支持性心理护理联合主题式健康教育对老年糖尿病患者应用研究  

Application of Supportive Psychological Nursing Combined with Thematic Health Education in Elderly Patients with Diabetes

作　　者：薛丽萍 叶少杰 XUE Liping;YE Shaojie(Department of General Medicine,Jiangle County General Hospital,Sanming 353300,China;Department of Pharmacy,Jiangle County General Hospital,Sanming 353300,China)

机构地区：[1]将乐县总医院全科医学科,三明353300 [2]将乐县总医院药剂科,三明353300

出　　处：《中国医药指南》2024年第12期145-147,共3页Guide of China Medicine

摘　　要：目的探讨在老年糖尿病患者中采用支持性心理护理联合主题式健康教育的应用价值。方法纳入将乐县总医院2022年1月至2023年1月收治的118例老年糖尿病患者,按随机数字表法分为两组。对照组(59例)采用常规护理,观察组(59例)采用支持性心理护理联合主题式健康教育,两组均护理4周。对比分析两组自护能力、健康生活方式、糖尿病知识掌握情况、睡眠质量。结果两组护理前自护能力、健康生活方式、糖尿病知识掌握情况、睡眠质量相比无统计学意义(P>0.05);护理后,观察组2型糖尿病自我管理行为量表(2-CDSG)中各维度评分均较对照组高,健康促进生活方式量表(HPLP)、糖尿病知识掌握情况评分均较对照组高,匹兹堡睡眠质量指数量表(PSQI)评分较对照组低(P<0.05)。结论在老年糖尿病患者中实施支持性心理护理联合主题式健康教育可提高疾病知识掌握度、睡眠质量,增强自护能力,改善其生活方式。Objective To explore the application value of supportive psychological nursing combined with thematic health education in elderly patients with diabetes.Methods 118 elderly DM patients admitted to our hospital from January 2022 to January 2023 were selected and divided into two groups using a random number table method.The control group(59 cases)received routine care,while the observation group(59 cases)received supportive psychological care combined with themed health education.Both groups received 4 weeks of care.Compare and analyze the self-care ability,healthy lifestyle,mastery of DM knowledge,and sleep quality between the two groups.Results There was no significant difference in self-care ability,healthy lifestyle,diabetes knowledge and sleep quality between the two groups before nursing(P>0.05).After nursing,the scores of all dimensions of type 2 diabetes self-management behavior scale(2-CDSG)in the observation group were higher than those in the control group,the scores of health Promotion lifestyle scale(HPLP)and diabetes knowledge were higher than those in the control group,and the scores of Pittsburgh Sleep Quality Index scale(PSQI)were lower than those in the control group(P<0.05).Conclusions The combination of supportive psychological care and thematic health education can improve the mastery of disease knowledge and sleep quality of elderly DM patients,enhance their self-care ability,and improve their lifestyle.

关 键 词：糖尿病 老年 支持性心理护理 主题式健康教育 自护能力 睡眠质量 

分 类 号：R587.1[医药卫生—内分泌] R473.5[医药卫生—内科学]