整体护理对老年2型糖尿病患者焦虑抑郁障碍及生活质量的影响效果观察(1)
【摘要】 目的 观察整体护理对老年2型糖尿病患者焦虑抑郁障碍及生活质量的影响效果。
方法 92例老年2型糖尿病患者， 采取随机数字表法分成对照组和实验组， 各46例。对照组患者采取常规护理干预， 实验组患者采取整体护理干预。比较两组患者干预前后焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分、世界卫生组织生存质量简表(WHOQOL - BREF)评分及患者对服药的依从性、对护理的满意率。结果 干预后， 两组患者SAS、SDS評分均低于干预前， 且实验组SAS评分(47.32±2.84)分、SDS评分(50.93±2.74)分明显低于对照组的(52.95±4.72)、(58.33±4.89)分， 差异有统计学意义(P<0.05)。干预后， 两组患者生理、心理、 社会、环境、独立及精神世界/宗教/个人信仰评分均明显高于干预前， 且实验组患者明显高于对照组， 差异有统计学意义(P<0.05)。实验组患者对服药的依从性优良率100.00%明显高于对照组的86.96%， 对护理的总满意率100.00%明显高于对照组的91.30%， 差异均有统计学意义(P<0.05)。结论 在老年2型糖尿病患者的护理中采取整体护理干预， 可明显减轻患者的焦虑、抑郁程度， 提高患者对服药的依从性， 提升护理满意率， 进而改善患者的生活质量， 效果理想。
【关键词】 整体护理;老年2型糖尿病;焦虑抑郁障碍;生活质量
DOI：10.14163/j.cnki.11-5547/r.2020.18.074
The effect of holistic nursing on anxiety and depression disorders and quality of life in elderly patients with type 2 diabetes mellitus YE Yin-zhu， LYU Wei-yuan， CHEN Bao-chang， et al. Jiangmen Third People’s Hospital， Jiangmen 529000， China
【Abstract】 Objective To observe the effect of holistic nursing on anxiety and depression disorders and quality of life in elderly patients with type 2 diabetes mellitus. Methods A total of 92 elderly patients with type 2 diabetes mellitus were divided into control group and experimental group by random numerical table， with
46 cases in each group. The control group received conventional nursing intervention， and the experimental group received holistic nursing intervention. The self-rating anxiety scale (SAS) score， self-rating depression scale (SDS) score， World Health Organization quality of life-BREF (WHOQOL-BREF) score， medication compliance before and after intervention， and satisfaction rate with nursing were compared between the two groups. Results After intervention， SAS and SDS score of the two groups were lower than those before intervention， and SAS score (47.32±2.84) points and SDS score (50.93±2.74) points of the experimental group were obviously lower than those of the control group (52.95±4.72) and (58.33±4.89) points， and the difference was statistically significant (P<0.05). After intervention， the physical， psychological， social， environmental， independent and spiritual world / religion / personal belief score of the two groups were obviously higher than those before intervention， and the experimental group was obviously higher than that of the control group， and the difference was statistically significant (P<0.05). The excellent rate of medication compliance 100.00% of the experimental group was obviously higher than that of the control group 86.96%， and satisfaction rate with nursing 100.00% was obviously higher than that of the control group 91.30%， and the difference was statistically significant (P<0.05). Conclusion Holistic nursing intervention in elderly patients with type 2 diabetes mellitus can significantly reduce anxiety and depression， improve the medication compliance， improve the satisfaction rate with nursing of patients， and thus improving their quality of life., 百拇医药(叶银烛 吕伟垣 陈宝嫦 刘美娇)
方法 92例老年2型糖尿病患者， 采取随机数字表法分成对照组和实验组， 各46例。对照组患者采取常规护理干预， 实验组患者采取整体护理干预。比较两组患者干预前后焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分、世界卫生组织生存质量简表(WHOQOL - BREF)评分及患者对服药的依从性、对护理的满意率。结果 干预后， 两组患者SAS、SDS評分均低于干预前， 且实验组SAS评分(47.32±2.84)分、SDS评分(50.93±2.74)分明显低于对照组的(52.95±4.72)、(58.33±4.89)分， 差异有统计学意义(P<0.05)。干预后， 两组患者生理、心理、 社会、环境、独立及精神世界/宗教/个人信仰评分均明显高于干预前， 且实验组患者明显高于对照组， 差异有统计学意义(P<0.05)。实验组患者对服药的依从性优良率100.00%明显高于对照组的86.96%， 对护理的总满意率100.00%明显高于对照组的91.30%， 差异均有统计学意义(P<0.05)。结论 在老年2型糖尿病患者的护理中采取整体护理干预， 可明显减轻患者的焦虑、抑郁程度， 提高患者对服药的依从性， 提升护理满意率， 进而改善患者的生活质量， 效果理想。
【关键词】 整体护理;老年2型糖尿病;焦虑抑郁障碍;生活质量
DOI：10.14163/j.cnki.11-5547/r.2020.18.074
The effect of holistic nursing on anxiety and depression disorders and quality of life in elderly patients with type 2 diabetes mellitus YE Yin-zhu， LYU Wei-yuan， CHEN Bao-chang， et al. Jiangmen Third People’s Hospital， Jiangmen 529000， China
【Abstract】 Objective To observe the effect of holistic nursing on anxiety and depression disorders and quality of life in elderly patients with type 2 diabetes mellitus. Methods A total of 92 elderly patients with type 2 diabetes mellitus were divided into control group and experimental group by random numerical table， with
46 cases in each group. The control group received conventional nursing intervention， and the experimental group received holistic nursing intervention. The self-rating anxiety scale (SAS) score， self-rating depression scale (SDS) score， World Health Organization quality of life-BREF (WHOQOL-BREF) score， medication compliance before and after intervention， and satisfaction rate with nursing were compared between the two groups. Results After intervention， SAS and SDS score of the two groups were lower than those before intervention， and SAS score (47.32±2.84) points and SDS score (50.93±2.74) points of the experimental group were obviously lower than those of the control group (52.95±4.72) and (58.33±4.89) points， and the difference was statistically significant (P<0.05). After intervention， the physical， psychological， social， environmental， independent and spiritual world / religion / personal belief score of the two groups were obviously higher than those before intervention， and the experimental group was obviously higher than that of the control group， and the difference was statistically significant (P<0.05). The excellent rate of medication compliance 100.00% of the experimental group was obviously higher than that of the control group 86.96%， and satisfaction rate with nursing 100.00% was obviously higher than that of the control group 91.30%， and the difference was statistically significant (P<0.05). Conclusion Holistic nursing intervention in elderly patients with type 2 diabetes mellitus can significantly reduce anxiety and depression， improve the medication compliance， improve the satisfaction rate with nursing of patients， and thus improving their quality of life., 百拇医药(叶银烛 吕伟垣 陈宝嫦 刘美娇)
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