基于Peplau人际关系理论的出院计划在儿童Ⅰ型糖尿病的应用效果分析

目的 分析Peplau人际关系理论指导下的出院计划对Ⅰ型糖尿病患儿的应用效果。方法 选择2014年7月-2016年7月某三甲医院小儿内分泌科住院且符合纳入标准的Ⅰ型糖尿病患儿78例作为研究对象,每组39人,对照组为常规护理,观察组实施基于Peplau人际关系理论的出院计划。比较两组患儿入院第2天、出院时、出院后1个月、出院后6个月的糖化血红蛋白合格率、患儿主要照护者的糖尿病知识水平、再住院率的差异;比较观察组不同时间点糖化血红蛋白合格率;比较各时间点两组主要照护者知识水平得分。结果 出院后6个月观察组患儿的糖化血红蛋白合格率高于对照组,差异有统计学意义(P＜0.05);观察组不同时间点的糖化血红蛋白合格率(出院前1天、出院后1个月、出院后6个月)两两比较,差异均有统计学意义(P均＜0.001);观察组的知识得分经重复测量方差分析显示,干预前后不同时点知识得分的差异有统计学意义(P＜0.05),即知识得分与时间有交互作用;同一时间点两组主要照顾者知识水平得分,试验组均高于对照组,差异有统计学意义(P＜0.05);两组再住院率比较,差异无统计学意义(P>0.05)。结论 基于Peplau人际关系理论的出院计划能满足Ⅰ型糖尿病患儿的临床需求,能明显改善患儿及家长的认知水平,提高远期血糖控制水平,有很好的临床效果,值得推广。

Efficacy analysis of discharge planning based on Peplau's interpersonal relationship in children with type I diabetes

Objective To investigate the effect of discharge planning under the guidance of Peplau interpersonal theory in children with type Ⅰ diabetes. Methods A total of 78 children with type Ⅰ diabetes from the department of pediatric endocrinology in a top three hospital from July 2014 to July 2016 were selected as the participants,and were divided into two groups with 39 children in each group. Routine group was given convention care,and the experimental group implemented a discharge planning based on Peplau's interpersonal relationship theory. The level of HbA1c,main caregivers' knowledge on diabetes and the rate of re-hospitalization between the two groups on the second day of admission,at discharge,at 1 month after discharge,at 6 months after discharge were compared; The rate of passing HbA1c at different time points in the experimental group was compared; The scores of caregivers' knowledge between the two groups at different time points were compared. Results The passing rate of HbA1c in observation group was significantly higher than that in routine group (P<0.05); And the passing rate of HbA1cb of observation group on 1 day before discharge,1 month after discharge and 6 months after discharge were significantly different (P<0.001); The knowledge scores of the observation group at different time points before and after the intervention were significantly difference (P<0.05);The re-hospitalization rate of the two groups were not significantly different (P>0.05). Conclusions The discharge plan based on Peplau's interpersonal relationship theory can meet the clinical needs of children with type I diabetes,improve the level of long-term blood glucose control. It is worth promoting because of its good effect.