临床干预性护理在精神分裂症合并2型糖尿病患者中的应用以及对生活质量、血糖指标的影响

Application of Clinical Intervention Nursing in Patients with Schizophrenia Complicated with Type 2 Diabetes and Its Influence on Quality of Life and Blood Glucose Indicators

目的探究临床干预性护理方法在精神分裂症合并2型糖尿病患者中的应用成效及对生活质量、血糖指标的治疗影响。方法选取该院2020年4月—2021年5月收治的98例精神分裂症合并2型糖尿病患者为研究对象,根据不同的护理措施将所有患者分为对照组(n=49)与观察组(n=49),对照组接受常规性临床护理,观察组接受临床干预性护理方法。在研究过程中以SQLS量表对比两组护理前、护理4周生活质量情况;对比两组护理前后血糖指标变化;采用匹兹堡睡眠质量指数(PSQI)、简易罗伊应对适应量表(CAPS-15)评价两组患者干预前后睡眠质量和应对适应能力;对比两组护理后身体负担、情感负担及经济负担维度情况。结果护理后,两组生活质量有明显地改善,且观察组护理4周的改善情况明显优于对照组,差异有统计学意义(P<0.05)。护理后,两组血糖指标均有所降低,且观察组血糖指标下降情况更为显著,差异有统计学意义(P<0.05)。护理后,观察组PSQI评分低于对照组,CAPS-15评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组身体负担、情感负担及经济负担维度评分均低于对照组,差异有统计学意义(P<0.05)。结论为精神分裂症合并2型糖尿病患者实施临床干预性护理方法后,显著降低了患者的血糖指标,促进患者自我感受负担、睡眠质量及生活质量的改善情况,提高了患者护理过程中的应对适应能力,值得在临床上进行应用与推广。

Objective To explore the application effect of clinical intervention nursing methods in patients with schizophrenia complicated with type 2 diabetes and its effect on the quality of life and blood glucose indicators.Methods 98 patients with schizophrenia and type 2 diabetes were selected from April 2020 to May 2021 in the hospital. According to different nursing measures, all patients were divided into control group(n=49) and observation group(n =49). The control group received routine clinical nursing, and the observation group received clinical intervention nursing methods. During the study, the SQLS scale was used to compare the quality of life of the two groups before nursing and 4 weeks of nursing. The changes of blood glucose index before and after nursing were compared between the two groups;Pittsburgh Sleep Quality Index(PSQI) and Simple Roe Coping Adaptation Scale(CAPS-15) were used to evaluate the sleep quality and coping adaptability of the two groups before and after intervention. The physical burden, emotional burden and economic burden dimensions of the two groups after nursing were compared. Results After nursing, the quality of life of the two groups was significantly improved, and the improvement of the observation group after 4 weeks of nursing was significantly better than that of the control group, and the difference was statistically significant(P<0.05). After nursing, the blood glucose indexes of the two groups decreased, and the blood glucose indexes of the observation group decreased more significantly, and the difference was statistically significant(P <0.05). After nursing, the PSQI score of the observation group was lower than that of the control group, and the CAPS-15 score was higher than that of the control group, and the difference was statistically significant(P< 0.05). After nursing, the scores of physical burden, emotional burden and economic burden in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05). Conclusion After the implementation of clinical intervention nursing methods for patients with schizophrenia and type 2 diabetes, the blood glucose indicators of the patients will be significantly reduced. It helps to promote the improvement of patients’ self-perceived burden, sleep quality and quality of life. It improves the adaptability of patients in the process of nursing, and is worthy of clinical application and promotion.