生命力护理干预对2型糖尿病病人自我管理能力和生活质量的影响

Influence of vitality nursing interventions on self-management ability and quality of life of type-2 diabetes mellitus patients

[目的]探索生命力护理干预对2型糖尿病病人自我管理能力和生活质量的影响。[方法]将240例2型糖尿病病人随机分成观察组和对照组各120例,两组均予常规治疗及护理,即常规糖尿病健康宣教,包括血糖自我监测、饮食指导、用药指导、运动方式及运动量自我管理、复查时间等内容。观察组在此基础上实施系统的、连贯的生命力护理干预(营养、心理、运动、康复指导等)。比较两组自我管理能力及血糖控制情况。[结果]干预6个月后两组饮食、用药、检查、运动依从性得分比较差异有统计学意义(P<0.05或P<0.01);观察组血糖控制较对照组理想(P<0.01)。[结论]生命力护理干预能有效提高糖尿病病人自理能力。

Objective：To probe into the influence of vitality nursing interven- tions on self - management ability and quality of life of type - 2 diabetes mel- litus patients. Methods ： A total of 240 cases of patients with type - 2 diabetes mellitus were randomly divided into observation group and control group, 120 cases in each. Both groups of patients were given to routine nursing treatment, that was routine diabete health education,including blood glucose self - monitoring, dietary instruction, medication guidance, self - management of movement pattern and amount of exercise, re - check time and so on. Be- sides that ,the observation group patients were given to systemic and coher- ent vitality nursing interventions （nutrition, psychological, exercise and reha- bilitation guidance）. The self - management ability and blood glucose control were compared between both groups. Results：There was statistically signifi- cant difference in diet, medications, check compliance and movement compli- ance （P〈0.05 or P〈0. 01） ;The blood sugar control of observation group was better than that of control group（P〈0.01）. Conclusion：Vitality nursing intervention can effectively improve the self- care ability of diabetes pa- tients.