护理家园模式对流动人口中2型糖尿病患者负性心理的影响

Effect of Nursing Home on Negative Attitude of Patients with Type 2 Diabetes Mellitus in Floating Population

目的探讨护理家园模式对流动人口中2型糖尿病患者负性心理的影响,以期为提出该类人群的社区护理工作新模式提供依据。方法 2015年9月至2016年2月,便利抽样法选取上海市宝山区流动人口中2型糖尿病患者80名为研究对象,按随机数字表法将其分为观察组(40名)和对照组(40名)。观察组患者采用护理家园模式进行护理干预,对照组患者采用常规护理干预。两组护理干预均为1次/2周,共干预6个月。采用抑郁自评量表(self-rating depression scale,SDS)和焦虑自评量表(self-rating anxiety scale,SAS)测评两组患者干预前后抑郁、焦虑情况,并检测干预前后两组患者空腹血糖值、糖化血红蛋白值和体质量指数。结果干预前,两组患者的SAS、SDS评分以及空腹血糖值、糖化血红蛋白值和体质量指数的差异均无统计学意义(均P>0.05)。干预后,两组患者SAS、SDS评分以及空腹血糖值、糖化血红蛋白值和体质量指数均优于干预前,差异均有统计学意义(均P<0.05)。且观察组患者的SAS、SDS评分以及空腹血糖值、糖化血红蛋白值和体质量指数均优于对照组,差异均有统计学意义(均P<0.05)。结论护理家园模式能有效减轻流动人口中2型糖尿病患者的焦虑及抑郁情绪并能优化相关指标,值得推广。

Objective To study the effect of nursing home on negative attitude in patients with type 2 dia-betes mellitus （DM）in floating population,in order to provide reference for the new mode of community nursing for floating population.Methods By convenience sampling,80 cases were selected and randomly divided into observation group （n=40）and control group（n=40）.The observation group received nursing intervention of nursing home,while the control group received routine nursing intervention.The frequency was one time in two weeks of 6 months in total.The self-rating depression scale （SDS）and self-rating anxi-ety scale （SAS）were used to evaluate the depression and anxiety status of two groups before and after intervention.The fasting blood sugar,glycosylated hemoglobin and body mass index were evaluated before and after intervention.Results Before intervention,there was no statistical significance of SAS,SDS scores and fasting blood sugar,glycosylated hemoglobin and body mass index between two groups （all P〉0.05）. The SAS,SDS scores and fasting blood sugar,glycosylated hemoglobin and body mass index after interven-tion were better than before,as well as compared to control group （all P〈0.05）.Conclusions The nursing home mode can alleviate anxiety and depression in patients with type 2 DM in floating population effective-ly,which is worth for clinical promotion.