多学科一体化延续护理模式在改善老年糖尿病失眠患者睡眠质量中的应用

Application of Multi-disciplinary Integrated Continuous Nursing Model in Improving Sleep Quality of Elderly Diabetic Patients with Insomnia

目的:探究多学科一体化延续护理模式在改善老年糖尿病失眠患者睡眠质量中的应用效果。方法:选取2021年1月至2022年7月福建医科大学附属第二医院东海院区收治的老年糖尿病失眠患者96例作为研究对象,按照随机数字表法分为对照组和观察组,每组48例。对照组接受一般延续性护理,观察组接受多学科一体化延续护理。比较2组干预前后匹兹堡睡眠指数评分(PSQI)、自我调节疲劳评分(SRF-S)、糖尿病自我管理行为量表(SDSCA)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、国际通用SPIEGEL评分结果。结果:干预后,2组患者PSQI评分分别为(11.39±0.78)分和(13.15±0.85)分,差异有统计学意义(P<0.05);2组患者SRF-S评分分别为(32.28±4.16)分和(38.25±4.75)分,差异有统计学意义(P<0.05);干预后2组患者SAS评分分别为(48.28±6.24)分和(56.39±7.07)分,SDS评分分别为(42.15±7.16)分和(54.38±8.34)分,观察组均低于对照组,差异有统计学意义(P<0.05);干预后,2组患者SDSCA评分分别为(71.56±1.14)分和(64.23±2.58)分,观察组高于对照组,差异有统计学意义(P<0.05);2组患者干预后SPIEGEL评分项目中,入睡时间、夜醒次数、睡眠深度评分相比干预前均显著下降,观察组下降更显著,差异有统计学意义(P<0.05)。结论:多学科一体化延续护理能有效改善糖尿病患者睡眠质量,提高自我管理能力,缓解压抑、焦虑症状,具有较高应用价值。

Objective:The effect of multi-disciplinary continuous nursing mode in improving sleep quality of elderly patients with diabetes and insomnia was explored in this paper.Methods:A total of 96 elderly patients with diabetes and insomnia in Donghai Hospital,the Second Affiliated Hospital of Fujian Medical University from January 2021 to July 2022 were selected as research objects,and were divided into control group and observation group according to random number table,with 48 cases in each group.The control group received general continuing care,while the observation group received multidisciplinary integrated continuing care.The Pittsburgh Sleep Index(PSQI),Self Regulated Fatigue Scale(SRF-S),diabetes Self Management Behavior Scale(SDSCA),Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS)and internationally accepted SPIEGEL score were compared between the two groups before and after the intervention.Results:After intervention,the PSQI scores of the two groups of patients were(11.39±0.78)and(13.15±0.85),respectively,with statistically significant differences(P<0.001).The SRF-S scores of the two groups of patients were(32.28±4.16)and(38.25±4.75),respectively,with a statistically significant difference(P<0.001).After intervention,the SAS scores of the two groups of patients were(48.28±6.24)and(56.39±7.07)respectively,while the SDS scores were(42.15±7.16)and(54.38±8.34),respectively.The observation group was lower than the control group,and the difference was statistically significant(P<0.001).After intervention,the SDSCA scores of the two groups of patients were(71.56±1.14)and(64.23±2.58),respectively.The observation group was higher than the control group,and the difference was statistically significant(P<0.001).After the intervention,the SPIEGEL score items of the two groups of patients showed a significant decrease in sleep onset time,wake-up times,and sleep depth score compared to before the intervention.The observation group showed a more significant decrease,with a statistically significant difference(P<0.001).Conclusion:Multi-disciplinary integrated continuous nursing care can effectively improve the sleep quality of patients with diabetes,improve self-management ability,relieve symptoms of depression and anxiety with a higher application value.