个性化护理结合认知行为干预对2型糖尿病肥胖女性糖脂代谢、焦虑、抑郁及生活质量的影响  

Effects of Personalized Nursing Combined with Cognitive Behavioral Inter⁃vention on Glucose and Lipid Metabolism,Anxiety and Depression and Quality of Life in Obese Women with Type 2 Diabetes Mellitus

作　　者：翟瑞华[1] 陶爱军 杜向霞 吕燕 陈志霞[1] 于春香 ZHAI Ruihua;TAO Aijun;DU Xiangxia;LYU Yan;CHEN Zhixia;YU Chunxiang(Department of Nursing,Yidu Central Hospital of Weifang,Qingzhou 262500,Shandong,China;Disinfection and Supply Center,Shouguang Hospital of Traditional Chinese Medicine,Shouguang 262700,Shandong,China;Department of Endocrinology,Shouguang Hospital of Traditional Chinese Medicine,Shouguang 262700,Shandong,China;Infection Office,Shouguang Hospital of Traditional Chinese Medicine,Shouguang 262700,Shandong,China;Department of Nursing,Shouguang Hospital of Traditional Chinese Medicine,Shouguang 262700,Shandong,China)

机构地区：[1]山东省潍坊市益都中心医院护理部,山东青州262500 [2]山东省寿光市中医医院消毒供应中心,山东寿光262700 [3]山东省寿光市中医医院内分泌科,山东寿光262700 [4]山东省寿光市中医医院感染办公室,山东寿光262700 [5]山东省寿光市中医医院护理部,山东寿光262700

出　　处：《糖尿病新世界》2024年第13期12-15,共4页Diabetes New World

摘　　要：目的分析个性化护理结合认知行为干预对2型糖尿病肥胖女性糖脂代谢、焦虑、抑郁及生活质量的影响。方法选取2022年2月—2024年2月潍坊市益都中心医院收治的128例2型糖尿病肥胖女性患者为研究对象,按护理方法不同分为对照组(n=64)和观察组(n=64),对照组开展常规护理,观察组采用个性化护理结合认知行为干预,比较两组血糖指标、心理状态评分、生活质量评分、护理依从性。结果护理后,观察组空腹血糖、餐后2 h血糖水平、焦虑、抑郁评分均低于对照组,护理依从性、生活质量评分均高于对照组,差异有统计学意义(P均<0.05)。结论2型糖尿病肥胖女性应用个性化护理结合认知行为干预的效果确切,可改善患者的糖脂代谢水平、焦虑、抑郁情绪及生活质量。Objective To analyze the effects of personalized nursing combined with cognitive behavioral intervention on glucose and lipid metabolism,anxiety,depression and quality of life in obese women with type 2 diabetes mellitus.Methods A total of 128 obese female patients with type 2 diabetes mellitus treated in Yidu Central Hospital of Wei⁃fang from February 2022 to February 2024 were selected as the research objects.According to different nursing meth⁃ods,they were divided into control group(n=64)and observation group(n=64).The control group received routine nursing,and the observation group received personalized nursing combined with cognitive behavioral intervention.Blood glucose index,psychological status score,quality of life score and nursing compliance were compared between the two groups.Results After nursing,the levels fasting plasma glucose,2-hour postprandial plasma glucose,anxiety and depression scores of the observation group were lower than those of the control group,the nursing compliance and quality of life scores were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The effect of individualized nursing combined with cognitive behavioral intervention on obese women with type 2 diabetes mellitus is definite,which can improve the levels of glucose and lipid metabolism,anxi⁃ety,depression,quality of life of patients.

关 键 词：肥胖女性 2型糖尿病 个性化护理 认知行为干预 生活质量 

分 类 号：R587[医药卫生—内分泌]