人文关怀护理对糖尿病患者生命质量及自我效能的影响

Effect of humanistic care on quality of life and self efficacy of patients with diabetes mellitus

目的 探讨人文关怀护理对糖尿病患者生命质量及自我效能的影响.方法 按照方便抽样原则选取2016年1-6月我院接收诊治的糖尿病患者135例,按照随机数字表法分组.观察组患者采用鱼骨图分析影响患者生命质量、自我效能的真因,针对性给予人文关怀护理,对照组患者给予常规糖尿病护理,经过6个月护理后对照分析2组患者的生命质量及自我效能.结果 护理后,观察组患者生命质量评分（50.33±3.02）、（30.55±2.03）、（17.20±2.01）、（12.35±0.87）分,显著高于对照组的（41.57±3.46）、（23.60±2.17）、（13.55±2.34）、（9.02±0.64）分,2组比较差异有统计学意义（t=8.112～21.137,均P〈0.01）;观察组护理后自我效能评分（30.52±2.33）分,显著高于对照组的（24.69±1.98）分,2组比较差异有统计学意义（t=13.072,P〈0.01）.结论 人文关怀护理可显著提升糖尿病患者的生命质量,改善患者自我效能.该护理模式在糖尿病患者中应用效果显著,值得临床推广应用.

Objective To explore the effect of humanistic care on quality of life and self-efficacy of diabetic patients. Methods According to the principle of convenience sampling, 135 patients with diabetes mellitus from January 2016 to June 2016 were randomly divided into two groups according to the random number table method. The patients in the observation group were treated with fishbone analysis to analyze the quality of life and the self-efficacy, and the patients were given humanistic nursing care. The patients in the control group were treated with routine diabetes care. After 6 months of care, the quality of life and self-efficacy were analyzed between the two groups. Results After treatment, the quality of life scores in the observation group （50.33 ± 3.02, 30.55 ± 2.03, 17.20 ± 2.01, 12.35 ± 0.87） were significantly higher than those in the control group （41.57 ± 3.46, 23.60±2.17,13.55±2.34, 9.02±0.64） , the difference between the two groups was statistically significant （t=8.112-21.137, all P 〈0.01）; The score of self-efficacy in the observation group （30.52 ± 2.33） was significantly higher than that in the control group （24.69 ± 1.98）, the difference between the two groups was statistically significant （t=13.072, P〈0.01）. Conclusions Humanistic care can significantly improve the quality of life and self-efficacy of patients with diabetes mellitus. The application of the nursing model in patients with diabetes has significant effect, which is worthy of clinical application.