摘要
目的:探讨合理情绪干预结合以家庭为中心的延续性护理对2型糖尿病患者血糖控制和负性情绪的影响。方法:选取2020年1月—2023年1月建湖县人民医院内分泌科收治的80例2型糖尿病患者,随机分为对照组和试验组,各40例。试验组予以合理情绪干预结合以家庭为中心的延续性护理,对照组予以常规护理模式。比较两组空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)水平;比较两组间歇性跛行、神经病变、足畸形、慢性溃疡等并发症发生情况;使用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组负面情绪;比较两组护理满意度。结果:干预前,两组FBG、2 h PBG和HbA1c比较,差异无统计学意义(P>0.05);干预2个月后,两组FBG、2 h PBG和HbA1c均低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率为7.50%,低于对照组的27.50%,差异有统计学意义(P<0.05)。干预前,两组SAS评分和SDS评分比较,差异无统计学意义(P>0.05);干预2个月后,两组SAS评分和SDS评分均低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组总满意度为95.00%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论:合理情绪干预结合以家庭为中心的延续性护理有助于患者的血糖控制和负面情绪的缓解,并能有效降低患者并发症发生率。
Objective:To explore the effects of reasonable emotional intervention combined with family centered continuous nursing on blood glucose control and negative emotions in type 2 diabetes mellitus patients.Method:A total of 80 patients with type 2 diabetes mellitus admitted to the Department of Endocrinology of Jianhu County People's Hospital from January 2020 to January 2023 were randomly divided into control group and experimental group,with 40 patients in each group.The experimental group was given reasonable emotional intervention combined with family centered continuous nursing,and the control group was given routine nursing mode.Fasting plasma glucose(FBG),2 h postprandial blood glucose(2 h PBG)and glycosylated hemoglobin(HbA1c)levels were compared between the two groups.Complications such as intermittent claudication,neuropathy,foot deformity and chronic ulcer between the two groups were compared.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to assess the negative emotions of both groups.The nursing satisfaction of the two groups was compared.Result:Before intervention,there were no statistical differences in FBG,2 h PBG and HbA1c between the two groups(P>0.05).After 2 months of intervention,FBG,2 h PBG and HbA1c in the two groups were lower than those before intervention,and the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in experimental group was 7.50%,which was lower than 27.50%in control group,and the difference was statistically significant(P<0.05).Before intervention,there were no statistical differences in SAS score and SDS score between the two groups(P>0.05).After 2 months of intervention,SAS score and SDS score in the two groups were lower than those before intervention,and the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction of the experimental group was 95.00%,which was higher than 75.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Reasonable emotional intervention combined with family centered continuous nursing can help patients control blood glucose and relieve negative emotions,and can effectively reduce the incidence of complications.
作者
张宇
陈文娟
ZHANG Yu;CHEN Wenjuan(Jianhu County People's Hospital,Jianhu 224700,China)
出处
《中外医学研究》
2023年第30期96-100,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
合理情绪干预
延续性护理
2型糖尿病
负面情绪
血糖控制
Reasonable emotional intervention
Continuing nursing
Type 2 diabetes mellitus
Negative emotions
Blood glucose control
