心理護(hù)理干預(yù)應(yīng)用在老年糖尿病患者康復(fù)治療中的干預(yù)效果觀察

[摘要] 目的 觀察心理護(hù)理干預(yù)應(yīng)用在老年糖尿病患者康復(fù)治療中的干預(yù)效果分析。方法 將在該院2017年1月—2018年12月期間收治的老年糖尿病患者總計314例，隨機(jī)數(shù)字法分成對照組（157例）與心理組（157例），其中對照組患者采取常規(guī)護(hù)理干預(yù)，而心理組患者采取心理護(hù)理干預(yù)。對照兩組護(hù)理干預(yù)前、后負(fù)性情緒評價（SAS、SDS）、空腹血糖、糖化血紅蛋白及干預(yù)后對治療的依從性。結(jié)果 護(hù)理后兩組老年患者負(fù)性心理評分均明顯減少，空腹血糖及糖化血紅蛋白水平明顯下降，其中心理組老年患者負(fù)性心理狀態(tài)評分明顯少于對照組，空腹血糖及糖化血紅蛋白水平明顯低于對照組，心理組老年患者依從性優(yōu)良率為99.36%，對照組為92.99%，差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 在老年糖尿病患者康復(fù)治療中，采取心理護(hù)理干預(yù)，可明顯減輕患者負(fù)性情緒，提高對治療的依從性，進(jìn)而降低血糖水平保持穩(wěn)定，效果理想。

[關(guān)鍵詞] 心理護(hù)理;老年糖尿病;康復(fù)治療;干預(yù)效果

[中圖分類號] R473.5? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（a）-0156-03

Observation on the Effect of Psychological Nursing Intervention in the Rehabilitation of Elderly Diabetic Patients

WU Jing-wei

Outpatient Department of Wuzhou Red Cross Hospital， Wuzhou， Guangxi， 543002 China

[Abstract] Objective To observe the effect of psychological nursing intervention in the rehabilitation of elderly diabetic patients. Methods A total of 314 elderly patients with diabetes were admitted to the hospital recently from January 2017 to December 2018. Random number method was used to divide the patients into control group （157 cases） and psychological group （157 cases）. Nursing intervention， while patients in the psychological group took psychological nursing intervention. The negative emotion assessment （SAS， SDS）， fasting blood glucose， glycated hemoglobin， and compliance with treatment after intervention were compared between the two groups. Results After the nursing， the negative psychological scores of the elderly patients in the two groups were significantly reduced， and the fasting blood glucose and glycated hemoglobin levels were significantly reduced. Among them， the negative mental status scores of the elderly patients in the psychological group were significantly lower than those in the control group， and the fasting blood glucose and glycated hemoglobin levels were significantly lower than those in the control group. The compliance rate of elderly patients in the psychological group was 99.36%， and the control group was 92.99%. The difference was statistically significant（P<0.05）. Conclusion In the rehabilitation treatment of elderly diabetic patients， psychological nursing intervention can obviously reduce the patient's negative emotions， improve the compliance with the treatment， and then reduce the blood glucose level to maintain a stable effect.

[Key words] Psychological nursing; Elderly diabetes; Rehabilitation treatment; Intervention effect

隨著人們生活水平提高，逐年以高血糖為典型特征的代謝性疾病糖尿病的發(fā)病率明顯有升高趨勢，多因胰島素分泌缺陷或胰島素生物作用受損所致[1]。據(jù)不完全統(tǒng)計，我國糖尿病發(fā)病率高達(dá)11%以上，多表現(xiàn)為多飲、多尿、多食、體重減輕等癥狀，在長期高血糖的影響下，可造成眼、心臟、腎臟、神經(jīng)的慢性損害及功能障礙[2]。糖尿病雖不可直接對患者的生命造成威脅，是一種終身性疾病，高血糖水平會損害多種靶器官，引發(fā)全身性病變甚至死亡[3]。唯一控制血糖平穩(wěn)則需長期口服降糖藥物或肌肉注射胰島素，但在長期疾病折磨下，致較大心理壓力，尤其是老年糖尿病患者[4]。……