规范化护理对2型糖尿病患者生活及情绪的影响

The Influence of Standardized Nursing on the Life and Mood of Patients with Type 2 Diabetes

目的分析规范化护理在2型糖尿病护理中的价值。方法随机选取2018年12月—2020年12月就诊于该院内分泌科的90例2型糖尿病患者进行研究,经随机数表法均分,奇数者为对照组,偶数者为观察组,各为45例。对照组实施常规护理,观察组实施规范化护理,对比两组认知水平、护理前后心理状态、血糖控制情况以及应对方式、生活质量。结果观察组认知水平总分为(89.16±5.56)分,应对方式得分为(39.04±2.80)分,生活质量总分为(219.24±16.48)分,高于对照组的(77.50±5.06)分、(35.64±3.30)分和(199.46±17.24)分,差异有统计学意义(P<0.05)。两组护理前心理状态和血糖控制情况比较,差异无统计学意义(P>0.05);观察组护理后焦虑评分为(50.69±1.32)分,抑郁评分为(52.32±2.28)分,空腹血糖为(7.16±1.18)mmol/L,餐后2 h血糖为(11.27±0.92)mmol/L,糖化血红蛋白为(6.18±1.16)%,低于对照组的(55.21±1.54)分、(57.16±2.64)分、(8.32±1.24)mmol/L、(12.54±1.21)mmol/L和(7.64±1.32)%,差异有统计学意义(P<0.05)。结论予以2型糖尿病患者规范化护理,可促进患者认知水平的提升,可对负面情绪和血糖水平起到明显的控制作用,使得患者积极应对自身疾病及其医疗工作,可对患者生活质量起到改善作用,存在推广价值。

Objective To analyze the value of standardized nursing in the care of type 2 diabetes.Methods Ninety patients with type 2 diabetes who were treated in the Department of Endocrinology of the hospital from December 2018 to December 2020 were randomly selected for the study.They were divided equally by random number table,the odd number was the control group,and the even number was the observation group,each with 45 cases.The control group carried out routine nursing care,and the observation group carried out standardized nursing care.The two groups'cognition level,mental state before and after nursing,blood glucose control situation,coping style and quality of life were compared.Results In the observation group,the total score of cognitive level was(89.16±5.56)points,the score of coping style was(39.04±2.80)points,and the total score of quality of life was(219.24±16.48)points,higher than the(77.50±5.06)points,(35.64±3.30)points and(199.46±17.24)points of the control group,the difference was statistically significant(P<0.05).There was no significant difference between the two groups of pre-nursing psychological status and blood sugar control(P>0.05).In the observation group,the post-nursing anxiety score was(50.69±1.32)points,the depression score was(52.32±2.28)points,the fasting blood glucose was(7.16±1.18)mmol/L,and the postprandial blood glucose was(11.27±0.92)mmol/L,glycosylated hemoglobin was(6.18±1.16)%,lower than the control group's(55.21±1.54)points,(57.16±2.64)points,(8.32±1.24)mmol/L,(12.54±1.21)mmol/L and(7.64±1.32)%,the difference was statistically significant(P<0.05).Conclusion Standardized care for patients with type 2 diabetes can promote the improvement of patients'cognitive level,and can play a significant role in controlling negative emotions and blood glucose levels,enabling patients to actively cope with their own diseases and their medical work.It can improve the quality of life of patients and has promotion value.