摘要
目的 探讨系统性护理干预对2型糖尿病肥胖患者焦虑抑郁不良情绪的临床效果。方法 选取东营市中医院精神卫生康复科2019年1月—2021年1月收治的80例2型糖尿病肥胖患者作为该次的研究对象,并按照随机数表法将其分为对照组和观察组,每组40例。对照组给予常规护理,观察组给予系统性护理,利用汉密斯顿焦虑量表(HAMA)和抑郁量表(HAMD)对两组患者护理前后的心理状态进行评估。对比两组护理干预前后的BMI及血糖情况,血糖包括空腹血糖(FPG)、餐后2 h血糖(2 hPG)及糖化血红蛋白(HbA1c)。对比护理后两组患者的生活质量。结果 护理干预后,两组焦虑(HAMA)、抑郁(MAMD)评分均有不同程度下降,且观察组显著低于对照组,差异有统计学意义(P<0.05)。干预后,两组BMI及血糖水平均有不同程度改善,且观察组显著低于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组各项生活质量评分均明显高于对照组,差异有统计学意义(P<0.05)。结论 临床上针对2型糖尿病肥胖患者采取系统性护理干预,能够有效缓解患者焦虑、抑郁等负性情绪,进一步提高患者的疗护依从性,有利于提高患者的生活质量,值得在临床上推广应用。
Objective To investigate the clinical effect of systematic nursing intervention on anxiety and depression in obese patients with type 2 diabetes.Methods 80 obese patients with type 2 diabetes admitted to the Department of Mental Health Rehabilitation of Dongying Hospital of Traditional Chinese Medicine from January 2019 to January 2021 were selected as the research subjects.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was given routine nursing,and the observation group was given systematic nursing.The Hamilton Anxiety Scale(HAMA) and Depression Scale(HAMD)were used to evaluate the psychological state of the two groups of patients before and after nursing.The BMI and blood glucose levels before and after nursing intervention in the two groups were compared,including fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG) and glycosylated hemoglobin(HbA1c).The quality of life of the two groups of patients after nursing was compared.Results After nursing intervention,the scores of anxiety(HAMA) and depression(MAMD) in both groups decreased to varying degrees,and the observation group was significantly lower than the control group,the difference was statistically significant(P <0.05).After the intervention,the BMI and blood glucose levels in both groups were improved to varying degrees,and the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).After nursing intervention,the quality of life scores in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion Clinically,systematic nursing intervention for obese patients with type 2 diabetes can effectively relieve negative emotions such as anxiety and depression,further improve patients’ compliance with treatment and care,and help improve the quality of life of patients.It is worthy of clinical application.
作者
赵玉洁
ZHAO Yujie(Department of Mental Health Rehabilitation,Dongying Hospital of Traditional Chinese Medicine,Dongying,Shandong Province,257055 China)
出处
《糖尿病新世界》
2022年第8期99-102,128,共5页
Diabetes New World Magazine
关键词
系统性护理
2型糖尿病
肥胖
焦虑
抑郁
不良情绪
Systemic care
Type 2 diabetes
Obesity
Anxiety
Depression
Negative emotions
作者简介
赵玉洁(1987-),女,本科,主管护师,研究方向为糖尿病抑郁患者的护理。
