分级护理干预对2型糖尿病患者衰弱状态和抑郁的影响  

Effects of graded nursing intervention on frailty and depression in patients with type 2 diabetes mellitus

作　　者：闫丽娟[1] 王瑞 YAN Lijuan;WANG Rui(Geriatrics Endocrinology Department,Baoji Central Hospital,Baoji 721008,China;Neurological Department,Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院老年病内分泌科,陕西宝鸡721008 [2]宝鸡市中心医院神经内科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2025年第12期158-161,174,共5页Clinical Research and Practice

摘　　要：目的探讨分级护理干预对2型糖尿病(T2DM)患者衰弱状态和抑郁的影响。方法回顾性分析2017年1月至2021年12月在老年病内分泌科接受治疗的112例T2DM患者的临床资料,按照是否采用分级护理干预措施将其分为对照组(糖尿病和老年科常规护理,57例)和试验组(分级护理干预,55例)。比较两组的糖化血红蛋白、空腹血糖水平及衰弱、运动障碍综合征、抑郁发生率。结果干预后,两组的糖化血红蛋白和空腹血糖水平均低于干预前(P<0.05);干预后,试验组的糖化血红蛋白水平低于对照组(P<0.05);干预后,试验组的空腹血糖水平稍低于对照组,但差异无统计学意义(P>0.05)。干预后,试验组的衰弱、运动障碍综合征及抑郁发生率均低于对照组(P<0.05)。结论与常规护理比较,分级护理干预能有效改善T2DM患者糖化血红蛋白、空腹血糖水平,减少衰弱、抑郁以及运动障碍综合征发生情况,值得推广及应用。Objective To explore the effects of graded nursing intervention on frailty and depression in patients with type 2 diabetes mellitus(T2DM).Methods The clinical data of 112 patients with T2DM who were treated in the Geriatrics Endocrinology Department from January 2017 to December 2021 were retrospectively analyzed.The patients were divided into control group(diabetes and geriatrics department routine nursing,57 cases)and experimental group(graded nursing intervention,55 cases)according to whether graded nursing intervention was adopted.The levels of glycosylated hemoglobin,fasting blood glucose and the incidence of frailty,dyskinesia syndrome and depression were compared between the two groups.Results After intervention,the levels of glycosylated hemoglobin and fasting blood glucose in the two groups were lower than those before intervention(P<0.05);after intervention,the level of glycosylated hemoglobin in the experimental group was lower than that in the control group(P<0.05);after intervention,the fasting blood glucose level of the experimental group was slightly lower than that of the control group,but the difference was no statistically significant(P>0.05).After intervention,the incidences of frailty,dyskinesia syndrome and depression in the experimental group were lower than those in the control group(P<0.05).Conclusion Compared with routine nursing,graded nursing intervention can effectively improve the levels of glycosylated hemoglobin and fasting blood glucose in patients with T2DM,and reduce the occurrence of frailty,depression and dyskinesia syndrome,which is worthy of promotion and application.

关 键 词：2型糖尿病 衰弱 抑郁 分级护理 常规护理 糖化血红蛋白 

分 类 号：R473.5[医药卫生—护理学]