心理干预对使用胰岛素老年糖尿病患者焦虑的影响

Effect of psychological intervention on anxiety in elderly patients with insulin

目的就心理干预缓解糖尿病胰岛素治疗患者焦虑情绪的临床护理价值作以评价。方法拟选取2015年6月~2017年3月在本院就诊病情基本稳定后出院,出院后一直与临床医生及护士保持联系,且有完整、齐全的院后病情随访资料的104例患者作为本次研究对象,设计对照研究实验,将接受心理干预的52例患者纳入观察组,经常规护理的52例患者作为对照组,分别在护理前后采用采用焦虑自评量表（SAS）量化评估患者心理状况。结果护理前不同焦虑程度患者在观察组与对照组所占比重差异无统计学意义。护理后中、重度焦虑患者在观察组所占比重分别为26.9%、3.8%,在对照组所占比重分别为36.5%、21.2%,观察组患者焦虑程度明显轻于对照组（P〈0.05）。结论老年糖尿病胰岛素治疗患者对心理干预十分需要,建议临床治疗全程心理干预始终贯穿其中,进而实现对患者焦虑情绪的有效缓解,同时提高患者治疗依从性,促进疾病早日康复。

Objective To evaluate the clinical value of psychological intervention in the treatment of anxiety in patients with diabetes mellitus insulin treatment. Methods To select from June 2015 to March 2017 in our hospital was basically stable after the hospital has been maintained with clinicians and nurses,104 cases of complete and complete hospital and after follow-up data of patients as the research object,the design of control study,52 cases received psychological intervention were included in the observation group,52 cases of routine care of patients as control group,respectively,by using the self rating Anxiety Scale（ SAS） before and after nursing in the quantitative evaluation of the psychological status of patients with.Results There was no significant difference between the observation group and the control group in the moderate and severe anxiety patients before nursing. The different degree of anxiety in patients after nursing in the observation group accounted for the proportion was 26. 9%,3. 8% in the control group,the proportion was 36. 5%,21. 2%,patients with anxiety level were significantly lighter than the control group（ P〈 0. 05）. Conclusion Insulin treatment in elderly patients with diabetes is needed for clinical treatment of psychological intervention,psychological intervention is always running through them,so as to realize the effective to alleviate the anxiety of patients,and improve the treatment compliance of patients,promote the recovery of disease.