循证护理对糖尿病合并精神分裂症患者的心理健康状况的作用研究

Study on the Effect of Evidence-based Nursing on the Mental Health of Patients with Diabetes and Schizophrenia

目的研究分析循证护理对糖尿病合并精神分裂症患者的心理健康状况的作用。方法从该院2018年1月—2019年6月时间段接诊的糖尿病合并精神分裂症患者中随机选取86例为课题研究对象,以就诊单双号分配患者为两组,采用临床常规护理方式对患者进行护理为参照组,采用循证护理方式进行护理为研究组,分别于护理前后对患者心理健康水平开展测试评估,评测两组护理前后生活质量、护理有效率,统计两组各项指标数据开展比较,分析两组临床护理实施效果。结果研究组患者经临床护理后,躯体功能(68.57±2.57)分、社会支持(67.37±3.65)分、心理状况(71.55±2.29)分及生活物质(65.30±2.11)分等项生活质量评估得分均高于参照组患者躯体功能(55.16±3.92)分、社会支持(59.85±2.40)分、心理状况(64.76±3.53)分及生活物质(45.64±3.67)分等项生活质量评估得分,差异有统计学意义(t=18.760、11.288、10.581、30.453,P<0.05);研究组心理健康水平焦虑(29.87±2.51)分、抑郁(26.70±2.27)分评估低分均低于参照组患者焦虑(53.49±3.62)分、抑郁(49.38±3.81)分,差异有统计学意义(t=35.161、33.534,P<0.05),研究组空腹血糖(5.42±0.42)mmol/L、餐后血糖(6.87±0.13)mmol/L均低于参照组空腹血糖(6.76±0.78)mmol/L、餐后血糖(7.93±0.24)mmol/L,差异有统计学意义(t=9.918、25.466,P<0.05);护理有效率比较,研究组护理有效率为95.34%(41/43)高于参照组护理有效率的65.11%(28/43),差异有统计学意义(χ^(2)=12.390,P<0.05)。结论开展循证护理对糖尿病合并精神分裂症患者进行临床护理干预,护理后能够显著提高患者心理健康水平,增进患者生活质量,以此促进患者疾病康复,具有良好护理实施效果,临床应用价值较高。

Objective To study and analyze the effect of evidence-based nursing on the mental health of patients with diabetes and schizophrenia.Methods From January 2018 to June 2019 in the hospital,86 patients with diabetes and schizophrenia were randomly selected as the subject of research,and the patients were assigned to the two groups with odd and even numbers.The clinical routine nursing methods were used as the reference group,and the evidence-based nursing methods were used as the research group.Carry out tests and assessments of patients'mental health before and after nursing,evaluate the quality of life and nursing efficiency of the two groups before and after nursing,and compare the data of various indicators between the two groups to analyze the effectiveness of clinical nursing implementation in the two groups.Results After clinical care,the patients in the research group were assessed for their physical function(68.57±2.57)points,social support(67.37±3.65)points,psychological status(71.55±2.29)points,and living materials(65.30±2.11)points,which were higher than those of the reference group for physical function(55.16±3.92)points,social support(59.85±2.40)points,psychological status(64.76±3.53)points,and living materials(45.64±3.67)points for quality of life assessment,the difference was statistically significant(t=18.760,11.288,10.581,30.453,P<0.05);the research group's mental health anxiety(29.87±2.51)points and depression(26.70±2.27)points were lower than those in the reference group for anxiety(53.49±3.62)points,depression(49.38±3.81)points,the difference was statistically significant(t=35.161,33.534,P<0.05),the research group's fasting blood glucose(5.42±0.42)mmol/L and postprandial blood glucose(6.87±0.13)mmol/L were all low in the reference group,fasting blood glucose(6.76±0.78)mmol/L,postprandial blood glucose(7.93±0.24)mmol/L,the difference was statistically significant(t=9.918,25.466,P<0.05);comparison of nursing effective rate,the nursing effective rate of the research group was 95.34%(41/43)was 65.00%(28/43)higher than the effective rate of nursing care in the reference group,the difference was statistically significant(χ^(2)=12.390,P<0.05).Conclusion Carrying out evidence-based nursing intervention for patients with diabetes and schizophrenia can significantly improve the mental health of the patients and improve the quality of life of the patients,so as to promote the recovery of the patients.It has a good nursing implementation effect and has a better clinical application value.