蔡青,卢湘,白姣姣,明月,秦雯.基于保护动机理论的糖尿病周围神经病变患者皮肤干预的效果评价[J].上海护理,2021,21(12):
基于保护动机理论的糖尿病周围神经病变患者皮肤干预的效果评价
DOI:
中文关键词:  糖尿病周围神经病变  皮肤干预  保护动机理论  自我效能  自护行为
英文关键词:diabetes peripheral neuropathy  skin intervention  protective motivation theory  self-efficacy  self-care behavior
基金项目:上海市卫生健康委先进适宜技术推广项目(2019SY007);复旦大学复星护理科研基金立项重点项目(FNF201901)
作者单位E-mail
蔡青 华东医院护理部 caiqing20200510@163.com 
卢湘 华东医院护理部  
白姣姣* 华东医院护理部 bjj163163@163.com 
明月 华东医院护理部  
秦雯 华东医院护理部  
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中文摘要:
      目的 评价基于保护动机理论的糖尿病周围神经病变患者皮肤干预的效果,为进一步开展针对性皮肤干预提供参考。方法 选取2021年2月至2021年4月期间在某三甲医院及医联体就诊的DPN患者作为研究对象,将其随机分为观察组(n=44)与对照组(n=45)。对照组给予常规皮肤干预,观察组给予基于保护动机理论的皮肤干预,观察期3个月。干预前后采用糖尿病患者自我效能量表和糖尿病足部自护行为问卷进行测评,比较两组患者自我效能与自护行为得分及皮肤问题改善情况。结果 干预后,观察组患者自我效能及足部自护行为得分高于对照组(P<0.05),患者皮肤问题改善情况优于对照组(P<0.05)。结论 基于保护动机理论的DPN患者皮肤干预能有效提高患者自我效能并促进足部自护行为,改善足部的健康状况。
英文摘要:
      Objective To evaluate the effects of skin intervention based on the theory of protective motivation in patients with diabetic peripheral neuropathy, provide a reference for further targeted skin intervention. Methods Patients who were admitted to a triple-A hospital and the medical association between February 2021 and April 2021 were selected as the subjects.They were randomly divided into the observation group (n=44) and the control group (n=45). The control group was given routine skin intervention, while the observation group gave skin intervention based on the theory of protective motivation for 3 months. Before and after the intervention, comparing the self-efficacy and self-care behavior scores and skin problems of the two groups of patients by using Diabetes Self-Efficacy Scale and diabetes foot protect questionnaire. Results After the intervention, the self-efficacy and foot self-care behavior scores of the observation group were higher than those in the control group (P<0.05), and the improvement of skin problems was better than that in the control group (P<0.05).Conclusion Skin intervention based on the theory of protective motivation in DPN patients can effectively improve patients' self-efficacy and promote foot self-care behavior and improve foot health.
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