护士—家属—患者认知互动模式在1型糖尿病患儿中的应用效果

Application effect of nurse-family-patient cognitive interaction modelin children with type 1 diabetes mellitus

目的 探讨护士—家属—患者认知互动模式在1型糖尿病患儿中的应用效果。方法 选取2018年4月至2021年4月无锡市儿童医院收治的100例1型糖尿病患儿为研究对象,将其按随机数字表法分入对照组和观察组,各50例。对照组患儿给予常规护理,观察组患儿在常规护理的基础上给予护士—家属—患者认知互动模式干预。比较2组患儿的血糖控制情况、自我管理能力、生活质量和治疗依从性。结果 出院时,2组的空腹血糖、餐后2 h血糖和糖化血红蛋白值均低于入院时(P均<0.05),且观察组均较对照组更低(P均<0.05)。出院3个月后,2组青少年1型糖尿病自我管理量表评分、儿童生活质量量表评分和治疗依从性评分均高于入院时(P均<0.05),且观察组均高于对照组(P均<0.05)。结论 对1型糖尿病患儿实施护士—家属—患者认知互动模式干预,可改善其血糖水平,提高其自我管理能力、生活质量和治疗依从性。

Objective To explore the application effect of nurse-family-patient cognitive interaction model in the children with type 1 diabetes mellitus.Methods One hundred children with type 1 diabetes mellitus at Wuxi Children􀆳s Hospital from April 2018 to April 2021 were enrolled.They were divided into a control group and an observation group by the use of a random number table,each with 50 cases.The children in the control group were given conventional nursing,and the children in the observation group were given intervention of nurse-family-patient cognitive interaction model on the basis of the conventional nursing.The blood glucose control,self-management ability,quality of life,and treatment compliance were compared between the two groups.Results At discharge,the fasting blood glucose,2-h postprandial blood glucose,and glycosylated hemoglobin levels of the two groups were lower than those at admission(all P<0.05),and the levels of the observation group were lower than those of the control group(all P<0.05).At 3 months after discharge,the scores of the Self-Management of Type 1 Diabetes-Adolescent questionnaire,Pediatric Quality of Life Inventory,and treatment compliance in the two groups were higher than those at admission(all P<0.05),and the scores in the observation group were higher than those in the control group(all P<0.05).Conclusion The intervention of nurse-family-patient cognitive interaction model for children with type 1 diabetes mellitus can improve their blood glucose level,self-management ability,quality of life,and treatment compliance.