综合护理干预对初发2型糖尿病病人心理及遵医行为的影响

Influence of comprehensive nursing intervention on psychology and compliance behaviors of newly diagnosed patients with type 2 diabetes

[目的]探讨综合护理干预对初发2型糖尿病病人心理及遵医行为的影响。[方法]将2013年2月—2014年2月收治的初发2型糖尿病病人200例随机分为两组各100例。观察组给予综合护理干预,对照组给予常规护理。比较两组病人干预前及干预6个月后血糖水平、SCL-90评分、遵医行为、健康知识掌握度及满意度。[结果]干预后两组空腹血糖、餐后2h血糖、糖化血红蛋白、SCL-90评分、健康知识掌握度均较干预前明显改善,观察组的改善程度明显优于对照组,差异具有统计学意义(P<0.05);观察组的遵医行为和病人满意率明显高于对照组,差异具有统计学意义(P<0.05)。[结论]综合护理干预可提高初发2型糖尿病病人对疾病的认知水平,缓解负性情绪,加强病人的遵医行为,从而提高治疗效果和病人满意度。

Objective：To probe into the influence of comprehensive nursing intervention on psychology and com-pliance behaviors of newly diagnosed patients with type 2 diabetes.Methods：A total of 200 newly diagnosed pa-tients with type 2 diabetes who have been received and cured from February 2013 to February 2014 were ran-domly divided into two groups,100 cases each.Patients in observation group were given the comprehensive nursing.While patients in control group were given the conventional nursing.Patients’blood glucose level,SCL 90 score,compliance behaviors,master degree of health knowledge and satisfaction were compared between both groups before the intervention and 6 months after the intervention.Results：After the intervention,patients’ fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin,SCL 90 score,master degree of health knowledge in both groups after the intervention were all significantly improved than that before the in-tervention.The degree of improvement in observation group was better than that in control group.And there was statistically significant difference （P〈0.05）.Patients’compliance behaviors and satisfaction rate in observa-tion group were significantly higher than that of control group.There was statistically significant difference（P〈0.05）.Conclusion：The comprehensive nursing intervention can improve the disease cognition level of newly di-agnosed patients with type 2 diabetes,alleviate their negative emotions,and strengthen their compliance behav-iors,so as to improve the treatment effect and their satisfaction.