协同护理模式在老年糖尿病患者心理干预中的应用

Effect of collaborative nursing on psychological intervention in elderly patients with diabetes mellitus

目的探讨老年糖尿病患者存在的心理问题,并分析协同模式在该类患者心理干预中的应用效果。方法选取2014-12至2016-12吉林省人民医院收治的老年糖尿病患者82例,按照随机数字表法将其分成观察组(n=41)和对照组(n=41)。给予对照组常规护理模式,而观察组采用协同护理模式。采用糖尿病患者治疗依从性调查表来调查干预前后两组的治疗依从性情况;采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)来评价两组干预前后焦虑及抑郁情况。结果两组干预后治疗依从性评分较干预前均明显提高(P<0.001);观察组干预后依从性平均总分(67.26±7.32)分,明显优于对照组(50.84±6.04)分,两组比较,差异具有统计学意义(t=11.079,P<0.001)。干预后两组SAS和SDS评分均明显高于干预前(P<0.001);观察组干预后SAS和SDS评分均明显低于对照组(P<0.001)。结论协同护理模式可有效改善老年糖尿病患者的不良心理情绪,提高其治疗依从性,具有重要的现实意义。

Objective This study aimed to explore the psychological problems of elderly patients with diabetes mellitus, and analyze the effect of collaborative nursing mode on psychological intervention. Methods A total of 82 elderly patients with diabetes mellitus treated in the People＇s Hospital of Jilin Province between December 2014 and December 2016 were selected and divided into observation group and control group by means of random number table, 41 eases in each group. The control group was provided with routine nursing care, while the observation group was given collaborative nursing care. The treatment compliance of two groups before and after intervention was investigated by means of the diabetes treatment compliance questionnaire; the anxiety and depression state of two groups before and after intervention was evaluated by means of a self-rating anxiety scale （SAS） and self-rating depression scale （SDS）. Results Treatment compliance score of two groups after the intervention were significantly improved compared with that before intervention（P〈0.001）; the average total score of compliance after intervention in observation group （67.26 ± 7.32） was significantly better than that of control group （50.84 ± 6.04）, and the difference was statistically significant （t=11.079, P〈0.001）. After the intervention, SAS and SDS scores of two groups were significantly higher than that before the intervention （P 〈 0.001）; SAS and SDS score of observation group after intervention was significantly lower than that of control group （P〈0.001）. Conclusions Collaborative nursing care can effectively improve negative psychological emotions of elderly patients with diabetes mellitus and improve their treatment compliance, which has important practical and clinical significance.