本文關(guān)鍵詞： 回族 2型糖尿病 問題管理模式 跨文化護(hù)理 自我管理行為　出處：《寧夏醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的以跨文化護(hù)理理論為指導(dǎo),通過調(diào)查、分析回族2型糖尿病患者自我管理行為現(xiàn)狀,結(jié)合問題管理模式對回族2型糖尿病患者自我管理行為進(jìn)行干預(yù)并評估干預(yù)效果。方法采用問題管理模式的步驟,根據(jù)回族2型糖尿病患者的文化背景,通過發(fā)現(xiàn)問題、分析和界定問題找出回族患者在糖尿病自我管理行為中存在的問題,并制定和實施相對應(yīng)的干預(yù)方案。應(yīng)用方便抽樣法選取就診于吳忠市人民醫(yī)院內(nèi)分泌科并且居住于吳忠市勝利鎮(zhèn)社區(qū)衛(wèi)生服務(wù)中心所管轄社區(qū)的回族2型糖尿病患者作為研究對象,共76名。按抽簽法將其分成對照組和干預(yù)組。對照組遵照常規(guī)護(hù)理方案進(jìn)行糖尿病健康宣教,干預(yù)組在常規(guī)健康教育的基礎(chǔ)上實施為期6個月的基于跨文化護(hù)理和問題管理模式的糖尿病自我管理行為干預(yù),干預(yù)前、后分別比較分析兩組糖尿病患者自我管理行為得分以及糖化血紅蛋白和BMI的變化情況,評價問題管理模式在回族2型糖尿病患者自我管理行為中的應(yīng)用效果。結(jié)果1.74名研究對象順利完成整個干預(yù)方案和所有資料的收集工作,其中干預(yù)組和對照組各37名。男性35名,女性39名,平均年齡是(64.12±7.84)歲,年齡最小45歲,最大是76歲。通過兩組研究對象資料均衡性比較,結(jié)果未見統(tǒng)計學(xué)意義(P0.05),說明兩組資料具備可比性。2.干預(yù)后,干預(yù)組研究對象自我管理行為總得分是(108.14±8.11),對照組為(89.76±4.96),兩組比較差異具有統(tǒng)計學(xué)差異(P0.01)。3.干預(yù)組研究對象自我管理行為在干預(yù)前和干預(yù)后各維度得分比較,差異具有統(tǒng)計學(xué)意義(P0.01)。4.干預(yù)組和對照組研究對象自我管理行為得分在各時點(干預(yù)前、出院日、干預(yù)3個月和干預(yù)6個月)的變化趨勢,經(jīng)重復(fù)測量方差分析顯示,不同時間點測量所得研究對象自我管理行為得分?jǐn)?shù)據(jù)差異具有統(tǒng)計學(xué)意義(P0.01)。5.干預(yù)后,干預(yù)組研究對象糖化血紅蛋白值明顯低于對照組(P0.01)。6.干預(yù)后,干預(yù)組研究對象BMI明顯低于對照組(P0.05)。結(jié)論1.跨文化護(hù)理理論有助于發(fā)現(xiàn)和解決回族T2DM患者在各項自我管理行為中存在的與其自身文化有關(guān)的問題。2.跨文化護(hù)理結(jié)合問題管理模式能夠提升回族T2DM患者的自我管理行為。
[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 鹵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 鹵8.11g, and that in the control group was 89.76 鹵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.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.5

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