目标管理护理干预模式对糖尿病视网膜病变患者遵医行为及自我效能的影响

摘要

目的 探讨目标管理护理干预模式对糖尿病视网膜病变患者遵医行为及自我效能的影响.方法 将115例糖尿病视网膜病变患者根据入院时间分为两组,均给予常规护理干预,观察组在此基础上给予目标管理理论护理干预.于干预前后采用自我效能量表、焦虑自评量表、抑郁自评量表、视功能生存质量量表评定两组自我效能感、心理状态及生存质量,比较两组疾病不确定感、疾病知识掌握度、自护能力、治疗依从性、护理满意度.结果 干预后两组患者视功能生存质量及自我效能均显著改善(P＜0 .05或0 .01) ,观察组较对照组改善更显著( P＜0 .05或0 . 01) .干预后两组患者焦虑自评量表、抑郁自评量表及疾病不确定感评分均显著下降( P＜0 . 01) ,观察组较对照组下降更显著(P＜0 .05或0 .01).干预后两组疾病知识掌握度及自护能力评分均显著高于干预前(P＜0 .01) ,观察组较对照组升高更显著(P＜0 .01).观察组治疗依从性及满意度均显著高于对照组(P＜0 .05或0 .01 ) .结论 目标管理理论护理干预模式能有效提高糖尿病视网膜病变患者的疾病认知度、自我效能感,消除负性情绪,提高患者自护能力水平,提高患者治疗依从性及满意度.%Objective To investigate the effect of target management theory nursing intervention model on compliance behavior and self-efficacy of patients with diabetic retinopathy.Methods 115 patients with di-abetic retinopathy were divided into two groups according to the admission time ,and all the patients were given routine nursing intervention.On the basis of this ,the observation group was given the target man-agement theory nursing intervention.Self-efficacy ,psychological states ,quality of life of the two groups were evaluated by self-efficacy scale ,self-rating anxiety scale ,self-rating depression scale ,visual function quality of life scale before and after intervention.Uncertainty in disease ,knowledge of disease ,self-care a-bility ,treatment compliance ,and nursing satisfaction of the two groups were compared.Results After intervention ,the visual function quality of life and self-efficacy of the two groups were significantly im-proved (P＜ 0.05 or 0.01) ,the observation group improved more significantly than the control group (P＜0.05 or 0.01).After intervention ,the self-rating anxiety scale ,self-rating depression scale and dis-ease uncertainty scores of the two groups were significantly decreased (P＜0.01) ,the observation group decreased more significantly than the control group (P＜0.05 or 0.01).After intervention ,the disease knowledge and self-care ability scores of the two groups were significantly higher than those before the in-tervention (P＜0.01) ,and the observation group increased more significantly than the control group (P＜0.01).The treatment compliance and satisfaction of the observation group were significantly higher than those of the control group (P＜0.05 or 0.01).Conclusion Target management theory nursing intervention model can effectively improve the disease recognition and self-efficacy of patients with diabetic retinopathy , eliminate negative emotions ,improve the self-care ability ,and improve patient compliance and satisfac-tion.