以自我管理为导向的5A护理模式结合正念减压法在老年2型糖尿病中的应用

Application of self-management-oriented 5A nursing model combined with mindfulness decompression method in elderly type 2 diabetes

目的探讨以自我管理为导向的5A护理模式结合正念减压法在老年2型糖尿病中的应用。方法选取2019年1月至2021年1月收治的80例老年2型糖尿病患者为研究对象,随机将其分为对照组和观察组,各40例。对照组予以常规护理,观察组在此基础上采用以自我管理为导向的5A护理模式结合正念减压法。比较两组的干预效果。结果观察组的基础知识、用药、饮食运动、血糖监测评分均高于对照组(P<0.05)。干预后,观察组的面对评分高于对照组,回避、屈服评分低于对照组(P<0.05)。干预后,观察组的QOL-BREF各维度评分均高于对照组(P<0.05)。结论以自我管理为导向的5A护理模式结合正念减压法应用于老年2型糖尿病中,能有效提高患者健康知识掌握程度,改善疾病应对方式,促进生活质量的提高,值得推广。

Objective To explore the application of self-management-oriented 5A nursing model combined with mindfulness decompression method in elderly type 2 diabetes.Methods A total of 80 elderly patients with type 2 diabetes admitted from January 2019 to January 2021 were selected as the study objects and randomly divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing,and the observation group was given self-management-oriented 5A nursing model combined with mindfulness decompression method on this basis.The effect of intervention was compared between the two groups.Results The basic knowledge,medication,diet and exercise and blood glucose monitoring scores of the observation group were higher than those of the control group(P<0.05).After intervention,the face score of the observation group was higher than that of the control group,and the avoidance and yield scores were lower than those of the control group(P<0.05).After intervention,the QOL-BREF scores of all dimensions of the observation group were higher than those of the control group(P<0.05).Conclusion The self-management-oriented 5A nursing model combined with mindfulness decompression method applied in elderly patients with type 2 diabetes can effectively improve the mastery of health knowledge,improve disease coping style,and promote the improvement of quality of life,which is worth promoting.