马斯洛需求理论在2型糖尿病饮食护理中的干预效果

Intervention effect of Maslows need theory in dietary nursing of type 2 diabetes mellitus

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DOI 10.12208/j.ijnr.20230330
刊名
International Journal of Nursing Research
年,卷(期) 2023, 5(11)
作者
作者单位

宜宾市中西医结合医院呼吸内科 四川宜宾 ;

摘要
本研究旨在确定马斯洛需求层次理论对2型糖尿病患者饮食护理的影响。方法 2021年6月-2022年5月入住我院的2型糖尿病患者200例,采用随机对照研究设计,对200名2糖尿病患者进行,分为观察组和对照组。观察组患者基于马斯洛需求层次理论下采取饮食护理,对照组进行常规饮食护理。分别在研究开始时、干预后6个月、1年进行对比,结果变量为空腹血糖、餐后血糖及HbA1c水平,并进行心理状态(焦虑自评量表SAS、抑郁自评量表SDS),自我效能测评。结果 研究开始时两组空腹血糖、餐后血糖及HbA1c水平无统计学差异,在6个月、1年的随访测量中,观察组血糖水平、负面心理(SAS、SDS)低于常规饮食护理对照组(P<0.05),而自我效能水平高于对照组(P<0.05)。结论 将马斯洛需求层次理论应用于2型糖尿病患者饮食护理干预中有利于提高患者自我效能水平,从而利于血糖的控制,另一方面能改善因长期限制饮食带来的负性情绪,提升其生活质量。
Abstract
Objective The aim of this study was to determine the impact of Maslows hierarchy of needs theory on dietary care of type 2 diabetes patients. Methods 200 patients with type 2 diabetes admitted to our hospital from June 2021 to May 2022 were divided into observation group and control group by randomized controlled study design. Observation group received diet nursing based on Maslows hierarchy of needs theory, while control group received routine diet nursing. Comparison was conducted at the beginning of the study, 6 months and 1 year after the intervention, and the result variables were fasting blood glucose, postprandial blood glucose and HbA1c levels, as well as mental state (self-rating anxiety scale SAS, self-rating Depression Scale SDS) and self-efficacy assessment. Results There were no significant differences in fasting blood glucose, postprandial blood glucose and HbA1c levels between the two groups at the beginning of the study. At 6 months and 1 year follow-up measurements, the blood glucose level and negative psychology (SAS, SDS) in the observation group were lower than those in the control group (P < 0.05), while the self-efficacy level was higher than that in the control group (P < 0.05). Conclusion The application of Maslows hierarchy of needs theory in dietary nursing intervention of type 2 diabetes patients is conducive to improving the level of self-efficacy of patients, thus conducive to blood sugar control. On the other hand, it can improve the negative emotions caused by long-term dietary restriction and improve their quality of life.
关键词
马斯洛需求层次理论;2型糖尿病;饮食护理;心理
KeyWord
Maslows hierarchy of needs theory; Type 2 diabetes; Diet nursing; Mind
基金项目
页码 52-56
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李锐*. 马斯洛需求理论在2型糖尿病饮食护理中的干预效果 [J]. 国际护理学研究. 2023; 5; (11). 52 - 56.

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