自我-家庭-环境赋权管理模式对老年T2DM患者自我效能、社会支持及生活质量的影响

Effects of Self-family-environment Empowerment Management Model on Self-efficacy,Social Support and Quality of Life in Elderly Patients with T2DM

目的探究自我-家庭-环境赋权管理模式对老年2型糖尿病(Type 2 Diabetes Mellitus,T2DM)患者自我效能、社会支持及生活质量的影响。方法将2022年11月—2023年11月山东省泰安荣军医院收治的68例老年T2DM患者纳入研究,根据患者治疗期间接受的不同护理方式进行分组,常规护理组(31例)接受T2DM常规护理,赋权管理组(37例)接受自我-家庭-环境赋权管理模式。对比两组血糖水平、用药依从性、自我效能评分、社会支持评分和生活质量评分。结果赋权管理组患者的空腹血糖、餐后2 h血糖水平均低于常规护理组,差异有统计学意义(P均<0.05)。赋权管理组患者的用药应从性高于常规护理组,差异有统计学意义(P<0.05)。赋权管理组患者的糖尿病自我效能量表各维度评分及总分均高于常规护理组,差异有统计学意义(P均<0.05)。赋权管理组患者的社会支持评定量表各维度评分及总分均高于常规护理组,差异有统计学意义(P均<0.05)。赋权管理组患者的生活质量量表各维度评分及总分均高于常规护理组,差异有统计学意义(P均<0.05)。结论自我-家庭-环境赋权管理模式能有效降低老年T2DM患者的血糖水平,提高用药依从性、自我效能、社会支持及生活质量。

Objective To explore the effects of self-family-environment empowerment management model on self-efficacy,social support and quality of life in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 68 elderly T2DM patients admitted to Taian Yongjun Hospital in Shandong Province from November 2022 to Novem-ber 2023 were included in the study.The patients were divided into groups according to different nursing styles re-ceived during treatment.The conventional nursing group(31 cases)received T2DM routine nursing,and the empower-ment management group(37 cases)received self-family-environment empowerment management mode.Blood glucose levels,medication compliance,self-efficacy scores,social support scores and quality of life scores were compared be-tween the two groups.Results The levels of fasting blood glucose and 2 h postprandial blood glucose in empowering-management group were lower than those in conventional care group,and the differences were statistically significant(both P<0.05).The appropriateness of medication in empowerment management group was higher than that in conven-tional care group,and the difference was statistically significant(P<0.05).The scores and total scores of diabetes self-efficacy scale in empowerment management group were higher than those in conventional care group,and the differ-ences were statistically significant(all P<0.05).The scores and total scores of social support rating scale in empower-ment management group were higher than those in conventional care group,and the differences were statistically sig-nificant(all P<0.05).The scores and total scores of quality of life scale in empowerment management group were higher than those in conventional care group,and the differences were statistically significant(all P<0.05).Conclusion Self-family-environment empowerment management model can effectively reduce blood glucose levels in elderly patients with T2DM and improve medication compliance,self-efficacy,social support and quality of life.