保护动机理论措施对糖尿病病人自我监测的影响【摘要】目的探?基于保护动机理论的护理干预措施对糖尿病病人血糖监测的影响。方法选择收治的50例糖尿病患者随机分为两组，对照组25例采用常规护理，观察组25例采用基于保护动机理论的护理干预。比较两组护理干预前、干预后3个月的血糖监测知识和技能得分、血糖和糖化血红蛋白指标；对两组的血糖监测保护动机进行评分，并分别采用Morisky用药依从性评分量表、美国波士顿健康研究所研制的简明健康测量量表（SF-36）中文版对两组护理干预后12个月的用药依从性、生活质量进行评价。结果观察组干预后的空腹血糖、餐后2h血糖、糖化血红蛋白指标均较干预前明显下降，且干预后观察组均优于对照组，差异有统计学意义（P<0.01）。观察组干预后血糖监测知识和技能评分、血糖监测保护动机评分均较干预前明显改善（P<0.05），干预后观察组均优于对照组，比较差异有统计学意义（P<0.05或0.01）。观察组用药依从性好22例（88.0%），差3例（120%），对照组药依从性好15例（60.0%），差10例（40.0%），两组比较差异有统计学意义（P<0.01），观察组用药依从性好于对照组。观察组SF-36各项评分均高于对照组，比较差异有统计学意义（P<0.01）。结论基于保护动机理论的护理干预措施能有效促进糖尿病病人对血糖监测知识和技能的掌握，显著增强血糖监测保护动机，患者服药依从性和生活质量均明显提升，可在临床推广应用。【关键词】保护动机理论；糖尿病；血糖监测；服药依从性；生活质量中图分类号：R473.5文献标识码：ADOI：10.3969/j.issn.1003-1383.2017.06.010【Abstract】ObjectiveToexploretheinfluenceofnursinginterventionmeasuresonbloodglucosemonitoringindiabetesmellituspatientsbasedonprotectivemotivationtheory.Methods50casesofdiabetesmellitusinourhospitalwereselectedanddividedintoobservationgroupandcontrolgroup，with25casesineachgroup.Thecontrolgroupweregivenroutinenursingcare，andtheobservationgroupweregivennursinginterventionbasedonprotectivemotivationtheory.Thescoreofbloodglucosemonitoringknowledgeandskills，bloodglucoseandglycosylatedhemoglobinindexesbetweenthetwogroupsbeforeandafter3monthsofnursinginterventionwerecompared.Thebloodglucosemonitoringandprotectionmotivationofthetwogroupswerescored，medicationcomplianceandqualityoflifeofthetwogroupswereevaluated12monthsaftertheinterventionbytheMoriskymedicationcompliancescaleandtheChineseversionofconcisehealthmeasurementscale（SF-36）developedbyBostonHealthResearchInstitute.ResultsThefastingbloodglucose，bloodglucose2haftermealandglycosylatedhemoglobinindexesintheobservationgroupweresignificantlylowerthanthosebeforeintervention，andtheobservationgroupwerebetterthanthecontrolgroupafterintervention，differencewasstatisticallysignificant（P<0.01）.Afterintervention，bloodglucosemonitoringknowledgeandskillscoresoftheobservationgroupimprovedwhilecomparingwiththosebeforeintervention（P<0.05），andthosescoresoftheobservationgroupweresignificantlybetterthanthoseofthecontrolgroup，differencewasstatisticallysignificant（P<0.05or0.01）.Themedicationcomplianceoftheobservationgroupwasgoodin22cases（880%），poorin3cases（12.0%），andinthecontrolgroup，itwasgoodin15cases（60.0%），andpoorin10cases（400%），differencewasstatisticallysignificant（P<0.01）.Themedicationcomplianceoftheobservationgroupwasbetterthanthatofthecontrolgroup.ThescoresofSF-36intheobservationgroupwerehigherthanthoseofthecontrolgroup（P<001）.ConclusionNursinginterventionbasedonprotectivemotivationtheorycaneffectivelypromotethemasteryofbloodglucosemonitoringknowledgeandskillsinpatientswithdiabetesmellitus，significantlyenhancetheprotectionmotivationofbloo...