循证护理对老年2型糖尿病患者血糖控制及心理状态的影响

Influence of evidence-based nursing on psychological state and blood sugar control of elderly patients with type 2 diabetes

目的:探讨循证护理干预对老年2型糖尿病患者血糖水平及心理状态的影响。方法:将收治的84例老年2型糖尿病患者随机分为对照组42例和观察组42例,对照组在治疗的同时给予常规护理,观察组在治疗及常规护理的基础上给予循证护理,比较两组患者治疗前后血糖控制水平和心理状态改善情况。结果:治疗后,观察组患者、对照组患者焦虑自评量表(self-rating anxiety scale,SAS)评分分别为(38.5±5.6)分、(46.5±5.8)分,抑郁自评量表(self-rating depression scale,SDS)评分分别为(43.6±6.1)分、(54.3±6.4)分,观察组与对照组比较差异有统计学意义(P<0.05);治疗后与治疗前比较,两组患者SAS评分和SDS评分均下降(P<0.05),并且观察组患者空腹血糖、餐后2 h血糖及糖化血红蛋白均明显低于对照组(P<0.05)。结论:在老年糖尿病的治疗过程实施循证护理干预,可显著改善患者的心理状态,有效控制血糖水平,具有较高的临床推广价值。

Objective：To discuss the effect of evidence - based nursing intervention on blood sugar control and psychological state of elderly patients with type 2 diabetes. Methods：84 elderly patients with type 2 diabetes were randomly divided into the control group and the observation group, 42 cases in each group. The control group was given routine nursing care, while the observation group was given evidence - based nursing on the basis of routine nursing care. Then the differences in levels of blood glucose control and psychological state between the two groups before and after treatment were compared. Results：After treatment, the self - rating anxiety scale （SAS） scores of the observation group and the control group were （38.5±5.6） and （46.5 ±5.8）, and the self- rating depression scale （SDS） scores of the observation group and the control group were （43.6±6.1） and （54.3±6.4）, with the differences of the two groups statistically significant （ P 〈0.05）. The SAS score and SDS score of the two groups were significantly reduced after treatment compared with that before treatment, and the fasting blood glucose, postprandial 2h blood glucose and glycosylated hemoglobin were significantly lower than those of the control group （ P 〈 0.05 ）. Conclusion ： Implementation of evi- dence -based nursing intervention in the treatment of senile diabetes can significantly improve patients＇ psychological state, control levels of blood glucose, which is of a high clinical value.