基于九型人格的“一点二源”适应性策略护理在老年2型糖尿病患者中的应用

Exploring on the application of "one point two sources" adaptive strategy nursing in elderly patients with type 2 diabetes based on the Enneagram of Personality

目的 分析老年2型糖尿病患者接受基于九型人格的“一点二源”适应性策略护理的成效。方法 选取我院2020年2月—2021年2月收治的120例老年2型糖尿病患者作为研究对象,使用抓阄法分为常规组及观察组,每组60例。常规组行常规干预,观察组在常规组的基础上引入基于九型人格的“一点二源”适应性策略护理进行干预。以患者血糖控制情况、负性情绪、遵医依从度作为主要观察指标,以患者自我效能感、护理满意度为次要观察指标,从而全面评估护理成效。结果干预前,2组患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、糖尿病自我效能量表及其各维度得分比较,差异均无统计学意义(P>0.05)。干预后,2组患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平、SAS及SDS评分均低于干预前,且观察组低于常规组(P<0.05);2组患者糖尿病自我效能量表及其各维度得分均高于干预前,且观察组高于常规组(P<0.05)。此外,观察组患者在健康教育、饮食控制、用药治疗、运动控制及低血糖处理方面的遵医依从度均高于常规组(P<0.05)。同时,观察组患者的护理满意度为98.33%,高于常规照组的88.33%(P<0.05)。结论 基于九型人格的“一点二源”适应性策略护理可提高老年2型糖尿病患者自我效能,改善负性情绪,提高遵医依从度,降低血糖水平,效果理想,值得推广。

Objective To analyze the effect of adaptive strategy nursing on elderly patients with type 2 diabetes based on the Enneagram of Personality(nine interconnected personality types).Methods A total of 120 elderly patients with type 2 diabetes admitted to our hospital from February 2020 to February 2021 were selected as the study participants and assigned to the conventional group and the observation group by lottery,with 60 cases in each group.Routine intervention was adopted in the conventional group,and "one point two sources" adaptive strategy nursing strategies based on the Enneagram of Personality were introduced in the observation group based on the intervention in the conventional group.Blood glucose control,negative emotion,and compliance were used as the main observation indexes,and self-efficacy and nursing satisfaction were used as the secondary observation indexes to comprehensively evaluate the nursing effect.Results Before the intervention,there were no significant differences in fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin level,self-rating anxiety scale(SAS) score,self-rating depression scale(SDS) score,Diabetes Self-Efficacy Scale(DSES) and its dimension scores between the two groups(P>0.05).After the intervention,fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin level,SAS,and SDS scores in the two groups were significantly lower than those before the intervention,with the observation group lower than the conventional group(P<0.05).The scores of DSES and its dimensions in the two groups were higher than those before the intervention,and the observation group was significantly higher than the conventional group(P<0.05).In addition,the compliance of patients in the observation group was significantly higher than that in the conventional group in terms of health education,diet control,medication therapy,exercise control,and hypoglycemia treatment(P<0.05).Meanwhile,the satisfaction rate of nursing in the observation group was 98.33%,which was significantly higher than that(88.33%) in the conventional group(P<0.05).Conclusion The Enneagram of Personality-based "one point two sources" adaptive strategy nursing can increase self-efficacy,improve negative emotion,promote compliance and reduce the blood glucose level of elderly patients with type 2 diabetes.These benefits hold promise for a wider application of this procedure clinically.