保护动机理论的细节管理对糖尿病肾病患者的作用

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关键词：糖尿病肾病;保护动机理论;细节管理;睡眠质量;生命质量;自我管理能力;健康行为;满意度

The Effect of Detail Management of Protective Motivation Theory on Patients with Diabetes Nephropath

ZHENG Danfeng，ZHENG Feifei，LIN Junru

（Departmentof Nephrology，Jinjiang Hospital/Shanghai Sixth People's HospitalFujian Branch，Jinjiang 3622Oo，China）

AbstractObjective：Toanalyzetheefectof detail managementbasedonprotection motivationtheoryonpatients withdiabetic nephropathy.Methods：Atotalof8OpatientswithdiabeticnephropathyadmitedtoJinjiang Hospital fromJanuary2O23to June 2024 were selectedandrandomlydivided intoacontrolgroupandanobservation group，with40 cases in each group.Thecontrol groupreceivedroutinenursing，whiletheobservationgroupreceiveddetail managementguidedbyprotectionmotivationtheory.Sleepqualityndqualityoflifewerecomparedbeforeandafterinterventioninbothgroups，andnursingsatisfactionwasevaluatedaftertheitervention.Results：ftertheinterventiontebservationgoupshowedsignificantlyhighrqualityof-lifeoe， lower sleepqualityscores（indicating improved sleep），and higher nursing satisfactioncompared with the control group（ P< 0.05）.Conclusion：Detail managementbasedonprotectionmotivation theorycan efectivelyimproveslepconditionandoveal quality of life in patients with diabetic nephropathy，while enhancing satisfaction with nursing care.

KeywordsDiabetic nephropathy；Protection motivation theory；Detail management；Sleepquality；Qualityof ife；Self-management ability；Health behavior；Satisfaction

中图分类号：R587.1;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.043

糖尿病肾病病程迁延且易进展，不仅会导致肾功能进行性减退，还常因血糖波动、躯体不适及心理压力等因素影响患者的睡眠质量与生命质量[1]。（剩余5268字）