生命力护理干预对2型糖尿病患者生活质量和自我管理能力的影响

摘要

目的：观察生命力护理干预对2型糖尿病患者生活质量和自我管理能力的影响。方法将2011年6月至2012年6月104例2型糖尿病患者随机分为两组各52例，对照组采用常规护理，观察组在对照组护理基础上采用生命力护理干预，采用WHOQOL-100生活质量量表和Deborah糖尿病自我管理量表比较两组护理前后生活质量、自我管理能力以及血糖的变化。结果两组护理后生理功能、精神支柱、社会关系、环境和独立性评分较护理前明显升高，差异有统计学意义(P<0.05)。观察组护理后生理功能、精神支柱、社会关系、环境和独立性评分均明显高于同期对照组水平(P<0.05)。观察组护理后运动、饮食、用药、检查依从性评分较护理前明显升高(P<0.05)，而对照组护理后运动、饮食、用药、检查依从性评分与护理前比较差异无统计学意义(P>0.05)。观察组护理后运动、饮食、用药、检查依从性评分均高于同期对照组水平(P<0.05)。护理干预后观察组空腹血糖、餐后2 h血糖以及糖化血红蛋白水平分别为(6.52±1.25) mmol/L、(9.07±1.89) mmol/L和(5.25±0.92)%，明显低于同期对照组的(8.32±1.68) mmol/L、(12.78±2.34) mmol/L和(9.76±1.28)%，两组比较差异有统计学意义(P<0.05)。结论对2型糖尿病患者实施生命力护理干预能够明显改善患者的生活质量，提高自我管理能力，更好的控制血糖，值得临床推广应用。%Objective To observe the effect of vitality nursing on life quality and self-management ability for patients with type 2 diabetes mellitus. Methods From March 2011 to March 2012, 104 patients with type 2 diabe-tes mellitus were randomly classified into two groups. The control group (n=52) were treated with normal nursing, the observation group (n=52) were treated with vitality nursing at the basis of normal nursing. The life quality, self-man-agement ability and blood sugar between two groups were compared using WHOQOL-100 quality of life table and Deborah diabetes self-management table, respectively. Results Compared with pre-nursing, the scores of physiologi-cal functions, spiritual support, social relations, environmental and independence in both two groups were significant-ly improved after nursing (P<0.05). Moreover, the scores of physiological functions, spiritual support, social relations, environmental and independence in the observation group were significantly higher than those in the control group (P<0.05). The compliance of exercise, diet, medication, checking in the observation group were significantly im-proved after nursing (P<0.05), while no significant differences was found in the control group (P>0.05). Moreover, the compliance of exercise, diet, medication, checking in the observation group were significantly better than those in the control group (P<0.05). After nursing, the levels of fasting glucose, postprandial 2 h glucose and glycosylated he-moglobin in the observation group were (6.52±1.25) mmol/L, (9.07±1.89) mmol/L and (5.25±0.92)%, which were significantly lower than those in the control group [(8.32±1.68) mmol/L, (12.78±2.34) mmol/L and (9.76±1.28)%], P<0.05. Conclusion Vitality nursing on patients with type 2 diabetes mellitus can improve life quality, enhance self-management ability, and control blood glucose, which can be widely applied in clinic.