老年综合评估工具在糖尿病患者中的应用效果

Application effects of elderly comprehensive geriatric assessment in diabetic patients

目的：探讨老年综合评估工具（ CGA）在糖尿病患者中的应用效果。方法选取2013年1月—2014年3月110例老年糖尿病患者作为研究对象,按照随机数字表法随机分为对照组和观察组,每组各55例。对照组采用常规性临床护理指导,观察组在对照组的基础上增加CGA护理。入组干预6个月后,分别采用抑郁自评量表（ SDS）、自测健康评定量表（ SRHMS）进行评分,并对患者血糖及新增并发症发生率、家属满意度进行调查。结果护理干预后30,60,90 d,观察组患者的SDS评分均优于对照组,差异有统计学意义（P〈0.05）。干预前后观察组患者SRHMS总得分差值为（29.90±38.11）分,明显高于对照组的（3.25±10.58）分,差异有统计学意义（t=7.007,P〈0.01）。结论 CGA护理对老年糖尿病患者自我效能起到明显促进作用,且有效降低患者的血糖指标,控制合理的体质量指数及血压,提升患者家属的满意度,有利于患者的身心健康。

Objective To explore the application effects of comprehensive geriatrics assessment （ CGA） in diabetic patients. Methods A total of 110 elderly diabetic patients were selected as objects and were averagely divided into experimental group （ routine clinical nursing education and CGA nursing ） and control group （ routine clinical nursing education ） by random number table. Six months after the establishment of group, we used self-depression scale （ SDS ） , self-rated health measurement scale （ SRHMS ） to assess the score, and investigated fasting blood-glucose （FBG）, 2 h postprandial blood sugar （2h PPBS）, new incidence of complications and satisfaction of relatives. Results After nursing intervention 30, 60 and 90 d, the score of SDS in the experimental group was better than that of the control group （P〈0. 05）. The total SRHMS value of deviationwas（29.90±38.11）,whichwashigherthan（3.25±10.58） inthecontrolgroup（t =7.007, P〈0. 01）. Conclusions CGA plays an apparent promotion for self-efficacy of elderly diabetic patients, and can effectively decrease patients′ blood glucose indicator, control a reasonable weight and blood pressure, increase relatives′satisfaction and be benefits patients′physical and mental health.