心理护理在糖尿病合并阻塞性睡眠呼吸暂停综合征患者中的应用探讨

Discussion on the Application of Psychological Nursing in Patients with Diabetes Mellitus and Obstructive Sleep Apnea Syndrome

目的:分析心理护理在糖尿病合并阻塞性睡眠呼吸暂停综合征患者中的应用效果。方法:选取2019年6月至2020年8月蚌埠市第三人民医院收治的糖尿病合并阻塞性睡眠呼吸暂停综合征患者168例作为研究对象,按照治疗方法不同分为观察组和对照组,每组84例。观察组采取常规护理联合心理护理,对照组采取常规护理。比较2组患者护理前后血糖水平以及焦虑、抑郁评分的变化。结果:观察组与对照组治疗前空腹血糖分别为(9.1±2.1)mmol/L和(9.0±2.2)mmol/L,餐后2 h血糖为(12.6±3.1)mmol/L和(12.5±3.2)mmol/L,2组患者护理前血糖指标比较,差异无统计学意义(P>0.05),观察组与对照组治疗后空腹血糖分别为(6.2±1.2)mmol/L和(7.6±1.7)mmol/L,餐后2 h血糖为(8.2±1.6)mmol/L和(9.3±2.0)mmol/L,观察组护理后血糖指标均明显低于对照组,差异有统计学意义(P<0.05)。观察组与对照组患者治疗前焦虑评分分别为(60.5±7.8)分和(60.3±7.5)分,抑郁评分分别为(61.5±7.5)分和(61.8±7.7)分,2组患者护理前焦虑、抑郁评分比较,差异无统计学意义(P>0.05);观察组与对照组患者治疗后焦虑评分分别为(51.3±5.1)分和(55.6±6.0)分,抑郁评分分别为(52.4±5.6)分和(53.6±6.2)分,观察组护理后焦虑、抑郁评分均明显低于对照组,差异有统计学意义(P<0.05)。结论:心理护理在糖尿病合并阻塞性睡眠呼吸暂停综合征患者中具有较好的应用效果,有助于提高患者血糖控制效果,进一步缓解患者的负面情绪,值得推广使用。

Objective:To analyze the effect of psychological nursing in patients with diabetes mellitus combined with obstructive sleep apnea syndrome.Methods:A total of 168 patients with diabetes mellitus complicated with obstructive sleep apnea syndrome admitted to the Third People′s Hospital of Bengbu City from June 2019 to August 2020 were selected as the research objects and divided into observation group and control group according to different treatment methods,with 84 cases in each group.The observation group was given routine nursing combined with psychological nursing,while the control group was given routine nursing.The changes of blood glucose levels and anxiety and depression scores were compared between the two groups before and after nursing.Results:Fasting plasma glucose before treatment in the observation and control groups,were(9.1±2.1)mmol/L and(9.0±2.2)mmol/L,respectively;and 2-h postprandial glucose was(12.6±3.1)mmol/L and(12.5±3.2)mmol/L,respectively,with no significant difference between the pre care blood glucose values of the 2 groups(P>0.05).The posttreatment fasting blood glucose values of the observation group and the control group were(6.2±1.2)mmol/L and(7.6±1.7)mmol/L,and 2 h postprandial glucose was(8.2±1.6)mmol/L and(9.3±2.0)mmol/L,the blood glucose indicators of the observation group were all significantly lower than those of the control group after nursing care,and the differences were statistically significant(P<0.05).The pretreatment anxiety scores of patients in the observation and control groups were(60.5±7.8)points and(60.3±7.5)points,respectively,and depression scores were(61.5±7.5)points and(61.8±7.7)points,there was no significant difference in the anxiety and depression scores between the 2 groups before care(P>0.05);and the posttreatment anxiety scores of the observation group and the control group patients were(51.3±5.1)points and(55.6±6.0)points,respectively,and depression scores were(52.4±5.6)points and(53.6±6.2)points,respectively,the anxiety and depression scores of the observation group were significantly lower than those of the control group after nursing care(P<0.05).Conclusion:Psychological nursing has a good application effect in patients with diabetes combined with obstructive sleep apnea syndrome,which is helpful to improve the effect of blood glucose control and further relieve the patients′negative emotions.It is worth popularizing.