健康咨询和健康指导对2型糖尿病患者血糖水平和生活质量的影响分析

Analysis of the Effect of Health Consultation and Health Guidance on Blood Glucose Level and Quality of Life in Patients with Type 2 Diabetes

目的观察2型糖尿病患者采用健康咨询和健康指导的效果。方法选取该院2019年1月-2020年12月门诊收治的2型糖尿病患者中的76例开展该次研究,随机分为对照组和观察组,各38例。对照组采用常规治疗及护理干预,基于此观察组增加健康咨询和健康指导,对比两组的不良心理状态、血糖指标、生活质量、患者干预满意度情况。结果观察组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(42.15±3.36)分、(43.11±3.45)分,对照组患者的SAS、SDS评分分别为(48.75±4.15)分、(49.15±4.57)分,观察组患者评分明显优于对照组,差异有统计学意义(t=7.619、6.502,P<0.05);观察组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白分别为(6.45±1.42)mmol/L、(8.05±0.30)mmol/L、(6.33±1.20)%,对照组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白分别为(7.35±2.11)mmol/L、(9.45±0.62)mmol/L、(7.51±1.66)%,观察组患者明显优于对照组,差异有统计学意义(t=2.181、12.530、3.551,P<0.05);观察组患者的生活质量、患者满意度分别为(91.15±6.36)分、(93.11±5.05)分,对照组患者的生活质量、患者满意度分别为(80.15±8.15)分、(82.15±5.57)分,观察组评分明显高于对照组,差异有统计学意义(t=6.559、8.986,P<0.05)。结论在2型糖尿病患者的治疗中加以健康咨询和健康指导,可以减轻患者的不良心理状况,还可改善患者血糖水平、提升患者生活质量与满意度,值得推广应用。

Objective To observe the effect of health counseling and health guidance for patients with type 2 diabetes.Methods A total of 76 patients with type 2 diabetes who were admitted to the hospital from January 2019 to December2020 were selected for this study,and they were randomly divided into a control group and an observation group,with 38 cases in each group.The control group used conventional treatment and nursing intervention.Based on this,the observation group’s health consultation and health guidance were added to compare the two groups’poor mental state,blood glucose indicators,quality of life,and patient intervention satisfaction.Results The SAS and SDS scores of the observation group were(42.15±3.36)points and(43.11±3.45)points,while the SAS and SDS scores of the control group were(48.75±4.15)points and(49.15±4.57)points,respectively.The observation group of the patient’s score was significantly better than that of the control group,the difference were statistically significant(t=7.619,6.502,P<0.05);the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin of the observation group were(6.45±1.42)mmol/L and(8.05±0.30)mmol/L,(6.33±1.20)%,the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin of the control group were(7.35±2.11)mmol/L,(9.45±0.62)mmol/L,(7.51±1.66)%,the observation group was significantly better than the control group,the difference were statistically significant(t=2.181,12.530,3.551,P<0.05);the quality of life and patient satisfaction of the observation group were(91.15±6.36)points,(93.11±5.05)points.The quality of life and patient satisfaction of the patients in the control group were(80.15±8.15)points and(82.15±5.57)points,respectively.The scores of the observation group were significantly higher than those of the control group,the difference were statistically significant(t=6.559,8.986,P<0.05).Conclusion Health consultation and health guidance in the treatment of patients with type 2 diabetes can alleviate the patients’unhealthy psychological conditions,improve the blood glucose level of the patients,and improve the quality of life and satisfaction of the patients.It is worthy of popularization and application.