Application Of Nursing Intervention Based On Self-regulation Learning Theory In Self-management Of Patients With Diabetic Kidney Disease

Objective: To explore the effects of nursing intervention based on self-regulated learning theory on blood glucose and other clinical indicators,self-management behavior and quality of life in patients with diabetic kidney disease,so as to provide a reference for promoting patients’ self-management.Methods: This study was a quasi-experimental study.From January to June2022,96 patients with diabetic kidney disease who met the inclusion and exclusion criteria in a tertiary hospital in Shenyang were selected as research objects.Control group carried out routine nursing,while experimental group implemented nursing intervention program based on self-regulated learning theory.The general information of the two groups of patients was collected before the intervention,and the clinical indicators such as blood glucose and renal function of the two groups of patients were collected before the intervention and 6 months after the intervention.The self-management behavior of the patients was evaluated by the Scale of Diabetes Self-Care Activities(SDSCA),and the quality of life of the patients was evaluated by the Chinese Diabetes Specific Quality of Life Scale(DSQL).All the collected data were analyzed by SPSS 25.0 software.Results:(1)Finally,a total of 90 patients with diabetes kidney disease completed the study.There was no significant difference in gender,ethnicity,age,occupation,monthly income,and education level between the two groups(P>0.05),and the baseline data were comparable.(2)Before the intervention,there was no statistically significant difference in blood glucose and other clinical indicators,self-management behavior,quality of life scores and total scores between the two groups(P>0.05).After the intervention,the blood glucose indicators,self-management behavior,quality of life except physiological dimension scores and total score were compared between the two groups,and the experimental group was significantly better than the control group(P<0.05).After the intervention,there was no statistically significant difference in serum creatinine,24 h urine protein quantitative,quality of life physiological function dimension scores between the two groups(P>0.05).(3)In the control group,the fasting blood glucose and 2h postprandial blood glucose after the intervention were significantly lower than those before the intervention(P<0.05),and there was no significant difference in glycosylated hemoglobin,serum creatinine,24 h urine protein,self-management behavior,quality of life scores and total score compared with those before the intervention(P>0.05).After the intervention,the blood glucose index,self-management behavior and quality of life in the experimental group were significantly improved compared with those before the intervention except for the physiological dimension score(P<0.05).There was no statistically significant difference in serum creatinine,24 h urine protein quantification and the physiological dimension score of quality of life(P>0.05).Conclusions: Nursing intervention based on self-regulated learning theory can significantly reduce the blood glucose level of patients with DKD.Significantly improve the self-management behavior level and quality of life of DKD patients;However,there was no significant change in serum creatinine and 24-hour urine protein in the two groups.