跨文化护理结合问题管理模式在回族2型糖尿病患者自我管理行为中的应用

发布时间：2018-01-24 18:39

本文关键词： 回族 2型糖尿病问题管理模式跨文化护理自我管理行为　出处：《宁夏医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的以跨文化护理理论为指导,通过调查、分析回族2型糖尿病患者自我管理行为现状,结合问题管理模式对回族2型糖尿病患者自我管理行为进行干预并评估干预效果。方法采用问题管理模式的步骤,根据回族2型糖尿病患者的文化背景,通过发现问题、分析和界定问题找出回族患者在糖尿病自我管理行为中存在的问题,并制定和实施相对应的干预方案。应用方便抽样法选取就诊于吴忠市人民医院内分泌科并且居住于吴忠市胜利镇社区卫生服务中心所管辖社区的回族2型糖尿病患者作为研究对象,共76名。按抽签法将其分成对照组和干预组。对照组遵照常规护理方案进行糖尿病健康宣教,干预组在常规健康教育的基础上实施为期6个月的基于跨文化护理和问题管理模式的糖尿病自我管理行为干预,干预前、后分别比较分析两组糖尿病患者自我管理行为得分以及糖化血红蛋白和BMI的变化情况,评价问题管理模式在回族2型糖尿病患者自我管理行为中的应用效果。结果1.74名研究对象顺利完成整个干预方案和所有资料的收集工作,其中干预组和对照组各37名。男性35名,女性39名,平均年龄是(64.12±7.84)岁,年龄最小45岁,最大是76岁。通过两组研究对象资料均衡性比较,结果未见统计学意义(P0.05),说明两组资料具备可比性。2.干预后,干预组研究对象自我管理行为总得分是(108.14±8.11),对照组为(89.76±4.96),两组比较差异具有统计学差异(P0.01)。3.干预组研究对象自我管理行为在干预前和干预后各维度得分比较,差异具有统计学意义(P0.01)。4.干预组和对照组研究对象自我管理行为得分在各时点(干预前、出院日、干预3个月和干预6个月)的变化趋势,经重复测量方差分析显示,不同时间点测量所得研究对象自我管理行为得分数据差异具有统计学意义(P0.01)。5.干预后,干预组研究对象糖化血红蛋白值明显低于对照组(P0.01)。6.干预后,干预组研究对象BMI明显低于对照组(P0.05)。结论1.跨文化护理理论有助于发现和解决回族T2DM患者在各项自我管理行为中存在的与其自身文化有关的问题。2.跨文化护理结合问题管理模式能够提升回族T2DM患者的自我管理行为。
[Abstract]:Objective to analyze the self-management behavior of patients with type 2 diabetes mellitus in Hui nationality under the guidance of cross-cultural nursing theory. Methods according to the cultural background of the patients with type 2 diabetes mellitus of Hui nationality, the self-management behavior of the patients with type 2 diabetes mellitus of Hui nationality was interfered with and the effect of the intervention was evaluated by using the problem management model. By finding out the problems, we analyze and define the problems of the Hui nationality patients in the self-management behavior of diabetes mellitus. The method of convenient sampling was used to select the type 2 diabetes mellitus of Hui nationality who were treated in the Endocrinology Department of Wuzhong people's Hospital and lived in the community under the jurisdiction of Shengli Town Community Health Service Center in Wuzhong City. Patients were studied. A total of 76 patients were divided into control group and intervention group according to the drawing of lots. The control group carried out diabetes health education according to routine nursing program. Intervention group on the basis of routine health education for 6 months based on cross-cultural nursing and problem management model of diabetes self-management behavior intervention before intervention. The scores of self-management behavior and the changes of glycosylated hemoglobin and BMI were compared between the two groups. Results 1.74 subjects successfully completed the whole intervention program and all the data collection. The average age of intervention group and control group was 64.12 卤7.84 years old and the youngest was 45 years old. There were 35 males and 39 females in the intervention group and the control group respectively. The maximum was 76 years old. By comparing the data balance between the two groups, the results were not statistically significant (P 0.05), indicating that the two groups of data were comparable. 2. After intervention. The total score of self-management behavior in the intervention group was 108.14 卤8.11g, and that in the control group was 89.76 卤4.96). There was a statistical difference between the two groups (P < 0.01). The subjects of the intervention group were compared with each dimension of self-management behavior before and after the intervention. The change trend of self-management behavior scores of intervention group and control group at each time point (before intervention, discharge day, intervention 3 months and intervention 6 months). The analysis of variance of repeated measurement showed that the difference of self-management behavior score data of subjects measured at different time points was statistically significant (P0.01. 5. after intervention). The value of glycosylated hemoglobin in the intervention group was significantly lower than that in the control group (P 0.01). The BMI of the intervention group was significantly lower than that of the control group (P0.05). Cross-cultural nursing theory is helpful to find and solve the problems related to their own culture in the self-management behavior of Hui T2DM patients. To improve the self-management behavior of patients with type 2 DM of Hui nationality.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5

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