心理护理对糖尿病胰岛素治疗患者负性情绪的影响

The effect of psychological nursing on the negative emotion of patients with diabetes insulin therapy

目的:探讨系统性心理护理对糖尿病(DM)长期胰岛素治疗患者负性情绪及生活质量的影响。方法:采用随机数字表法将138例长期应用胰岛素治疗的DM患者分为对照组(n=69)和观察组(n=69),对照组给予常规护理,观察组在常规护理基础上给予系统性心理护理干预,对照分析两组患者的负性情绪状况及生活质量。结果:观察组患者护理干预后的SAS和SDS评分明显低于护理干预前,且与对照组比较差异有统计学意义(P<0.05),而对照组护理干预前、后的SAS和SDS评分比较差异无统计学意义(P>0.05)。观察组患者护理干预后GQOLI-74量表中物质生活状态、心理功能、躯体功能和社会功能等4个维度的评分均明显高于对照组(P<0.05)。结论:系统性心理护理能显著改善DM长期胰岛素治疗患者的负性情绪,提高其生活质量。

Objective：To investigate the effects of systematic psychological care for the DM patients treated with long-term insulin therapy on their negative emotion and quality of life.Methods：138 cases treated with long-term insulin were randomly divided into control group （n=69） and observation group （n=69）. The 69 cases in control group received conventional care; the 69 cases in observation group received systematic psychological nursing intervention on the basis of above conventional care. Compare the differences of their negative emotion and quality of life between the two groups.Results：The SAS and SDS scores of observation group after the nursing intervention were significantly lower than before and the control group （P〈0.05）. There was no significantly difference after the conventional care intervention compared with before in control group （P〉0.05）. The GQOLI-74 scores of material living conditions, mental function, physical function and social function after the nursing intervention in observation group were significantly higher than in control group （P〈0.05）.Conclusion：Systematic psychological care can significantly improve the negative emotions and quality of life of DM patients treated with long-term insulin therapy.