认知-预警干预在老年低文化层次2型糖尿病延误治疗患者中的应用

Application of cognition-early warning intervention in the low cultural level elderly patients with delayed treatment of type 2 diabetes

目的:观察认知-预警干预在老年低文化层次2型糖尿病延误治疗患者中的应用效果。方法:选择2021年7月至2022年6月就治于萍乡市赣西肿瘤医院的90例老年低文化层次糖尿病延误治疗病例,以随机数字表法分为试验组和对照组各45例。试验组中女性和男性分别为21例与24例,平均年龄(68.65±3.52)岁。对照组中女性和男性分别为20例与25例,平均年龄(68.44±3.65)岁。对照组按糖尿病常规宣教模式施教,试验组在此基础之上加用认知-预警干预,比较的两组的治疗延误认知、自我管理和医学应对评分,以及血糖指标。结果:试验组糖尿病治疗延误认知行为评分、自我管理评分高于对照组,医学应对评分、血糖控制指标优于对照组,差异均有统计学意义(均P<0.05)。结论:认知-预警干预可提升老年低文化层次糖尿病延误治疗患者的治疗延误认知行为水平与自我管理能力,改善应对方式,获得较佳血糖控制成效。

Objective:To observe the application effect of cognition-early warning intervention in the low cultural level elderly patients with delayed treatment of type 2 diabetes.Methods:Ninety low cultural level elderly cases with delayed treatment of type 2 diabetes who were treated in the hospital from July 2021 to June 2022 were selected,and divided into an experimental group and a control group with 45 cases each by random number table method.In the experimental group there were 21 females and 24 males,and the average age was(68.65±3.52)years.In the control group there were 20 females and 25 males,and the average age was(68.44±3.65)years.The control group were taught according to the routine education mode for diabetes,on this basis,the experimental group added cognition-early warning intervention,the treatment delay cognition,the scores of self-management,and the medical coping mode,and the blood glucose indicators were compared between the two groups.Results:The cognitive behavior score and self-management score of diabetes treatment delay in the experimental group were higher than those in the control group,and the medical coping score and the blood glucose control indicators in the experimental group were better than those in the control group(P<0.05).Conclusion:The cognition-early warning intervention in the low cultural level elderly patients with delayed treatment of type 2 diabetes can promote their cognitive behavior level and self-management ability of treatment delay,improve their coping style,and achieve the better blood glucose control effect.