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社区护理干预对提高糖尿病患者生活质量的作用
引用本文:高井全,邹继华,杨金伟.社区护理干预对提高糖尿病患者生活质量的作用[J].中华现代护理杂志,2009,15(14):1304-1307.
作者姓名:高井全  邹继华  杨金伟
作者单位:1. 哈尔滨医科大学大庆校区临床护理教研室,163319
2. 哈尔滨医科大学大庆校区心理学教研室,163319
基金项目:黑龙江省卫生厅科研基金 
摘    要:目的探讨社区护理干预对提高社区2型糖尿病患者生活质量的作用。方法采用自我效能量表、自护行为量表和生活质量综合评定问卷,调查214例社区2型糖尿病患者,了解社区2型糖尿病患者自我效能的水平、自护行为的执行情况和生活质量;并采用专家授课、多媒体健康教育、护理技能培训等集体指导方法和个体针对性指导相结合方式,实施社区护理干预半年。结果2型糖尿病患者自我效能感和自护行为能力干预前、后比较差异有统计学意义(P〈0.01);生活质量的躯体功能、心理功能、社会功能和生活总分干预前后差异有统计学意义(P〈0.05),物质生活状态干预前后无统计学意义(P〉0.05)。结论通过社区护理干预,可以增强2型糖尿病患者的自我效能感、自护行为能力,进而提高其生活质量。

关 键 词:社区保健  糖尿病  2型  生活质量  问卷调查

Effect of community nursing Intervention on improving the life quality of diabetes patients
GAO Jing-quan,ZOU Ji-hua,YANG Jin-wei.Effect of community nursing Intervention on improving the life quality of diabetes patients[J].Chinese Journal of Modern Nursing,2009,15(14):1304-1307.
Authors:GAO Jing-quan  ZOU Ji-hua  YANG Jin-wei
Institution:GAO Jing- quan, ZOU Ji-hua, YANG Jin-wei. ( Clinical Nursing Teaching & Reasearch Room, Daqing Branch of Harbin Medical University, Daqing 163319, China)
Abstract:Objective To research the effect of community nursing intervention on improving the life quality of type 2 diabetes patients. Methods In order to understand the level of self-efficacy, the implementation of self-care behavior and quality of life in community patients with type 2 diabetes, 214 cases of Daqing community patients with type 2 diabetes were investigated using self-efficacy scale, self-care behavior scale and the general quality of life questionnaire. At the same time, collective guidances such as expert instruction, multimedia health education and nursing skills training combined with individual guidance were utihzed to intervene patients with type 2 diabetes for six months. Results There were significant differences between self-efficacy and self-care behavior in patients with type 2 diabetes before and after the intervention (P<0.01). The body's function, psychological function, social function and total score of life of quality of life before and after the intervention were obviously different (P<0.05), but the material life before and after the intervention had no significant difference (P> 0.05). Conclusions The intervention of community nursing can enhance self-efficacy and self-care behavior, thereby improving the quality of life in patients with type 2 diabetes.
Keywords:Community health  Diabetes mellitus  Type 2  Quality of jife  Questionnaires
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