饮食营养护理与健康教育联合对糖尿病患者遵医行为及心理状态干预价值

The Intervention Value of the Combination of Diet and Nutrition Nursing and Health Education on the Compliance Behavior and Mental State of Diabetic Patients

目的研究饮食营养护理与健康教育联合对糖尿病患者遵医行为及心理状态干预价值。方法回顾性分析2019年1月—2020年12月于该院治疗的150例糖尿病患者临床资料,根据其不同护理方法分为对照组(常规健康教育)与观察组(饮食营养护理与健康教育),每组75例。对比两组遵医行为评分、汉密顿抑郁量表(HAMD)评分、汉密顿焦虑量表(HAMA)评分、糖尿病生存质量特异性量表(DSQL)评分以及护理满意度。结果护理后1个月,观察组各项遵医行为评分均高于对照组,HAMD、HAMA评分均低于对照组,DSQL各项维度评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为94.67%,高于对照组的82.67%,差异有统计学意义(P<0.05)。结论饮食营养护理联合健康教育在糖尿病患者中有较好的效果,有助于改善患者遵医行为情况与心理状态,对其生活质量的提高有积极意义,患者满意度高。

Objective To study the intervention value of the combination of diet and nutrition nursing and health education on the compliance behavior and psychological state of diabetic patients. Methods The clinical data of 150 diabetic patients treated in the hospital from January 2019 to December 2020 were retrospectively analyzed.According to their different nursing methods, they are divided into control group(routine health education) and observation group(diet and nutrition nursing and health education), with 75 cases in each group. The scores of compliance behavior, Hamilton Depression Scale(HAMD) score, Hamilton Anxiety Scale(HAMA) score, Diabetes Quality of Life Specific Scale(DSQL) score, and nursing satisfaction were compared between the two groups. Results One month after nursing, the scores of all compliance behaviors in the observation group were higher than those in the control group. The scores of HAMD and HAMA were lower than those of the control group. The scores of all dimensions of DSQL were lower than those of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 94.67%, which was higher than 82.67% of the control group,the difference was statistically significant(P<0.05). Conclusion Diet, nutrition and nursing combined with health education have a good effect in diabetic patients. It helps to improve the patient’s compliance behavior and mental state. It is of positive significance for the improvement of its quality of life, and patient satisfaction is high.