延续性护理对老年糖尿病肾病患者治疗依从性、负性情绪和生活质量的影响
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摘要
目的探讨延续性护理对老年糖尿病肾病患者治疗依从性、负性情绪和生活质量的影响,以期为临床护理方法的选择提供依据。方法选择2015年7月2017年12月期间汕尾市海丰县彭湃纪念医院收治的100例老年糖尿病肾病患者为研究对象,根据随机数表法分为对照组和观察组,每组50例,所有患者均给予控制血糖等对症治疗,对照组患者出院时常规健康宣教和出院指导,以及门诊定期复诊,观察组患者出院后进行延续性护理干预,干预时间6个月。比较两组患者干预后的治疗依从性,采用Zung焦虑(SAS)和抑郁自评量表(SDS)评价焦虑和抑郁情况,并采用SF-36量表评价生活质量,包括生理健康总评分(PCS)和心理健康总评分(MCS)两个方面。结果干预后,观察组患者的治疗依从率为86.0%,明显高于对照组的70.0%,差异有统计学意义(P<0.05);干预后,观察组患者的SAS、SDS评分分别为(45.8±4.7)分和(44.3±4.2)分,明显低于对照组的(48.2±5.1)分和(47.1±5.4)分,SF-36量表中的PCS、MCS分别为(68.3±7.5)分和(68.7±6.9)分,明显高于对照组的(61.2±6.8)分和(62.4±6.7)分,差异均有统计学意义(P<0.05)。结论老年糖尿病肾病患者应用延续护理干预可以显著提高患者的治疗依从性,改善焦虑、抑郁等负性情绪,进而提高患者的生活质量。
Objective To explore the effect of continuous nursing on compliance, negative emotion, and quality of life in elderly diabetic nephropathy, and to provide basis for selection of clinical nursing methods. Methods A total of 100 patients with diabetic nephropathy treated in Department of Gynaecology, Meifeng Pengpai Memorial Hospital from July 2015 to December 2017 were selected. They were divided into control group and observation group according to the random digital table, with 50 cases in each group. All the patients were treated with blood glucose control. The control group discharged from the hospital with regular health education and discharge guidance, and the observation group was given continuous nursing intervention at discharge, the intervention time was 6 months. The therapeutic compliance after intervention was compared between the two groups. Zung anxiety(SAS) and depression self-rating scale(SDS) were used to evaluate anxiety and depression. The quality of life(QOL) was evaluated with the SF-36 scale, including the general score of physical health(PCS) and the general score of mental health(MCS). Results After intervention, the compliance rate of the observation group was 86.0%, which was significantly higher than 70.0% of the control group(P<0.05). The scores of SAS and SDS in the observation group were 45.8±4.7 and 44.3±4.2 respectively,which were significantly lower than 48.2±5.1 and 47.1±5.4 of the control group, but PCS and MCS were 68.3±7.5 and68.7 ± 6.9 respectively, which were significantly higher than 61.2 ± 6.8 and 62.4 ± 6.7 of the control group(P<0.05).Conclusion The application of continuous nursing intervention in the elderly diabetic nephropathy patients can significantly improve the patients' compliance to the treatment, improve anxiety, depression and other negative temperament,and then improve the quality of life of the patients.
Objective To explore the effect of continuous nursing on compliance, negative emotion, and quality of life in elderly diabetic nephropathy, and to provide basis for selection of clinical nursing methods. Methods A total of 100 patients with diabetic nephropathy treated in Department of Gynaecology, Meifeng Pengpai Memorial Hospital from July 2015 to December 2017 were selected. They were divided into control group and observation group according to the random digital table, with 50 cases in each group. All the patients were treated with blood glucose control. The control group discharged from the hospital with regular health education and discharge guidance, and the observation group was given continuous nursing intervention at discharge, the intervention time was 6 months. The therapeutic compliance after intervention was compared between the two groups. Zung anxiety(SAS) and depression self-rating scale(SDS) were used to evaluate anxiety and depression. The quality of life(QOL) was evaluated with the SF-36 scale, including the general score of physical health(PCS) and the general score of mental health(MCS). Results After intervention, the compliance rate of the observation group was 86.0%, which was significantly higher than 70.0% of the control group(P<0.05). The scores of SAS and SDS in the observation group were 45.8±4.7 and 44.3±4.2 respectively,which were significantly lower than 48.2±5.1 and 47.1±5.4 of the control group, but PCS and MCS were 68.3±7.5 and68.7 ± 6.9 respectively, which were significantly higher than 61.2 ± 6.8 and 62.4 ± 6.7 of the control group(P<0.05).Conclusion The application of continuous nursing intervention in the elderly diabetic nephropathy patients can significantly improve the patients' compliance to the treatment, improve anxiety, depression and other negative temperament,and then improve the quality of life of the patients.
引文
[1]范文君,祝菁菁,黄韻宇,等.我国糖尿病肾病的流行现状及其危险因素[J].中国慢性病预防与控制, 2013, 21(6):748-751.
[2]李静,石理华.黄葵胶囊治疗糖尿病肾病患者尿蛋白的临床观察[J].海南医学, 2013, 24(21):3200-3201.
[3]陈洁,孔国美,陈萍,等.舒适护理模式在糖尿病肾病血液透析患者中的应用效果观察[J].中国现代医生, 2013, 51(24):102-105.
[4]孙冬尼.综合护理干预对糖尿病肾病血液透析患者的影响[J].护理实践与研究, 2013, 10(9):27-28.
[5]李静,梁田田,王文健.糖尿病肾病的早期诊断[J].中华肾脏病杂志, 2017, 33(6):470-475.
[6]耿国民,周洪恩,李阳春,等.丹参川芎嗪注射液联合厄贝沙坦治疗糖尿病肾病的成本-效果分析[J].中国药房, 2013, 24(8):733-736.
[7]陈晓正,陈曦,何健敏.胰激肽原酶治疗糖尿病肾病疗效的系统评价[J].海南医学, 2014, 25(1):119-125.
[8]李梦倩,胡勃,孙茜,等.糖尿病肾病患者焦虑、抑郁情况及生存质量调查研究[J].江西医药, 2014, 49(1):59-61.
[9]付艳艳.糖尿病肾病患者治疗依从性调查分析[J].中国中医药现代远程教育, 2017, 15(6):50-52.
[10]汪晓红,黎汝,黎艳.老年糖尿病肾病患者的生活质量和情感变化[J].中国老年学杂志, 2014, 34(5):1352-1353.
[11]李晓娟,李惠玲.延续性护理实践研究进展[J].中华现代护理杂志,2014, 20(17):2164-2166.
[12]王倩.延续性护理研究进展[J].齐鲁护理杂志, 2016, 22(1):56-58.
[13]张建荣,李燕,张金秀,等.延续性护理在高血压脑出血患者中的实施及对生活能力的影响[J].国际神经病学神经外科学杂志, 2015,42(1):37-40.
[14]闫博琳,路英,王佳,等.延续性护理对老年H型高血压认知功能障碍患者生活质量的影响[J].中华现代护理杂志, 2015, 21(10):1139-1142, 1143.
[15]金逸,施雁,龚美芳,等.以慢性病患者为中心的延续性护理模式的实施与效果[J].中华护理杂志, 2015, 50(11):1388-1391.
[2]李静,石理华.黄葵胶囊治疗糖尿病肾病患者尿蛋白的临床观察[J].海南医学, 2013, 24(21):3200-3201.
[3]陈洁,孔国美,陈萍,等.舒适护理模式在糖尿病肾病血液透析患者中的应用效果观察[J].中国现代医生, 2013, 51(24):102-105.
[4]孙冬尼.综合护理干预对糖尿病肾病血液透析患者的影响[J].护理实践与研究, 2013, 10(9):27-28.
[5]李静,梁田田,王文健.糖尿病肾病的早期诊断[J].中华肾脏病杂志, 2017, 33(6):470-475.
[6]耿国民,周洪恩,李阳春,等.丹参川芎嗪注射液联合厄贝沙坦治疗糖尿病肾病的成本-效果分析[J].中国药房, 2013, 24(8):733-736.
[7]陈晓正,陈曦,何健敏.胰激肽原酶治疗糖尿病肾病疗效的系统评价[J].海南医学, 2014, 25(1):119-125.
[8]李梦倩,胡勃,孙茜,等.糖尿病肾病患者焦虑、抑郁情况及生存质量调查研究[J].江西医药, 2014, 49(1):59-61.
[9]付艳艳.糖尿病肾病患者治疗依从性调查分析[J].中国中医药现代远程教育, 2017, 15(6):50-52.
[10]汪晓红,黎汝,黎艳.老年糖尿病肾病患者的生活质量和情感变化[J].中国老年学杂志, 2014, 34(5):1352-1353.
[11]李晓娟,李惠玲.延续性护理实践研究进展[J].中华现代护理杂志,2014, 20(17):2164-2166.
[12]王倩.延续性护理研究进展[J].齐鲁护理杂志, 2016, 22(1):56-58.
[13]张建荣,李燕,张金秀,等.延续性护理在高血压脑出血患者中的实施及对生活能力的影响[J].国际神经病学神经外科学杂志, 2015,42(1):37-40.
[14]闫博琳,路英,王佳,等.延续性护理对老年H型高血压认知功能障碍患者生活质量的影响[J].中华现代护理杂志, 2015, 21(10):1139-1142, 1143.
[15]金逸,施雁,龚美芳,等.以慢性病患者为中心的延续性护理模式的实施与效果[J].中华护理杂志, 2015, 50(11):1388-1391.