三位一体护理模式在老年2型糖尿病患者中的干预价值  

Intervention Value of Trinity Nursing Model in Elderly Patients with Type 2 Diabetes Mellitus

作　　者：赖晓英[1] 吴丽容 LAI Xiaoying;WU Lirong(Department of Geriatrics,Longyan First Hospital Affiliated to Fujian Medical University,Longyan,Fujian Province,364000 China)

机构地区：[1]福建医科大学附属龙岩市第一医院老年科,福建龙岩364000

出　　处：《糖尿病新世界》2022年第4期142-146,共5页Diabetes New World Magazine

摘　　要：目的探讨三位一体护理模式在老年2型糖尿病(T2DM)患者中的干预价值。方法回顾性分析2019年1月—2021年1月于该院就诊的85例老年T2DM患者,依照护理模式的不同将其分为参考组(n=42)、观察组(n=43)。参考组予以常规护理,观察组在参考组基础上予以三位一体护理。对比两组干预前后血糖指标[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2 hPG)];对比两组干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、自我护理能力测定量表(ESCA)、糖尿病特异性生存质量量表(DQOL)分值;对比两组并发症发生率。结果干预后,观察组HbA1c、FPG、2 hPG均低于参考组,差异有统计学意义(P<0.05)。干预后,观察组SDS、SAS、DQOL分值均低于参考组,ESCA分值高于参考组,差异有统计学意义(P<0.05)。观察组并发症总发生率为4.65%,低于参考组的19.05%,差异有统计学意义(χ^(2)=4.242,P<0.05)。结论三位一体护理可以降低老年T2DM患者的血糖水平,缓解其负面情绪,还可以增强其自我护理能力,改善生存质量,减少并发症发生。Objective To explore the intervention value of the trinity nursing model in elderly patients with type 2 diabetes mellitus(T2DM).Methods A retrospective analysis of 85 elderly patients with T2DM who visited the hospital from January 2019 to January 2021 was divided in the reference group(n=42)and observation group(n=43)according to different nursing modes.The reference group received routine nursing care,and the observation group received trinity nursing based on the reference group.The blood glucose indicators[glycated hemoglobin(HbA1c),fasting blood glucose(FPG),and 2 h postprandial blood glucose(2 hPG)]were compared between the two groups before and after the intervention.The scores of self-rating depression scale(SDS),self-rating anxiety scale(SAS),self-care ability scale(ESCA)and diabetes-specific quality of life scale(DQOL)were compared between the two groups before and after the intervention.The complication rates of the two groups were compared.Results After intervention,HbA1c,FPG and 2 hPG in the observation group were lower than those in the reference group,and the difference was statistically significant(P<0.05).After intervention,the SDS,SAS and DQOL scores of the observation group were lower than those of the reference group,and the ESCA score was higher than that of the reference group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 4.65%,which was lower than 19.05%in the reference group,and the difference was statistically significant(χ^(2)=4.242,P<0.05).Conclusion Trinity nursing can reduce the blood glucose level of elderly patients with T2DM,relieve their negative emotions,enhance their self-care ability,improve the quality of life,and reduce the occurrence of complications.

关 键 词：三位一体护理模式 老年 2型糖尿病 血糖 自我护理 生存质量 

分 类 号：R192[医药卫生—卫生事业管理]