摘要
目的探究以SMG健康管理为基础的护理模式对糖尿病合并冠心病患者自我效能的影响.方法选择本院2020年1月—2021年3月收治的98例糖尿病合并冠心病患者,按照随机数字表法分为对照组和观察组,每组49例.对照组采用常规护理,观察组采用以SMG健康管理为基础的护理,均持续护理3个月.比较两组护理前后的心理状态、自我效能及生存质量.结果护理后,观察组的抑郁自评量表、焦虑自评量表评分分别为(42.14±4.62)分、(43.54±4.39)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组护理后的糖尿病自我效能感量表中饮食控制、规律运动、规律用药、血糖监测、足部护理及高低血糖处理评分分别为(22.55±2.75)分、(17.37±2.15)分、(13.17±1.55)分、(13.67±2.26)分、(18.17±2.46)分、(16.67±2.12)分,均高于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的糖尿病生存质量评定量表中生理机能、社会关系、治疗及心理/精神评分分别为(15.23±1.99)分、(3.98±0.66)分、(4.56±0.26)分、(10.11±1.25)分,均低于对照组,组间差异有统计学意义(P<0.05).结论以SMG健康管理为基础的护理模式能够有效减轻糖尿病合并冠心病患者的负性情绪,增强其自我效能感,进而提高生存质量.
Objective To explore the effect of SMG health management-based nursing model on self-efficacy of patients with diabetes mellitus complicated with coronary heart disease.Methods 98 diabetic patients complicated with coronary heart disease admitted in the hospital from January 2020 to March 2021 were selected and were randomly divided into a control group and an observation group,with 49 cases in each group.The control group received routine nursing,and the observation group received SMG health management-based nursing.Both groups continued nursing for 3 months.The psychological state,self-efficacy and quality of life were compared between the two groups before and after nursing.Results After nursing,the scores of self-rating depression scale and self-rating anxiety scale in the observation group were(42.14±4.62)points and(43.54±4.39)points,respectively,lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).In the observation group after nursing,the diabetes self-efficacy scale scores of diet control,regular exercise,regular medication,blood glucose monitoring,foot care and high and low blood glucose management were(22.55±2.75)points,(17.37±2.15)points,(13.17±1.55)points,(13.67±2.26)points,(18.17±2.46)points and(16.67±2.12)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the diabetic quality of life scale scores of physiological function,social relationship,treatment and psychological/spiritual in the observation group were(15.23±1.99)points,(3.98±0.66)points,(4.56±0.26)points and(10.11±1.25)points,respectively,which were lower than those in the control group,the differences between groups were statistically significant(P<0.05).Conclusion The nursing model based on SMG health management can effectively reduce the negative emotions of patients with diabetes mellitus complicated with coronary heart disease,enhance their self-efficacy,and improve the quality of life.
作者
薛春花
XUE Chunhua(Department of Endocrinology,Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou Jiangsu,221000,China)
出处
《反射疗法与康复医学》
2021年第21期96-99,共4页
Reflexology And Rehabilitation Medicine
关键词
糖尿病
冠心病
SMG健康管理
心理状态
自我效能
生存质量
Diabetes mellitus
Coronary heart disease
SMG health management
Mental state
Self efficacy
Quality of life
作者简介
薛春花(1981-),女,江苏徐州人,本科,主管护师,研究方向:内分泌科临床护理。
