实行个体化健康教育与护理干预模式对老年糖尿病患者控制血糖和健康恢复的影响分析

Analysis of Effect of Individualized Health Education and Nursing Inter⁃vention Mode on Blood Glucose Control and Health Recovery in Elderly Patients with Diabetes

目的研究对老年糖尿病患者应用个体化健康教育与护理干预对血糖控制和健康恢复情况的影响。方法2021年1—12月于南平市第一医院老年医学科糖尿病老年患者中随机抽取64例作为研究对象,使用随机数表法分为对照组(32例,常规护理)和观察组(32例,在常规护理基础上增加个体化健康教育),对比两组血糖控制情况和健康恢复情况。结果干预后观察组空腹血糖(FPG)为(5.92±0.46)mmol/L,餐后2 h血糖(2 hPG)(8.22±0.85)mmol/L,糖化血红蛋白(HbA1c)为(6.13±0.64)%,显著低于对照组,差异有统计学意义(t=5.964、5.338、5.246,P<0.05)。观察组依从率(100.00%)较对照组(78.13%)明显更高,差异有统计学意义(χ^(2)=5.826,P<0.05)。观察组焦虑自评量表(SAS)(35.14±3.13)分,抑郁自评量表(SDS)(32.71±2.82)分,显著优于对照组,差异有统计学意义(t=5.962、8.243,P<0.05)。观察组自护能力(86.22±4.78)分,满意度(90.64±5.70)分,显著优于对照组,差异有统计学意义(t=8.610、4.692,P<0.05)。结论对于老年糖尿病患者采取个体化健康教育和护理干预可有效提高患者血糖控制效果,改善患者治疗依从性,有利于帮助患者改善不良情绪,有效提高患者自护能力,提高其满意度,具有较高应用价值。

Objective To study the effects of individualized health education and nursing intervention on blood glucose control and health recovery in elderly patients with diabetes.Methods From January to December 2021,64 elderly patients with diabetes were randomly selected from the Department of Geriatrics of Nanping First Hospital as research objects,and divided into control group(32 cases,routine nursing)and observation group(32 cases,routine nursing based on the addition of individual health education)by random number table method.Blood glucose control and health recovery were compared between the two groups.Results After intervention,the fasting plasma glusose(FPG)(5.92±0.46)mmol/L,2-hour postprandia 2 blood glucose(2 hPG)(8.22±0.85)mmol/L,glycosy lated hemoglobin(HbA1c)(6.13±0.64)%in the observation group were significantly lower than those in the control group,the difference was statistically significant(t=5.964,5.338,5.246,P<0.05).The compliance rate of observation group(100.00%)was significantly higher than 78.13%of control group,the difference was statistically significant(χ^(2)=5.826,P<0.05).The Self Rating Anxiety Acale(SAS)(35.14±3.13)points and Self-rating Depression Scale(SDS)(32.71±2.82)points in the observation group were significantly better than those in the control group,the difference was statistically significant(t=5.962,8.243,P<0.05).The self-care ability(86.22±4.78)points,satisfaction(90.64±5.70)points of the observation group were significantly better than those in control group,the difference was statistically significant(t=8.610,4.692,P<0.05).Conclusion Individualized health education and nursing intervention for elderly patients with diabetes can effectively improve the effect of blood glucose control,improve patients'treatment compliance,help patients to improve bad mood,effectively improve patients'self-care ability,improve their satisfaction,and have high application value.