基于循证的自我管理干预对老年高血压合并糖尿病患者心理弹性及生活质量的影响  

Effects of Evidence-Based Self-Management Intervention on Resilience and Quality of Life in Elderly Hypertensive Patients with Diabetes Mellitus

作　　者：林晓燕[1] 张蔓菁[1] 林婷婷 张玉珍[2] LIN Xiaoyan;ZHANG Manjing;LIN Tingting;ZHANG Yuzhen(Department of Endocrinology and Diabetes,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China;Department of Reproductive Medicine,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院内分泌糖尿病科,福建厦门361000 [2]厦门大学附属第一医院生殖医学科,福建厦门361000

出　　处：《糖尿病新世界》2022年第11期141-144,172,共5页Diabetes New World Magazine

摘　　要：目的分析高血压伴糖尿病老年患者开展基于循证的自我管理干预措施作用。方法选择2020年5月—2021年5月福建省某三级甲等医院的90例高血压合并糖尿病老年住院患者为研究对象,采用抽签法将患者随机分成对照组(45例)及研究组(45例),对照组患者予以基础健康宣教,研究组予以患者基于循证的自我管理干预。比较两组患者干预前后心理弹性量表(CD-RISC)得分、生活质量评定量表(SF-36)得分、血压及空腹血糖水平。结果干预后,研究组患者CD-RISC得分高于对照组,差异有统计学意义(P<0.05)。干预后,研究组患者生活质量得分高于对照组,差异有统计学意义(P<0.05)。干预后,研究组患者血压及空腹血糖水平均低于对照组,差异有统计学意义(P<0.05)。结论高血压伴糖尿病老年患者实施基于循证的自我管理干预措施,能降低血压和血糖水平,改善心理弹性,提升生活质量水平,发挥一定干预作用。Objective To analyze the effect of evidence-based self-management interventions in elderly patients with hypertension and diabetes.Methods A total of 90 elderly inpatients with hypertension and diabetes mellitus in a tertiary hospital in Fujian Province from May 2020 to May 2021 were selected as the research subjects,and the patients were randomly divided into a control group(45 cases)and a study group(45 cases)by drawing lots.Patients in the control group were given basic health education,Educate the patients in the study group were given evidence-based self-management interventions.The scores of Psychological Resilience Scale(CD-RISC),Quality of Life Rating Scale(SF-36),blood pressure and fasting blood glucose levels were compared in each group before and after the intervention.Results After intervention,the CD-RISC score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the quality of life score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the blood pressure and fasting blood glucose levels of the study group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based self-management interventions for elderly patients with hypertension and diabetes can reduce blood pressure and blood glucose levels,improve psychological resilience,and improve quality of life,and play a certain role in interventions.

关 键 词：生活质量 心理弹性 糖尿病 高血压 自我管理干预 

分 类 号：R473[医药卫生—护理学]