基于目标导向的护理在糖尿病合并骨质疏松患者中的应用及对血糖水平、自我护理能力的影响

Application of Goal-oriented Nursing in Patients with Diabetes Mellitus and Osteoporosis and the Influence on Blood Glucose Level and Self-care Ability

目的分析基于目标导向的护理在糖尿病合并骨质疏松患者中的应用及对血糖水平、自我护理能力的影响。方法选取2023年5月—2024年4月新沂市人民医院内分泌科收治的90例糖尿病合并骨质疏松患者为研究对象,按照不同护理方法分为常规护理组与目标导向组,各45例。常规护理组实施常规护理干预,目标导向组实施基于目标导向的护理干预。对比两组的血糖控制水平、自我护理能力测定量表(Exercise of Self-care Agency Scale,ESCA)、应对方式评定量表(Simplified Coping Style Questionnaire,SCSQ)、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、简明健康调查量表(36-items Short Form Health Survey,SF-36)、护理依从性。结果干预后,目标导向组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于常规护理组,差异有统计学意义(P均<0.05)。干预后,目标导向组ESCA评分、积极应对评分均高于常规护理组,消极应对评分低于常规护理组,差异有统计学意义(P均<0.05)。干预后,目标导向组SAS、SDS评分均低于常规护理组,SF-36评分高于常规护理组,差异有统计学意义(P均<0.05)。目标导向组护理依从性高于常规护理组,差异有统计学意义(P<0.05)。结论基于目标导向的护理效果较好,可降低患者血糖水平,提升自护能力、应对能力、生活质量以及护理依从性,且可改善患者心理状态。

Objective To analyze the application of goal-oriented nursing in patients with diabetes mellitus complicated with osteoporosis and its influence on blood glucose level and self-care ability.Methods A total of 90 patients with diabetes mellitus complicated with osteoporosis admitted to the Department of Endocrinology,Xinyi People's Hospital from May 2023 to April 2024 were selected as the study objects,and divided into routine nursing group and goal-oriented group according to different nursing methods,with 45 cases in each group.The routine nursing group implemented routine nursing intervention,and the goal-oriented group implemented goal-oriented nursing intervention.The blood glucose control level,Exercise of Self-care Agency Scale(ESCA),Simplified Coping Style Questionnaire(SCSQ),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),36-items Short Form Health Survey(SF-36)and nursing compliance were compared between the two groups.Results After intervention,the levels of fasting plasma glucose,2-hour postprandial plasma glucose and glycated hemoglobin A1c in the goal-oriented group were lower than those in the routine nursing group,and the differences were statistically significant(all P<0.05).After intervention,the ESCA score and positive coping score of the goal-oriented group were higher than those of the routine nursing group,and the negative coping score was lower than that of the routine nursing group,the differences were statistically significant(all P<0.05).After intervention,the SAS and SDS scores of the goal-oriented group were lower than those of the routine nursing group,and the SF-36 score was higher than that of the routine nursing group,the differences were statistically significant(all P<0.05).The nursing compliance of the goal-oriented group was higher than that of the routine nursing group,and the difference was statistically significant(P<0.05).Conclusion The effect of goal-oriented nursing is better,which can reduce the blood glucose level of patients,improve self-care ability,coping ability,quality of life and nursing compliance,and improve the psychological state of patients.