基于夫妻为中心的心理干预在老年2型糖尿病患者护理中的应用

Application of Couple-centered Psychological Intervention on in Nursing Care of Elderly Patients with Type 2 Diabetes Mellitus

目的探讨基于夫妻为中心的心理干预在老年2型糖尿病患者中的应用效果。方法便利抽样法选择2016年1-12月在某院接受治疗的老年2型糖尿病患者168例为研究对象,按照随机数字法分为观察组和对照组,每组84例。对照组患者采用糖尿病常规护理,观察组患者在常规护理的基础上增加基于夫妻关系的心理护理干预。分别于入院时和干预3个月时评估患者的自我管理能力和负性情绪。结果入院时,两组患者的自我管理能力评分及负性情绪的差异均无统计学意义(均P>0.05)。干预3个月后,观察组自我管理能力各维度评分和总体评分均高于对照组,且患者抑郁与焦虑评分均低于对照组,差异均有统计学意义(均P<0.05)。结论基于夫妻为中心的心理干预,有利于提高老年2型糖尿病患者的自我管理能力,降低抑郁、焦虑等负性情绪的发生。

Objective To explore the application effect of couple-centered psychological intervention on the nursing care of elderly with type 2 diabetes mellitus.Methods By convenience sampling,a total of 168 elderly patients with type 2 diabetes mellitus who were enrolled in our hospital from January to December 2016 were selected,and randomly divided into observation group and the control group,with 84 cases in each group.The routine nursing care of diabetes was used in the control group,while the couple-centered psychological intervention was applied in the observation group.The patients＇ self-management ability and negative mood were evaluated at admission and after 3 months after intervention.Results At admission,no statistically significance significant difference of self-management ability and negative mood was found between two groups（all P〈0.05）.After 3 months of intervention,the scores of each dimension and overall score of self-management in observation group were higher than those in the control group.The depression and anxiety scores in the observation group were lower than those in the control group（all P〈0.05）.Conclusion The couple-centered psychological intervention can improve the self-management ability for theof elderly patients with type 2 diabetes and reduce their negative emotions such as depression and anxiety.