聚焦解决模式对非酒精性脂肪肝合并糖尿病患者不良行为、自我管理能力的影响

Effects of introducing the focus solution mode on the bad behavior and self-management ability in patients with non-alcoholic fatty liver disease combined by diabetes mellitus

目的探讨非酒精性脂肪肝合并糖尿病患者引入聚焦解决模式对不良行为与自我管理能力的影响。方法选取2019年7月至2020年6月接收的非酒精性脂肪肝合并糖尿病患者120例患者的临床资料,依据干预方案的不同分为对照组和研究组,每组60例。对照组采用常规护理干预,研究组引入聚焦解决模式干预。观察2组自我管理行为量表评分、血糖水平[糖化血红蛋白(HbA1c)、餐后2 h血糖(2hFBG)、空腹血糖(FBG)]、肝功能[总胆红素(TBIL)、天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、血清白蛋白(ABL)]、健康知识掌握状况、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分。结果经干预,研究组各项自我管理能力指标评分及总评分均高于对照组(P<0.05);治疗前,2组血糖水平差异无统计学意义(P>0.05),治疗后,2组血糖水平均明显改善,经干预研究组HbA1c、2hPBG、FBG水平均低于对照组(P<0.05);经护理研究组患者TBIL、ALT水平均低于对照组(P<0.05);治疗前,2组血脂水平差异无统计学意义(P>0.05),治疗后,2组血脂水平均明显改善,研究组患者健康知识掌握总评分均高于对照组(P<0.05);治疗前,2组HAMD、HAMA评分差异无统计学意义(P>0.05),治疗后,2组HAMD、HAMA评分均明显降低,但与对照组比较,研究组降低更明显(P<0.05)。结论在非酒精性脂肪肝合并糖尿病患者护理中引入聚焦解决模式干预,可有效纠正患者不良行为,提升患者的自我管理能力及健康知识掌握水平,更利于患者功能能及血糖水平的改善,且不良情绪明显改善,值得借鉴。

Objective To investigate the effects of introducing the focus solution mode on the bad behavior and self-management ability in patients with non-alcoholic fatty liver disease(NAFLD)combined by diabetes mellitus(DM).Methods A total of 120 patients with NALFD combined by DM who were treated in our hospital from July 2019 to June 2020 were enrolled in the study.According to the different intervention plans,the patients were divided into two groups,with 60 cases in each group.The patients in control group were treated by routine nursing intervention,however,those in research group were treated by introducing the focus solution mode intervention.The scores of self-management ability,and the levels of HbA1c,2h-FBG,FBG,and liver function indexes including TBIL,AST,ALT,ABL,and mastering status about health knowledge,and HAMD score as well as HAMA score were observed and compared between the two groups.Results Before intervention,there were no significant differences in the indexes mentioned above between the two groups(P>0.05).After intervention,the scores of self-management ability and total scores in research group were significantly higher than those in control group(P<0.05),however,the levels of HbA1c,2hpbG and FBG as well as the levels of TBIL and ALT in research group were significantly lower than those in control group(P<0.05).After intervention the levels of blood glucose and blood fat in both groups were significantly improved(P<0.05).Moreover the total scores of health knowledge mastery in research group were significantly higher than those in control group(P<0.05),however,the scores of HAMD and HAMA in research group were significantly lower than those in control group(P<0.05).Conclusion The introducing the focus solution mode can effectively correct the bad behavior of patients with NALFD combined by DM,improve the self-management ability and health knowledge level of patients,which is more conducive to the improvement of blood sugar level and bad emotions of patients,therefore,it is worthy of clinical application and promotion.