综合护理干预对2型糖尿病患者心理状态、血糖控制及生活质量的影响

Effect of comprehensive nursing intervention on the psychological status,blood glucose control and quality of life of patients with type 2 diabetes

目的:探讨综合护理干预对2型糖尿病患者心理状态、血糖控制及生活质量的影响。方法:选取我院2014年1月~2016年1月收治的60例2型糖尿病患者作为研究对象,按照随机数字表法等分为观察组和对照组,两组患者均进行对症治疗,对照组患者实施常规护理模式;观察组患者实施综合护理干预模式,对比两组患者心理状态、血糖控制及生活质量。结果:两组患者护理前抑郁自评量表(SDS)评分及焦虑自评量表(SAS)评分比较无统计学意义(P>0.05),观察组患者护理后SDS,SAS评分明显低于对照组(P<0.05)。两组患者护理前空腹血糖(FPG)、餐后2 h血糖(2h PG)及糖化血红蛋白(HbAlc)相比差异无统计学意义(P>0.05),观察组患者护理后FPG、2h PG及HbAlc均明显低于对照组(P<0.05)且两组间比较差异有统计学意义(P<0.05)。观察组患者护理后生活质量各维度评分均显著高于对照组(P<0.05)。结论:综合护理干预可改善患者不良情绪,有助于控制血糖,提高患者生活质量,值得推广。

Objective： To explore the influence of comprehensive nursing intervention on the psychological status,blood glucose control and quality of life of patients with type 2 diabetes. Methods： A total of 60 patients with type 2 diabetes admitted to our hospital from January 2014 to January 2016 were selected as the research objects and divided into observation group and control group by random number table method. The patients in the two groups received symptomatic treatment. The control group adopted conventional nursing model; the observation group adopted comprehensive nursing intervention model. The psychological status,blood glucose control and quality of life of patients were compared between the two groups. Results： The differences of self-rating depression scale（ SDS） score and self-rating anxiety scale（ SAS） score in the two groups before nursing were not statistically significant（ P 〉 0. 05）. The SDS and SAS scores in the observation group after nursing were significantly lower than those in the control group（ P 〈 0. 05）. The differences of fasting plasma glucose（ FPG）,2 hours postprandial blood glucose（ 2 h PG） and glycosylated hemoglobin（ HbAlc） between the two groups were not statistically significant（ P 〉 0. 05）. The fasting plasma glucose（ FPG）,2 hours postprandial blood glucose（ 2 h PG） and glycosylated hemoglobin（ HbAlc） in the observation group after nursing were significantly lower than those in the control group（ P 〈 0. 05）,and the difference was statistically significant（ P 〈 0. 05）.The scores of all dimensions of life quality in the observation group after nursing were significantly higher than those in the control group（ P 〈 0. 05）. Conclusion： The comprehensive nursing intervention can improve the bad mood and life quality of patients and be conductive to controlling blood sugar,so it is worthy of promoting.