Effect of "one point, two sources" adaptive nursing strategy on self-efficacy, treatment compliance and blood glucose level in diabetic foot patients

SU Qiaodan; WANG Jun; TU Xin

doi:10.16766/j.cnki.issn.1674-4152.003485

Volume 22 Issue 4

Apr. 2024

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2024 > 22(4): 709-712

SU Qiaodan, WANG Jun, TU Xin. Effect of 'one point, two sources' adaptive nursing strategy on self-efficacy, treatment compliance and blood glucose level in diabetic foot patients[J]. Chinese Journal of General Practice, 2024, 22(4): 709-712. doi: 10.16766/j.cnki.issn.1674-4152.003485

Citation:

SU Qiaodan, WANG Jun, TU Xin. Effect of "one point, two sources" adaptive nursing strategy on self-efficacy, treatment compliance and blood glucose level in diabetic foot patients[J]. Chinese Journal of General Practice, 2024, 22(4): 709-712. doi: 10.16766/j.cnki.issn.1674-4152.003485

Citation:

PDF( 460 KB)

Effect of "one point, two sources" adaptive nursing strategy on self-efficacy, treatment compliance and blood glucose level in diabetic foot patients

doi: 10.16766/j.cnki.issn.1674-4152.003485

Department of Endocrinology and Metabolism, Shaoxing People ' s Hospital, Shaoxing, Zhejiang 312000, China

Funds:

2022RC274

2022ZB363

Received Date: 2023-09-16
Available Online: 2024-05-29

Abstract

Abstract

Objective There are many nursing difficulties in diabetic foot, and the disability rate is high. This study investigated the effect of "one point, two sources" adaptive nursing strategy on self-efficacy, treatment compliance and blood glucose level in diabetic foot patients. Methods A total of 84 patients with diabetic foot who were admitted to the Endocrine Clinic of Shaoxing People ' s Hospital from March 2020 to March 2022 were selected and divided into control group (42 cases) and observation group (42 cases) by drawing lots. The control group was given routine care, and the observation group was given "one point, two sources" adaptive nusing on the basis of routine care for 3 months. Self-efficacy, treatment compliance and blood glucose levels were compared between the two groups. Results The score and total score of self-efficacy (diabetes self-efficacy scale, DSES, diet, medication, exercise, disease monitoring, foot care and emergency management) were higher than before care (P < 0.05), and the scores of the observation group were higher than that of the control group (P < 0.05). Post-care treatment compliance in the observation group was higher than that of the control group (P < 0.05). Fasting blood glucose (FPG), 2 h postprandial blood glucose (2hPG) and glycosylated hemoglobin (HbA1c) were decreased compared with before care [(6.44±1.32) mmol/L, (9.24±2.10) mmol/L and (5.80±0.57) % vs. (7.13±1.45) mmol/L, (11.02±3.23) mmol/L and (6.19±0.56) %, P < 0.05]. Conclusion The implementation of "one point, two sources" adaptive nursing strategy for diabetic foot patients can effectively improve the level of self-efficacy and treatment compliance, and reduce the level of blood glucose, the effect is ideal.
- Diabetic foot,
- One point,
- two sources,
- Adaptive nursing strategy,
- Self-efficacy,
- Compliance,
- Fasting blood glucose

FullText(HTML)

References(16)

References

[1]	程静, 蒋珊珊, 王爱萍, 等. 基于互联网平台的5A护理模式在0级糖尿病足患者护理中的应用[J]. 齐鲁护理杂志, 2022, 28(7): 12-16. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202207004.htm CHENG J, JIANG S S, WANG A P, et al. Application of 5A Nursing Model Based on Internet Platform in the Nursing of Patients with 0 grade Diabetic Foot[J]. Journal of Qilu Nursing, 2022, 28(7): 12-16. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202207004.htm
[2]	陈晓霞, 吴慧, 陈春美. 基于时机理论的护理干预对糖尿病足病人健康信念的影响[J]. 全科护理, 2022, 20(15): 2070-2073. https://www.cnki.com.cn/Article/CJFDTOTAL-JTHS202215015.htm CHEN X X, WU H, CHEN C M. Impact of timing-based nursing interventions on health beliefs in diabetic foot patients[J]. Chinese General Practice Nursing, 2022, 20(15): 2070-2073. https://www.cnki.com.cn/Article/CJFDTOTAL-JTHS202215015.htm
[3]	黄杨, 陈雪琴, 袁苗苗. 一点二源式护理干预在维持性血液透析患者中的应用[J]. 医疗装备, 2023, 36(11): 114-117. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZB202311036.htm HUANG Y, CHEN X Q, YUAN M M. Application of a one-point two-source care intervention in maintenance hemodialysis patients[J]. Medical Equipment, 2023, 36(11): 114-117. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZB202311036.htm
[4]	崔倩, 杨洋, 齐艳欣. 基于九型人格的"一点二源"适应性策略护理在老年2型糖尿病患者中的应用[J]. 保健医学研究与实践, 2022, 19(12): 88-93. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202212021.htm CUI Q, YANG Y, QI Y X. Exploring on the application of "one point two sources" adaptive strategy nursing in elderly patients with type 2 diabetes based on the Enneagram of Personality[J]. Health Medicine Research and Practice, 2022, 19(12): 88-93. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202212021.htm
[5]	徐振伟. 《赫尔辛基宣言》、人权规范及对苏联的影响[J]. 俄罗斯东欧中亚研究, 2015, 1(1): 72-79. https://www.cnki.com.cn/Article/CJFDTOTAL-EAST201501009.htm XU Z W. The Declaration of Helsinki, Human Rights Norms and the Collapse of the Soviet Union[J]. Russian, East European & Central Asian Studies, 2015, 1(1): 72-79. https://www.cnki.com.cn/Article/CJFDTOTAL-EAST201501009.htm
[6]	佚名. 卫生部颁布《涉及人的生物医学研究伦理审查办法(试行)》[J]. 中国医学伦理学, 2007(1): 34. https://www.cnki.com.cn/Article/CJFDTOTAL-WSGB200702014.htm
[7]	中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中华糖尿病杂志, 2018, 10(1): 4-67. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYX202112018.htm Chinese Diabetes Society. Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (2017 edition)[J]. Chinese Journal of Diabetes Mellitus, 2018, 10(1): 4-67. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYX202112018.htm
[8]	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019版)(Ⅲ)[J]. 中华糖尿病杂志, 2019, 11(4): 238-239, 247. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS202304006.htm hinese Diabetes Society, Chinese Society of Infectious Diseases, Chinese Society for Tissue Repair and Regeneration. Chinese guideline on prevention and management of diabetic foot (2019 edition)(Ⅲ)[J]. Chinese Journal of Diabetes Mellitus, 2019, 11(4): 238-239, 247. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS202304006.htm
[9]	万巧琴, 尚少梅. 糖尿病自我效能量表的信度及效度研究[J]. 护理研究, 2009, 23(17): 1589-1590. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ200917058.htm WAN Q Q, SHANG S M. Study on reliability and validity of self-efficacy scale for diabetes mellitus patients[J]. Chinese Nursing Research, 2009, 23(17): 1589-1590. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ200917058.htm
[10]	李晓辉, 张永红. 糖尿病足最新治疗进展[J]. 中华全科医学, 2018, 16(6): 993-997. doi: 10.16766/j.cnki.issn.1674-4152.000272 LI X H, ZHANG Y H. The latest treatment progress of diabetic foot[J]. Chinese Journal of General Practice, 2018, 16(6): 993-997. doi: 10.16766/j.cnki.issn.1674-4152.000272
[11]	杨圣楠, 薛存屹, 刘林, 等. 糖尿病患者自我效能对自我管理行为和血糖控制的影响[J]. 中华现代护理杂志, 2015, 21(30): 3631-3634. https://www.cnki.com.cn/Article/CJFDTOTAL-YBQJ202405057.htm YANG S N, XUE C Y, LIU L, et al. Effect of self-efficacy on self-management behaviors and glycemic control[J]. Chinese Journal of Modern Nursing, 2015, 21(30): 3631-3634. https://www.cnki.com.cn/Article/CJFDTOTAL-YBQJ202405057.htm
[12]	刘艳梅, 韩艳. "一点二源"适应性护理策略对糖尿病肾病患者疗效及生活质量的影响[J]. 贵州医药, 2023, 47(2): 307-308. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYI202302083.htm LIU Y M, HAN Y. Effect of "one-point two-source" adaptive care strategy on the efficacy and quality of life in diabetic nephropathy[J]. Guizhou Medical Journal, 2023, 47(2): 307-308. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYI202302083.htm
[13]	杨斯曼, 张曦, 周梦萍, 等. 全科医疗核心特征功能对糖尿病患者治疗依从性的影响研究[J]. 中国全科医学, 2022, 25(1): 62-69. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202201007.htm YANG S M, ZHANG X, ZHOU M P, et al. Effect of Core Values of General Practice on Adherence of Patients with Diabetes[J]. Chinese General Practice, 2022, 25(1): 62-69. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202201007.htm
[14]	黄佳佳, 于新秀, 王雪英, 等. 文化教育程度及治疗依从性对养老社区2型糖尿病患者代谢控制的影响[J]. 中华糖尿病杂志, 2021, 13(2): 175-178. HUANG J J, YU X X, WANG X Y, et al. Influence of education level and treatment compliance on metabolic control in type 2 diabetic patients in elderly community[J]. Chinese Journal of Diabetes Mellitus, 2021, 13(2): 175-178.
[15]	黎婉荣, 杨洁, 施齐芳. 住院2型糖尿病患者自我效能与血糖控制的相关性研究[J]. 护士进修杂志, 2017, 32(6): 495-498. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201706005.htm LI W R, YANG J, SHI Q F. Correlation study between self-efficacy and blood glucose control for hospitalized patients with type 2 diabetes mellitus[J]. Journal of Nurses Training, 2017, 32(6): 495-498. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201706005.htm
[16]	金燕, 龚张珺, 徐宏彬. 糖尿病患者依从性对血糖控制的影响[J]. 药学服务与研究, 2018, 18(4): 296-299. https://www.cnki.com.cn/Article/CJFDTOTAL-YXFY201804018.htm JIN Y, GONG Z X, XU H B. Effect of medication adherence on blood glucose control in patients with diabetes mellitus[J]. Pharmaceutical Care and Research, 2018, 18(4): 296-299. https://www.cnki.com.cn/Article/CJFDTOTAL-YXFY201804018.htm

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(5)

Get Citation

PDF

XML

Article Metrics

Article views (138) PDF downloads(3)

Effect of "one point, two sources" adaptive nursing strategy on self-efficacy, treatment compliance and blood glucose level in diabetic foot patients

doi: 10.16766/j.cnki.issn.1674-4152.003485

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Effect of "one point, two sources" adaptive nursing strategy on self-efficacy, treatment compliance and blood glucose level in diabetic foot patients

doi: 10.16766/j.cnki.issn.1674-4152.003485

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content