认知干预对糖尿病肾病患者睡眠、自我管理能力及血糖的影响

Effects of Cognitive Intervention on Sleep,Self-management Abilityand Blood Glucose in Patients with Diabetic Nephropathy

目的:探究认知干预在糖尿病肾病患者护理中的应用效果。方法:选取2021年2月至2022年12月陆军七十三集团军医院心肾内科收治的糖尿病肾病患者80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40例。对照组开展常规护理,观察组开展常规护理+认知干预,测评患者的自我管理能力与睡眠质量,同时检测2组患者的血糖值,将2组干预前后患者自我管理能力、睡眠质量和血糖值各项结果进行统计分析。结果:2组干预后的各项自我管理能力评分均大于干预前,各项睡眠质量评分均小于干预前,各项血糖值均小于干预前;观察组干预后的各项自我管理能力评分大于对照组,各项睡眠质量评分小于对照组,各项血糖值小于对照组,差异均有统计学意义(均P<0.05)。结论:糖尿病肾病患者接受认知干预能够获得更加理想的效果,一方面此种护理模式的运用更有利于提高其自我管理能力,有利于血糖控制,另一方面,经实施认知干预还可以改善患者的睡眠质量,减轻患者的睡眠质量,从整体上提高生命质量,值得进一步推广。

Objective:To explore the effect of cognitive intervention in nursing care of diabetic nephropathy patients.Methods:A total of 80 patients with diabetic nephropathy admitted to the Department of Cardiology and Nephrology,73rd Group Army Hospital from February 2021 to December 2022 were selected as the study objects.The randomized number table method was used for grouping.The observation group(n=40)received routine nursing+cognitive intervention,while the control group(n=40)received routine nursing.The self-management ability and sleep quality of the patients were assessed,and the blood glucose values of the patients in the two groups were measured at the same time.The results of self-management ability,sleep quality and blood glucose values of the patients in the two groups before and after intervention were statistically analyzed.Results:After intervention,the scores of self-management ability were higher than before intervention,the scores of sleep quality were lower than before intervention,and the blood glucose values were lower than before intervention.After intervention,the scores of self-management ability in the observation group were higher than those in the control group,the scores of sleep quality were lower than those in the control group,and the blood glucose values were lower than those in the control group,which had statistical significance(P s<0.05).Conclusion:Cognitive intervention in diabetic nephropathy can achieve a more ideal effect.On the one hand,the application of this nursing mode is more conducive to improving the self-management ability and blood sugar control.On the other hand,the implementation of cognitive intervention can also improve the sleep quality of patients,reduce the sleep quality of patients,and improve the overall quality of life,which is worthy of further promotion.