情志干预联合视频健康教育对老年糖尿病肾病负面情绪及血糖控制的影响

Influence of Emotional Intervention and Video Health Education on Negative Emotion and Blood Glucose Control in Elderly Patients with Diabetes Nephropathy

目的探讨情志干预联合视频健康教育在老年糖尿病肾病患者中的应用效果。方法选取2021年1月—2022年9月黄河水利委员会黄河中心医院收治的98例老年糖尿病肾病患者,按随机数字表法分两组各49例。对照组常规护理,观察组情志干预联合视频健康教育,持续3个月。比较两组遵医行为、负面情绪、血糖控制水平及自护能力。结果观察组遵医率95.92%高于对照组的81.63%(P<0.05);干预前两组负面情绪、血糖水平、自护能力比较,差异无统计学意义(P>0.05);干预后观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、空腹血糖水平、餐后2 h血糖水平、糖化血红蛋白水平均低于对照组(P<0.05);我护理能力测定量表(ESCA)量表中的自我概念评分、健康认知评分、自我责任感评分、自我护理技能评分均高于对照组(P<0.05)。结论情志干预联合视频健康教育能减轻糖尿病肾病患者负面情绪,提升自护能力,改善遵医行为,从而增强血糖水平控制效果。

Objective To explore the effect of emotional intervention combined with video health education in elderly patients with diabetes nephropathy(DN).Methods A total of 98 elderly patients with DN admitted to Yellow River Central Hospital from January 2021 to September 2022 were randomly divided into two groups with 49 cases in each.The routine nursing in the control group and emotional intervention in the observation group combined with video health education lasted for 3 months.The compli-ance behavior,negative emotion,blood glucose control level and self-care ability of the two groups were compared.Results The compliance rate of the observation group was 95.92%,which was higher than 81.63%of the control group(P<0.05).There was no significant difference in negative emotion,blood glucose level or self-care ability between the two groups before interven-tion(P>0.05).After intervention,the scores of self rating anxiety scale(SAS),self rating depression scale(SDS),fasting blood glucose level,postprandial blood glucose level and glycosylated hemoglobin level in the observation group were lower than those of the control group(P<0.05).The self-concept score,health awareness score,self-responsibility score and self-care skill score in the exercise of self-care agency scale(ESCA)scale were significantly higher than those in the control group(P<0.05).Conclusion Emotional intervention combined with video health education can reduce the negative emotion of DN patients,improve the self-care ability and the compliance behavior,and enhance the effect of blood glucose control.