赋能心理模式对T1DM患者治疗依从性及生活质量的影响

Effect of psychological mode of enforcement on treatment compliance and quality of life in patients with T1DM

目的:分析赋能心理模式对1型糖尿病(T1DM)患者治疗依从性及生活质量的影响。方法:采用定群抽样的方法连续收集某医院收治的T1DM患者96例,数表法随机分为赋能心理模式干预组(实验组,n=48)及常规护理组(对照组,n=48),并采用不记名问卷调查形式,通过对比T1DM患者治疗依从性及生活质量评估赋能心理模式干预效果。结果:依从性考评指标中,实验组"按时按量服药"、"回访态度平和"得分均高于对照组(均P <0. 05);生活质量考评指标中,实验组患者情绪功能评分、社会功能评分均高于对照组(均P <0. 05);护理满意度考评指标中,实验组患者情绪功能评分、社会功能评分均显著高于对照组(均P <0. 05);实验组、对照组治疗前与治疗后相比,空腹血糖及餐后2 h血糖水平均有统计学差异,实验组与对照组治疗后相比,空腹血糖及餐后2 h血糖水平均有统计学差异(均P <0. 05)。结论:本研究中赋能心理模式对于改善患者治疗依从性、生活质量、护理满意度、血糖水平等方面都具有一定的优势,肯定了该干预模式的临床应用价值,但该结论需结合人群特征和社会环境等因素谨慎外推。

Objective： To analyze the effect of psychological model of energizing on the treatment compliance and quality of life in patients with type 1 diabetes （T1DM）. Methods： 96 cases with T1DM were randomly divided into two groups：experimental group （ n = 48） and routine nursing group （control group, n =48）.And an anonymous questionnaire survey was used to compare the effect of interventional therapy and quality of life assessment on empowerment of the T1DM patients. Results： In the evaluation index of compliance,the scores of the “dosage according to the amount of medication” and “the attitude of return visit” were significantly higher in the experimental group than in the control group （all P 〈0.05）.In the quality of life assessment indicators,the emotional function scores of the experimental group and the society functional scores were significantly higher than those in the control group （all P 〈0.05）.In the evaluation index of nursing satisfaction,the emotional function scores and social function scores in the experimental group were significantly higher than those in the control group （all P 〈0.05）.The fasting blood glucose and 2 h postprandial blood glucose levels in the experimental group and the control group were significantly different before and after treatment.After treatment,the fasting blood glucose and 2 h postprandial blood glucose levels were statistically different between the experimental group and the control group （both P 〈0.05）. Conclusion： The empowerment model in this study has certain advantages in improving patient compliance,quality of life,nursing satisfaction,and blood glucose levels,confirming the clinical application value of the intervention model,the clinical application value of this intervention model is affirmed,but the conclusion must be combined with the characteristics of the population and Factors such as the social environment are carefully extrapolated.