心理护理干预在2型糖尿病患者中的应用效果

Application of psychological nursing intervention in treatment of patients with type 2 diabetes

目的探讨心理护理干预在糖尿病患者中应用效果。方法 68例2型糖尿病患者随机分为观察组和对照组各34例。对照组常规护理,包括健康教育、饮食控制、运动治疗、用药指导和自我监督。观察组在对照组基础上实施心理护理干预。对比干预前后2组血糖相关指标水平、用药依从性和自护行为能力差异。结果干预后2组空腹血糖(FPG)、餐后2 h血糖(2h PBG)和糖化血红蛋白(Hb A1c)均较治疗前显著下降(P<0.05或P<0.01),且观察组改善显著优于对照组(P<0.05)。观察组治疗依从性显著高于对照组(P<0.05),且自护行为中各维度评分均显著高于对照组(P<0.05或P<0.01)。结论在常规护理的基础上实施心理护理干预,能提高2型糖尿病患者治疗依从性和自护能力。

Objective To evaluate the effect of psychological nursing intervention on treatment of patients with type 2 diabetes. Methods A total of 68 patients with type 2 diabetes were randomly divided into the observation group ( n = 34 ) and the control group ( = 34 ) . Both groups were treated with conventional nursing measures such as health education, diet control, exercise, medication direction and self - supervision. The psychological nursing intervention was performed in the observation group additionally. Levels of fasting plasma glucose ( FPG) , 2 h postprandial blood glucose (2 h PBG) and glycosylated hemoglobin (HbAlc) before and after intervention as well as medication compliance and self-care ability were compared between two groups. Results Levels of FPG, 2 hPBG and HbAlc decreased significantly in both groups after intervention (P <0.05 o rP <0.01) , and these indexes improved more significantly in the observation group than the controls (P <0. 05) . Thepatients in the observation group had higher compliance and better outcomes in assessment of self-careability compared with the controls (P <0.05 o rP <0.01). Conclusion On the basis of conventional nursing, psychological nursing intervention can improve medication compliance and self-care ability in patients with type 2 diabetes