基于系统化理念的护理干预在老年2型糖尿病患者中的应用  

Effects of nursing interventions based on systematic concept in elderly patients with type 2 diabetes

作　　者：江卫仙[1] 姚丽伟[1] 郑建娣[2] 周玉琴 Jiang Weixian;Yao Liwei;Zheng Jiandi;Zhou Yuqin(Nursing Department,Hangzhou Red Cross Hospital,Hangzhou 310003,China;Endocrinology Department,Hangzhou Red Cross Hospital,Hangzhou 310003,China)

机构地区：[1]杭州市红十字会医院护理部,杭州310003 [2]杭州市红十字会医院内分泌科,杭州310003

出　　处：《中华现代护理杂志》2023年第2期253-256,共4页Chinese Journal of Modern Nursing

基　　金：浙江省中医药科技计划项目(2022ZB266)。

摘　　要：目的探讨基于系统化理念的护理干预在老年2型糖尿病患者中的应用效果。方法采用便利抽样法选取2018年5月—2019年8月杭州市红十字会医院收治的120例老年2型糖尿病患者, 采用随机数字表法将其分为观察组和对照组各60例, 分别给予基于系统化理念的护理措施和常规护理。比较两组患者干预前后的焦虑、抑郁、益处发现水平和应对方式。结果干预前两组患者焦虑、抑郁、益处发现水平评分和行为方式比较差异无统计学意义(P>0.05)。干预后两组焦虑、抑郁评分降低, 且观察组低于对照组, 差异有统计学意义(P<0.05)。干预后两组益处发现水平评分升高, 且观察组高于对照组, 差异有统计学意义(P<0.05)。干预后两组面对得分升高, 且观察组高于对照组, 差异有统计学意义(P<0.05)。干预后两组回避、屈服得分降低, 且观察组低于对照组, 差异有统计学意义(P<0.05)。结论系统化理念护理可以减轻2型老年糖尿病患者的焦虑、抑郁, 提高益处发现水平, 增加获益感, 促使患者采用积极应对方式应对疾病。Objective To explore the effect of nursing interventions based on systematic concept in elderly patients with type 2 diabetes.MethodsFrom May 2018 to August 2019,120 elderly patients with type 2 diabetes in Hangzhou Red Cross Hospital were selected by convenience sampling.The patients were randomly divided into observation group and control group with 60 cases each.Patients in each group were given nursing interventions based on systematic concept and routine nursing respectively.The anxiety,depression,benefit finding and coping modes of the two groups were compared before and after the intervention.ResultsBefore the intervention,there was no statistical difference between the two groups in the scores of anxiety,depression,benefit finding and behavior pattern(P>0.05).After intervention,the scores of anxiety and depression in the two groups decreased,and the scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).After the intervention,the scores of benefit finding of the two groups increased,and that of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of confronting of the two groups increased,and that of observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of avoidance and resignation in the two groups decreased,and the scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusions Systematic concept nursing can reduce the anxiety and depression of elderly patients with type 2 diabetes,improve the benefit finding,increase the sense of benefit,and urge patients to adopt a positive coping style to deal with the disease.

关 键 词：老年人 糖尿病 2型 益处发现 抑郁 焦虑 

分 类 号：R473.5[医药卫生—护理学]