情绪护理结合奥瑞姆自护模式在中老年2型糖尿病患者中的应用价值  

Application value of emotional nursing combined with Orem's self-care model in middle-aged and elderly patients with type 2 diabetes

作　　者：李江滢 张妍[1] 张海燕 LI Jiangying;ZHANG Yan;ZHANG Haiyan(Maoming People's Hospital,Maoming,Guangdong,525000,China)

机构地区：[1]茂名市人民医院,广东茂名525000

出　　处：《中西医结合护理（中英文）》2023年第2期29-32,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨情绪护理结合奥瑞姆(Orem)自护模式在中老年2型糖尿病患者中的应用价值。方法回顾性分析2019年10月至2021年6月在茂名市人民医院诊治的120例中老年2型糖尿病患者的一般资料,根据不同的护理方法分为对照组(60例)和观察组(60例)。对照组予以常规护理,观察组在对照组护理方法的基础上实施情绪护理结合Orem自护模式。比较2组患者在的自我管理行为能力、自我护理能力、血糖水平及并发症发生率。结果观察组在出院时的糖尿病自我管理行为量表(SDSCA)评分和自我护理能力测定量表(ESCA)评分均明显高于同期对照组(P均<0.05),空腹血糖水平(FPG)、糖化血红蛋白(HbAlc)和并发症总发生率均明显低于同期对照组(P均<0.05);2组在出院时的上述指标(除并发症)均较入院时有所改善(P均<0.05)。结论情绪护理结合Orem自护模式可培养中老年2型糖尿病患者的自我管理行为,增强其自我护理能力,改善其血糖控制水平,降低并发症发生率。Objective To explore the application value of emotional nursing combined with Orem's self-care model in middle-aged and elderly patients with type 2 diabetes(T2DM).Methods The general data of 120 middle-aged and elderly patients with T2DM at Maoming People's Hospital from October 2019 to June 2021 were retrospectively analyzed.According to different nursing methods,they were divided into a control group(60 cases)and an observation group(60 cases).The control group was given routine nursing,and the observation group adopted emotional nursing combined with Orem's self-care model on the basis of the control group.The self-management behavioral ability,self-care ability,blood glucose level,and complication rate were compared between the two groups.Results At discharge,the observation group had significantly higher scores of the Summary of Diabetes Self-Care Activities Measure(SDSCA)and Exercise of Self-Care Agency Scale(ESCA)than the control group(both P<0.05),and the observation group had significantly lower fasting plasma glucose(FPG),glycosylated hemoglobin(HbAlc)levels,and complication rate than the control group(all P<0.05).The above indicators of the two groups at discharge(except complication rate)were improved compared with those at admission(all P<0.05).Conclusion The implementation of emotional nursing combined with Orem's self-care model in middle-aged and elderly patients with T2DM can develop their self-management behaviors,enhance their self-care ability,improve their blood glucose control,and reduce the complications.

关 键 词：2型糖尿病 中老年患者 情绪护理 奥瑞姆自护模式 应用价值 

分 类 号：R473.5[医药卫生—护理学]