摘要
目的分析2型糖尿病患者情绪状况、护理需求,评价心理护理干预对患者情绪改善、血糖控制等方面的影响。方法选择我院内分泌科2019年2月至2020年12月期间收治治疗的2型糖尿病患者,共计120例,予以患者降糖治疗的同时进行护理干预,获得伦理委员会批准。依据随机数字表法分组,对照组糖尿病患者采取常规护理,观察组糖尿病患者辅助心理护理干预,比较护理效果,包括情绪、生活质量等。其中,患者情绪以焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)进行评估,患者生活质量以健康调查简表(The MOS Item Short from Health Survey,SF-36)进行评估。结果组间护理干预后SAS、SDS、SF-36评分情况比较,观察组患者的SAS与SDS评分更低,SF-36评分更高,P<0.05;组间血糖控制效果比较,观察组总有效率95.00%高于对照组75.00%,P<0.05;组间遵医行为情况比较,观察组总依从率95.00%高于对照组的70.00%,P<0.05。结论2型糖尿病患者焦虑、抑郁情绪明显,影响治疗遵医行为和血糖水平、生活质量。予以患者心理护理干预效果显著,促进患者预后。
Objective To analyze the emotional status and nursing needs of patients with type 2 diabetes,and to evaluate the effects of psychological nursing intervention on the improvement of patients'mood and blood sugar control.Methods A total of 120 patients with type 2 diabetes who were admitted to the department of endocrinology in our hospital from February 2019 to December 2020 were selected.They were treated with hypoglycemic therapy and nursing interventions,and were approved by the ethics committee.According to the random number table method,the diabetic patients in the control group were given routine nursing care,and the diabetic patients in the observation group were assisted with psychological nursing intervention to compare the nursing effects,including the quality of emotional life.Among them,the patient's mood is evaluated by the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS),and the patient's quality of life is evaluated by the MOS Item Short from Health Survey.Survey,(SF-36)for evaluation.Results Comparison of SAS,SDS,SF-36 scores after nursing intervention between groups,the observation group had lower SAS and SDS scores,and SF-36 scores were higher,P<0.05;comparison of blood glucose control effects between groups,the observation group the effective rate of 95.00%was higher than that of the control group,75.00%,P<0.05;comparison of the compliance behaviors between the groups,the total compliance rate of the observation group was 95.00%higher than that of the control group 70.00%,P<0.05.Conclusion Patients with type 2 diabetes have significant anxiety and depression,which affect treatment compliance behavior,blood sugar level,and quality of life.Psychological nursing intervention for patients has a significant effect and promotes the prognosis of patients.
作者
姜丹
JIANG Dan(Department of Endocrinology,Dandong Central Hospital,Dandong 118000,China)
出处
《中国医药指南》
2023年第15期169-171,共3页
Guide of China Medicine
关键词
2型糖尿病
心理护理
血糖情况
情绪状况
生活质量
遵医行为
Type 2 diabetes
Psychological care
Blood sugar status
Emotional status
Quality of life
Compliance behavior
