专病一体化护理结合正念训练干预在2型糖尿病患者护理中的应用价值

Application Value of Integrated Nursing of Specific Disease Combined with Mindfulness Training Intervention in Nursing of Patients with Type 2 Diabetes

目的探讨研究专病一体化护理结合正念训练干预在2型糖尿病患者护理中的应用价值。方法随机选取2018年12月—2020年12月徐州医科大学附属医院收治的100例2型糖尿病患者为观察对象,根据随机数表法分为两组,每组50例。其中,对照组给予专病一体化护理干预,观察组予以专病一体化护理联合正念训练干预。比较两组患者护理前后的血糖水平、心理状态、疾病应对方式和自我管理情况。结果护理后,观察组空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)水平均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分低于对照组,差异有统计学意义(P<0.05)。护理后,观察组简易应对方式问卷(SCSQ)中积极应对评分显著高于对照组,而消极应对评分低于对照组,差异有统计学意义(P<0.05)。护理后,观察组糖尿病自我管理行为量表(SDSCA)评分为(31.18±3.32)分显著高于对照组的(23.52±3.50)分,差异有统计学意义(t=11.228,P<0.05)。结论专病一体化护理结合正念训练用于2型糖尿病患者护理干预中,不仅能降低血糖水平,改善不良情绪,增强患者治疗信心,还能提高患者自我管理水平,整体效果显著。

Objective To investigate the application value of integrated nursing combined with mindfulness training in the nursing of patients with type 2 diabetes.Methods A total of 100 patients with type 2 diabetes admitted to the Affiliated Hospital of Xuzhou Medical University from December 2018 to December 2020 were randomly selected as observation objects and divided into two groups with 50 cases in each group according to random number table method.Among them,the control group was given specialized integrated nursing intervention,the observation group was given specialized integrated nursing combined with mindfulness training intervention.Blood glucose level,mental state,disease coping style and self-management were compared between the two groups before and after care.Results After nursing,fasting blood glucose(FPG),2-hour postprandial blood glucose(2 hPG)and glycosylated hemoglobin(HbA1c)levels in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).After nursing,the Hamilton Anxiety Scale(HAMA)score and Hamilton Depression Scale(HAMD)score of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).After nursing,the positive coping score in the Simple Coping Style Questionnaire(SCSQ)in the observation group was significantly higher than that in the control group,while the negative coping score was lower than that in the control group,the difference was statistically significant(P<0.05).After nursing,the SDSCA score of the observation group(31.18±3.32)points was significantly higher than that of the control group(23.52±3.50)points,and the difference was statistically significant(t=11.228,P<0.05).Conclusion The integrated care of specific disease combined with mindfulness training in the nursing intervention of type 2 diabetes patients can not only reduce their blood sugar,improve their bad mood,enhance patients'confidence in treatment,but also improve patients'selfmanagement level,the overall effect is significant.