分阶段达标管理模式对陕西省铜川市某社区空巢老年糖尿病患者负性情绪及血糖水平的影响

摘要

Objective: To explore the impact of Staged Diabetes Target Management model on empty-nest elderly people with diabetes neg-ative emotions, blood sugar levels.Methods: Analyze the baseline conditions of 66 cases of empty-nest elderly patients with diabetes mellitus type 2 using Staged Diabetes Target Management model, and compare the change of HbA1c and FBG.Then use Self -rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) to conduct psychological evaluation and analyze the change of negative emotions after SDTM. Results: After SDTM, HbA1c and FBG were reduced (6.75 ±1.20) % and (6.64 ±1.39) mmol/L (P<0.01), and HbA1c ≥9.5% group (n=21) reduced (7.52 ±1.54) %.Besides, 88% of patients have improved.After the intervention, the SAS and SDS scores was significantly lower than the control group (P<0.05).Conclusion:Staged Diabetes Target Management can adjust the empty-nest elderly people with diabe-tes negative emotion, and significantly improve the glucose metabolism.%目的：探讨分阶段糖尿病达标管理模式（ Staged Diabetes Target Management ，SDTM））对陕西省某社区空巢老年糖尿病患者负性情绪及血糖水平的影响。方法：分析2012年10月体检后确诊的进入社区卫生服务中心SDTM追踪管理模式的空巢老年2型糖尿病（Diabetes mellitus type 2，T2DM）患者66例的基线状况，比较糖化血红蛋白（HbA1c）、血糖（FBG）的变化。同时采用焦虑自评量表（ Self—Rating Anxiety Scale，SAS）和抑郁自评量表（ Self－Rating Depression Scale，SDS）对其进行心理测评，分析SDTM追踪管理前后空巢老年糖尿病患者负性情绪的变化。结果：管理后HbA1 c及FBG分别降至（6．75±1．20）％和（6．64±1．39）mmol／L（P＜0．01）， HbA1c≥9．5％组（n＝21）降至（7．52±1．54）％，改善患者比例达88％。干预后患者SAS、SDS得分较对照组均显著降低，差异具有统计学意义（ P＜0．05）。结论：SDTM追踪管理可以调整老年空巢糖尿病患者负性情绪，显著改善葡萄糖代谢水平。