心理护理干预对女性2型糖尿病患者负性情绪及血糖控制的影响  

Effect of psychological nursing intervention on negative mood and blood glucose control in female type 2 diabetes patients

作　　者：梁玉议[1] 张怡[1] 韦晓玲[1] LIANG Yuyi;ZHANG Yi;WEI Xiaoling(Department of Cadre Health Care,People's Hospital of Hechi,Guangxi Zhuang Autonomous Region,Hechi,547000,China)

机构地区：[1]广西壮族自治区河池市人民医院干部保健科,广西河池547000

出　　处：《我和宝贝》2021年第11期28-31,共4页Baby and Me

摘　　要：目的探讨心理护理干预对女性2型糖尿病患者负性情绪及血糖控制的影响。方法选取2020年5月至2021年5月河池市人民医院收治并确诊为2型糖尿病的72例女性患者作为研究对象,按随机数字表法分为观察组(n=36)和对照组(n=36),两组患者住院期间均给予控制血糖药物治疗,对照组给予常规护理,观察组在常规护理的基础上实施心理护理干预。比较两组患者干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、血糖水平及护理效果。结果干预前,两组患者的SAS评分、SDS评分、空腹血糖(GLU)、餐后2 h血糖(2 h PPG)及糖化血红蛋白(HbA1c)水平比较,差异无统计学意义(P>0.05);干预3个月后,观察组患者的GLU、2 h PPG及HbA1c水平均低于对照组,差异有统计学意义(P<0.05);观察组患者的SAS及SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理总有效率(97.22%)高于对照组(80.56%),差异有统计学意义(P<0.05)。结论心理护理干预用于女性2型糖尿病患者能有效控制其血糖水平,改善患者的心理状态,提高临床护理效果,进而提高患者生活质量。Objective To investigate the effect of psychological nursing intervention on negative emotion and blood glucose control in female type 2 diabetes patients.Methods A total of 72 female patients diagnosed with type 2 diabetes in People's Hospital of Hechi from May 2020 to May 2021 were selected as the study subjects,and divided into the observation group(n=36)and the control group(n=36)according to the random number table method.Patients of two groups were given blood glucose control drug treatment during hospitalization,the control group was given routine nursing,the observation group was given psychological nursing intervention on the basis of routine nursing.The selfrating anxiety scale(SAS)score,self-rating depression scale(SDS)score,blood sugar level before and after intervention and nursing effect of patients between the two groups were compared.Results Before the intervention,there were no significant differences in the levels of SAS score,SDS score,fasting blood glucose(GLU),2 h postprandial plasma glucose(2 h PPG)and glycosylated hemoglobin(HbA1c)between the two groups(P>0.05).After three months of intervention,the GLU,2 h PPG and HbA1c levels of the observation group were lower than those of the control group,and the differences were statistically s ignificant(P<0.05).T he SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of nursing in the observation group(97.22%)was higher than that in the control group(80.56%),and the difference was statistically significant(P<0.05).Conclusion Psychological nursing intervention can effectively control the blood sugar level of women with type 2 diabetes,improve the psychological state of patients,improve the clinical care effect,and thereby improve the quality of life of patients.

关 键 词：2型糖尿病 心理护理干预 负性情绪 血糖水平 

分 类 号：R473[医药卫生—护理学]