Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

Effects of physical activity by the teach-back educational method on the physical ability and quality of life in hemodialysis patients:a clinical trial

Objective:To determine the effect of physical activity by using the teach-back educational method on hemodialysis patients’quality of life(QOL)and physical ability.Methods:This is a single-blind clinical trial study involving a control group.A total of 90 patients who admitted to the dialysis centers of Beheshti and Besat hospitals in Hamadan were selected using a convenience sampling method and were randomly assigned to intervention(n=45)and control(n=45)groups.Data were collected using a demographic information checklist,a kidney disease QOL questionnaire,and a 6-minute-walk distance(6MWD)checklist.The patients’QOL questionnaire was completed,and the 6MWD was recorded before and at the end of the 2nd,4th,6th,8th,and 12th weeks of the intervention.In the intervention group,the patients were taught to perform physical activities with Pilates stretches in different resistances using the teach-back educational method during dialysis sessions for 12 weeks.Data were analyzed by using the independent t-test and chi-square test using SPSS-22 software.Results:Before the intervention,no differences were observed between the experimental and control groups in terms of demographic characteristics,QOL,and physical ability(P>0.05).The physical ability and QOL levels of patients exercising in the test group were higher than those in the control group after the intervention(P<0.05).Based on the results,the 2 groups significantly differed with regard to the scores of various dimensions of QOL and physical ability after the intervention(P<0.05).Conclusions:Physical activity by using the teach-back method can effectively increase physical ability and improve QOL of hemodialysis patients.Therefore,the recommendations and inclusion of exercise in the dialysis care plan can effectively promote patients’health.

Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients

Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.

Quality of life,self-care knowledge access,and selfcare needs in patients with colon stomas one month post-surgery in a Chinese Tumor Hospital

Objective:This descriptive cross-sectional study investigated the quality of life(QoL),selfcare knowledge access,and self-care needs of colorectal cancer patients after colostomy.Methods:A total of 142 colorectal cancer patients in the Tumor Hospital of Yunnan Province were invited to this survey one month post-colostomy.QoL of the participants was assessed using the Chinese version of the World Health Organization Quality of Life Instrument(WHOQOL-BREF).A self-prepared questionnaire was also administered to explore the sources of self-care knowledge and self-care needs of this population.Results:Response mean scores of the four domains of WHOQOL-BREF,namely,physical health,psychological health,social relations,and environmental health were 53.49,57.95,65.78 and 50.75,respectively.No significant differences were found in the gender,age,education level,and occupation type in QoL scale among the groups using the u test and ANOVA(p>0.05).However,female colostomates scored higher grades in the physical area of QoL than male patients;the participants who willingly attended the self-care courses obtained higher scores in social area than those who were not willing.Conclusion:The QoL of this population was not favorable.Self-care program can be developed in accordance with the needs and educational background of the colostomates.

Health Literacy, Self-Care Behavior and Quality of Life in Acute Coronary Syndrome Patients: An Integrative Review

Purpose: The review aimed to find the best evidence on the relationship between health literacy, self-care behavior and perceived quality of life (QoL) among patients with acute coronary syndrome (ACS). Methods: Searching engines included Cumulative Index to Nursing Allied Health Literature (CINAHL), Pro Quest, MEDLINE, Google Scholar, SAGE Journals, Wiley on Line Library, and Science Direct electronic databases from 2010 to 2018. Fifteen research articles assessed the main variables and their associations with demographic and clinical variables. Results: Different methodologies and samples were analyzed: analytic descriptive, systematic review, a randomized control trial, retrospective cohort, a prospective Cohort, cross-sectional, and correlational designs. The fifteen studies showed that the patients with ACS have inadequate health literacy. Patients’ ability to understand basic and complex information or to accurately assess health risks was impaired and may hinder patients’ engagement in self-care. Low HL in patients having ACS is consistently associated with poor QoL. Physical domain of QoL remained the significant outcome of both self-care behavior and health literacy after adjusting for demographics and clinical variables in patients with ACS. Conclusion: The literature pointed to the importance of considering health literacy and self-care behaviors as predictors of quality of life among patients with ACS. However, there has been no previous evidence on the best process of the association between these three variables.

The Effect of Anemia on Quality of Life and Self-Care Agency in Turkey Hemodialysis Patients

Objective: Anemia is an important complication which affects quality of life and self-care agency in hemodialysis patients. The aim of this study was to determine the effects of anemia on quality of life and self-care agency in adult patients who receive chronic hemodialysis treatment. Methods: In this cross-sectional study, the Quality of Life Scale, the Self Care Agency Scale, and a data form were administered to 136 hemodialysis patients who were receiving treatment three hospital-based dialysis units in Istanbul. Results: The health perception of cases whose hemoglobin level was 12 mg/dl and above was significantly better than those whose hemoglobin level was lower than 12 mg/dl. Hemoglobin levels were significantly and positively correlated to physical role function, general health, and health from the previous year (p < 0.05). As the hemoglobin levels of the cases increased, quality of life pertaining to the mentioned domains increased. Conclusion: It was concluded that the quality of life in chronic dialysis patients was affected by anemia.

Habilitation护理模式对智能减退患者认知功能、自理能力及生活质量的影响

目的:探讨Habilitation护理模式对智能减退患者认知功能、自理能力及生活质量的影响。方法:前瞻性选取2021年1月1日~2023年1月31日收治的智能减退患者120例作为研究对象,采用随机数字表法分为研究组和对照组各60例,对照组给予常规护理,研究组给予Habilitation护理模式;比较两组护理满意度,干预前后认知功能[采用简易智能量表(MMSE)]、体衰能力[采用总体衰退量表(GDS)]、日常生活能力[采用日常生活能力量表(ADL)]、生活质量[采用生活质量量表(QOL)],同时记录两组在护理过程中不良安全行为发生情况。结果:研究组护理满意度高于对照组(P<0.01);干预后,两组MMSE、QOL、ADL及GDS评分均优于干预前(P<0.01),且研究组优于对照组(P<0.01);研究组不良安全行为发生率低于对照组(P<0.01)。结论:应用Habilitation护理模式护理可改善智能减退患者的认知功能,提高其自理能力与生活质量,同时降低不良安全行为发生率,安全性较高,值得临床推广。

Factors associated with stoma quality of life among stoma patients

Background:Quality of life(QOL)concerns in patients with stomas is a globally important health issue.Currently,a lack of understanding into which factors influence QOL postcolostomy hinders the ability of health care professionals to provide appropriate instruction and care needed to improve a patient’s QOL.Objectives:To determine the level of stoma-specific QOL and to determine which factors associate with stoma-specific QOL among patients with a stoma.Methods:A convenience sample of 76 patients with stomas was recruited from patients who presented to the ward for checkup in a tertiary hospital in Beijing.Quality of life,selfcare,and hope were assessed in patients by the Stoma-QOL,stoma self-care agency scale,and Herth Hope Index,respectively.Statistical analyses were performed using Pearson correlation,t-test,and multiple linear regression analysis.Results:Our stoma-QOL survey demonstrated that stoma patients experienced difficulties functioning in work and social situations,had issues with sexuality and body image,and difficulties with stoma function.Patients expressed concerns related to the stoma itself such as finding privacy to empty the pouch,problems with leakage,and difficulties participating in social activities.Multiple linear regression analysis indicated that self-care agency and hope were the main influencing factors and explained 23.4%of the variance of stoma function and 17.8%of the variance of work/social function.Conclusion:QOL in patients with a stoma was not ideal.Our findings demonstrate that following stoma implantation,improvements in self-care and inspiring hope in patients played an important role in bettering their stoma-QOL.The strength of our study is that we adopted a stoma-specific questionnaire instead of a general scale such as EORTC C30.

An enhanced functional ability questionnaire(faVIQ) to measure the impact of rehabilitation services on the visually impaired

AIM: To develop a short,enhanced functional ability Quality of Vision(faVIQ) instrument based on previous questionnaires employing comprehensive modern statistical techniques to ensure the use of an appropriate response scale,items and scoring of the visual related difficulties experienced by patients with visual impairment. · METHODS: Items in current quality-of-life questionnaires for the visually impaired were refined by a multi-professional group and visually impaired focus groups. The resulting 76 items were completed by 293 visually impaired patients with stable vision on two occasions separated by a month. The faVIQ scores of 75 patients with no ocular pathology were compared to 75 age and gender matched patients with visual impairment. ·RESULTS: Rasch analysis reduced the faVIQ items to 27. Correlation to standard visual metrics was moderate(r =0.32-0.46) and to the NEI-VFQ was 0.48. The faVIQ was able to clearly discriminate between age and gender matched populations with no ocular pathology and visual impairment with an index of 0.983 and 95% sensitivity and 95% specificity using a cut off of 29.·CONCLUSION: The faVIQ allows sensitive assessment of quality-of-life in the visually impaired and should support studies which evaluate the effectiveness of low vision rehabilitation services.

心脏康复治疗对急性心肌梗死PCI术后心肌微循环、运动能力及生活质量的影响

目的探讨心脏康复治疗对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后心肌微循环、运动能力及生活质量的影响。方法选择2021年9月至2022年6月于邯郸市第一医院接受治疗的AMI手术治疗患者120例,采用随机数字表法分为试验组(n=63)和对照组(n=57)。对照组给予术后常规治疗,试验组在对照组基础上联合心脏康复治疗。比较两组患者的临床疗效、心肌微循环灌注情况、左室射血分数(LVEF)、6 min步行试验(6MWT)、生理健康总评分(PCS)、心理健康总评分(MCS)及心脏并发症发生情况。结果试验组患者治疗总有效率远高于对照组(85.71%vs.70.18%),组间差异具有统计学意义(P<0.05)。两组患者治疗前心肌微循环灌注水平相比,差异无统计学意义(P>0.05)。治疗后两组患者心肌微循环灌注升高,差异有统计学意义(P<0.05),且试验组升高水平较对照组更显著(P<0.05)。治疗后两组患者LVEF、6MWT升高,差异有统计学意义(P<0.05),且试验组升高水平较于对照组更显著(P<0.05)。治疗后两组患者MCS、PCS评分升高,差异有统计学意义(P<0.05),其中试验组升高水平较对照组更显著(P<0.05)。治疗期间的心脏不良反应主要包括:心绞痛、心力衰竭和心律失常,两组不良反应发生率比较,有统计学差异(P<0.05)。结论在AMI患者PCI术后,心脏康复治疗具有较好疗效,可有效改善患者心肌微循环、运动能力及生活质量水平。

合理信念替代疗法对冠心病患者心理弹性和自护能力的影响

目的:分析合理信念替代疗法对冠心病患者心理弹性和自护能力的影响。方法:按照入院顺序将某院2021年8月-2022年8月收治的102例冠心病患者分为对照组(n=51,常规干预)和干预组(n=51,常规干预+合理信念替代疗法);对比两组患者干预前后心理弹性[心理弹性量表(CD-RISC)]、自护能力[自我护理能力量表(ESCA)]、健康行为[健康促进生活方式量表Ⅱ(HPLP-II)]、生活质量[西雅图心绞痛量表(SAQ)]及满意度。结果:干预后,两组CD-RISC量表坚韧、乐观、自强各维度得分及总分均升高(P<0.05),且干预组均高于对照组(t=4.371,5.404,3.883,6.574;P<0.05);干预后,两组ESCA量表中自我概念、健康知识水平、自我护理技能、自我护理责任感各维度得分及ESCA量表总分均高于干预前(P<0.05),且干预组均高于对照组(t=7.252,3.908,5.848,5.643,10.496;P<0.05);干预后,两组HPLP-Ⅱ量表人际关系、运动锻炼、自我实现、压力管理、健康责任、营养各维度得分及总分均高于干预前(P<0.05),且干预组均高于对照组(t=2.624,3.883,3.378,3.642,3.610,2.828;P<0.05);干预后,两组SAQ各维度评分均升高(P<0.05),且干预组心绞痛稳定状况、疾病认知程度、治疗满意度、心绞痛发作频率、躯体受限程度五大维度评分较对照组高(t=2.122,2.340,3.699,2.976,2.766;P<0.05);两组满意度比较,干预组为96.08%,高于对照组的84.31%(χ^(2)=3.991,P<0.05)。结论:对冠心病患者采用合理信念替代疗法效果显著,可增强患者心理弹性,提高自护能力、健康行为水平和生活质量,获得较高的满意度。

作业疗法联合减重平板步行训练对脑卒中偏瘫患者平衡与功能性步行能力的影响

目的:探讨作业疗法联合减重平板步行训练对脑卒中偏瘫患者平衡与功能性步行能力的影响。方法:选取2019年7月—2021年6月河南科技大学第一附属医院新区医院康复医学科收治的90例脑卒中偏瘫患者作为研究对象,采用随机数表法分为试验组(常规康复护理)与对照组(作业疗法联合联合减重平板步行训练),每组各45例。比较两组患者干预前及干预3个月的平衡功能与功能性步行能力。结果:干预3个月,试验组患者Berg平衡量表(BBS)、功能性步行量表(FAC)评分显著高于对照组,差异有统计学意义(t=23.279、5.555,P<0.05);试验组患者脑卒中专用生活质量量表(SS-QOL)各项评分显著高于对照组,差异有统计学意义(t=8.424、8.637、26.306、5.162、7.579、15.302、8.918、8.080、20.745、10.862、1.397、6.806,P<0.05)。结论:作业疗法联合减重平板步行训练可有效提高脑卒中偏瘫患者平衡功能及功能性步行能力,有利于改善患者的生活质量。

层次化健康指导对子宫内膜癌放疗患者自我管理的影响

目的探讨层次化健康指导对子宫内膜癌(EC)放疗患者自我管理的影响。方法选取2022年1月至2023年6月赣南医学院第一附属医院收治的68例EC放疗为研究对象,采用随机数字表法将其分为对照组(34例)、研究组(34例)。对照组采用常规护理,研究组采用层次化健康指导。比较两组患者护理前后的自我管理能力、生活质量。结果护理前,两组患者的自我护理能力测定量表(ESCA)、欧洲癌症研究治疗组织癌症患者生存质量测定量表(EORTC QLQ-C30)评分比较,差异无统计学意义(P>0.05)。护理后,研究组的各维度ESCA评分与各方面EORTC QLQ-C30评分均高于对照组,差异有统计意义(P<0.05)。结论予以EC放疗患者层次化健康指导可提升患者自我管理能力,提高其生活质量,可推广实施。

“互联网+延续性护理”对轻度失能老年患者生活质量及家庭照顾者准备度的影响

目的探讨“互联网+延续性护理”服务在轻度失能老年患者及家庭照护者中的应用效果。方法本研究为随机对照研究,将80例轻度失能老年患者分为对照组和干预组,每组40例,干预组接受“互联网+延续性护理”服务,对照组接受传统的延续性护理服务。通过对两组患者进行生活质量评估(SF-36)、日常生活活动能力(Barthel指数)评估及对其家庭照护者进行照顾者准备度(GPS)评估来比较两组之间的差异。结果与对照组相比,干预后干预组轻度失能老年患者在整体健康、躯体功能、社会功能、情绪角色等方面的表现明显得到改善(P<0.01),且Barthel指数评分明显提高(P<0.01),其家庭照护者照顾者准备度(GPS)评分明显高于对照组(P<0.01)。结论“互联网+延续性护理”服务能有效改善轻度失能老年患者的生活质量,提高其日常生活活动能力。这种服务的引入可以弥补传统护理服务在时效性、渠道多样性和便捷程度上的不足,提供更加高效、便捷、形式丰富的护理服务,同时对提高其家庭照护者照顾者准备度也有积极的影响。

虚拟现实情景认知康复训练联合音乐疗法在卒中后认知障碍患者中的应用研究

目的观察卒中后认知障碍患者行虚拟现实情景认知康复训练联合音乐疗法的临床效果。方法选取卒中后认知障碍患者106例为研究对象,随机分为对照组和观察组,每组53例。对照组应用常规康复护理干预,观察组在对照组基础上应用虚拟现实情景认知康复训练联合音乐疗法。比较2组患者干预前后认知功能、日常生活能力及生活质量变化,分析患者家属护理满意度。结果干预后,2组患者蒙特利尔认知量表(MoCA)及Barthel指数评分均高于干预前,且观察组各项评分均高于对照组,差异有统计学意义(P<0.05)。干预后,2组患者脑卒中影响量表(SIS)得分均提高,且观察组各维度得分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组患者家属护理满意度为98.1%,高于对照组的86.8%,差异有统计学意义(P<0.05)。结论虚拟现实情景认知康复训练联合音乐疗法有利于改善卒中后认知障碍患者认知功能,提高患者日常生活能力及生活质量。

子宫内膜异位症患者的中医慢病护理门诊管理

目的评价中医慢病护理门诊对子宫内膜异位症患者的管理效果。方法采用历史对照法,将2020年1-12月行腹腔镜手术的子宫内膜异位症门诊就诊的痛经患者88例作为对照组,按常规行术后门诊复诊及随访;2021年1-12月行腹腔镜手术的门诊就诊的88例痛经患者为观察组,在对照组基础上实施子宫内膜异位症中医慢病护理;干预3个月。干预后3、6、12个月评估干预效果。结果两组各85例患者完成研究及随访。两组痛经评分、自我管理能力评分及生存质量评分比较,组间效应、时间效应及交互效应差异有统计学意义(均P<0.05)。结论对子宫内膜异位症患者实施中医慢病护理门诊管理,可更有效地改善痛经症状,提高疾病自我管理能力和生存质量。

脑电生物反馈联合LSP干预训练在高功能孤独症谱系障碍患儿中的前瞻性随机对照研究

目的探讨脑电生物反馈(neurofeedback,NFB)联合学习风格简介(learning style profile,LSP)干预训练在高功能孤独症谱系障碍(high-functioning autism,HFA)患儿中的应用。方法前瞻性选择2022年2月—2024年2月收治的86例HFA患儿为研究对象,采用随机数字表法分为对照组和观察组,行双盲试验,每组各43例。对照组给予LSP干预训练,观察组在对照组基础上给予NFB干预,两组均干预6个月。比较两组患儿干预前、干预6个月时孤独症行为评定量表(Autism Behavior Checklist,ABC)、孤独症疗效评定量表(Autism Treatment Evaluation Checklist,ATEC)、社交反应量表(Social Responsiveness Scale,SRS)、儿童生存质量量表(Pediatric Quality of Life,PedsQL)评分差异;分析HFA患儿PedsQL评分与ABC、ATEC、SRS评分的相关性。结果干预6个月后,观察组ABC、ATEC、SRS评分低于对照组,PedsQL评分高于对照组(P<0.05);HFA患儿PedsQL评分与ABC、ATEC、SRS评分呈负相关(分别r=-0.238、-0.381、-0.219,P<0.001)。结论NFB联合LSP能够有效改善HFA患儿临床症状及社交能力,控制患儿病情发展,提升患儿生活质量。

二元应对护理干预对卵巢癌术后患者自我管理能力及创伤后成长的影响

目的:探讨二元应对护理干预在卵巢癌术后患者中的应用效果。方法:选择2020年5月-2023年5月本院治疗的卵巢癌术后患者102例,随机数字表法分为常规组与观察组各51例,均予以常规护理干预,观察组同时开展二元应对护理干预,连续干预3个月。比较两组自我管理能力、创伤后成长水平、康复进程、患者及其配偶生活质量、并发症。结果:干预后观察组自我管理能力测定量表各维度评分、创伤后成长评定量表各维度评分、生活质量综合评定问卷(71.82±9.81分)及患者照顾者生活质量评分(251.88±18.65分)均高于常规组(62.64±8.03分、208.64±19.53分),且康复进程较常规组快,干预期间并发症发生率观察组(3.9%)低于常规组(15.7%)(均P<0.05)。结论:以二元应对护理模式对卵巢癌术后患者进行干预可提高患者自我管理能力与创伤后成长水平,利于减少并发症发生,促进疾病康复,改善夫妻双方生活质量。

基于诉求溯源定制护理方案对糖尿病患者血糖水平与并发症的影响

目的探讨基于诉求溯源定制护理方案对糖尿病患者血糖水平、自我管理能力水平、并发症发生率以及生活质量的影响。方法选择2020年10月—2022年9月就治于医院的2型糖尿病患者100例为研究对象,按照组间基本特征匹配的原则分为观察组和对照组,每组50例。对照组患者遵循2型糖尿病常规护理方法实施干预,观察组患者采用基于诉求溯源定制护理方案实施干预,比较两组患者干预前后空腹血糖、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)水平、自我管理能力评分、并发症发生率、糖尿病特异性生存质量量表(DSQL)评分。结果两组患者护理干预前血糖水平的比较,差异均无统计学意义(P>0.05);观察组患者实施基于诉求溯源定制的护理方案后,各项血糖水平低于对照组,差异均有统计学意义(P<0.05)。两组患者护理干预前自我管理能力评分比较,差异无统计学意义(P>0.05);观察组患者实施基于诉求溯源定制的护理方案后自我管理能力评分高于对照组,经比较差异具有统计学意义(P<0.05)。观察组患者实施基于诉求溯源定制的护理方案后糖尿病视网膜病变、糖尿病足、糖尿病高渗昏迷等并发症总发生率低于对照组,经比较有统计学意义(P<0.05)。两组患者护理干预前糖尿病特异性生存质量量表中生理功能、心理健康、社会关系、治疗情况比较,差异无统计学意义(P>0.05);观察组患者实施基于诉求溯源定制的护理方案后糖尿病特异性生存质量量表中各维度评分均低于对照组,经比较差异具有统计学意义(P<0.05)。结论诉求溯源定制护理方案应用于糖尿病患者,有利于患者控制其血糖水平,提高其自我管理能力和生活质量,降低并发症的发生率。