacy theory in patients with diabetic retinopathy could improve patients'blood glucose level and visual evoked potential level,and self-efficacy.
作者
王兴辉
陈露
张春玲
时黛
赵伟
石玉恒
葛正懿
任玲
WANG Xinghui;CHEN Lu;ZHANG Chunling;SHI Dai;ZHAO Wei;SHI Yuheng;GE Zhengyi;REN Ling(Nursing School of Guizhou University of Traditional Chinese Medicine,Guiyang 550025,China;The Second Affi liated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550003,China;Guizhou Medical University,Guiyang 550004,China)
出处
《护理实践与研究》
2025年第10期1435-1442,共8页
Nursing Practice and Research
基金
贵州省卫生健康委科学技术基金项目(编号:gzwkj2024-255)
贵州省科学技术厅科技计划项目(编号:黔科合基础MS[2025]140)。
