护理干预对中青年2型糖尿病患者心态及自我疾病管理能力的影响

The Influence of Nursing Intervention on the Mental State and the Ability of Disease Self Management of Young and Middle-aged patients with Type 2 Diabetes

目的:分析护理干预对中青年2型糖尿病患者心态及自我疾病管理能力的影响。方法:选取50例2型糖尿病患者,均给予心理辅导、系统宣教、运动干预等护理干预,比较干预前后患者血糖、心态及自我疾病管理水平变化。结果:干预3个月后HAMA、HAMD均显著低于干预前(P<0.05);而饮食控制、遵循医嘱、运动锻炼及血糖监测评分均明显高于干预前,空腹血糖明显低于干预前,差异有统计学意义(P<0.01)。结论:综合护理干预能明显缓解患者焦虑、抑郁情绪,显著提高患者自我管理能力,降低患者空腹血糖水平。

Objective:To analyze the effect of nursing intervention on the mental state and the ability of disease self management of young and middle-aged patients with type 2diabetes.Methods:50cases of type 2diabetic patients were selected and given nursing intervention such as psychological counseling,systematic education and exercise intervention.The changes of blood glucose,mentality and disease self management levels in patients before and after intervention were compared.Results:After 3months of intervention,HAMA and HAMD were significantly lower than those before intervention(P<0.05)while the scores of diet control,following the doctor's advice,exercise and blood glucose monitoring were significantly higher than those before intervention.Fasting plasma glucose was obviously lower than that before intervention and the difference was statistically significant(P<0.01).Conclusion:Comprehensive nursing intervention can significantly relieve the anxiety and depression of patients,significantly improve patients' self-management ability and reduce the level of fasting blood glucose.