摘要
目的探讨以认知行为疗法为主的综合护理干预对老年糖尿病患者生活质量的影响，以期为临床治疗工作提供理论帮助。方法收集某三甲医院收治的162例老年糖尿病患者，按随机数字表法分为两组，观察组患者共81例，实施以认知行为疗法为主的综合护理干预；对照组患者共81例，只进行常规护理。应用生活质量量表（SF-36）分析两组患者干预前后生活质量差别。结果干预前观察组与对照组SF-36评分总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能及精神健康维度评分差异均无统计学意义（P〉0．05）。干预后观察组SF-36中总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康得分分别为（78．35±3．43），（77．65±4．63），（79．32±4．93），（78．63±3．85），（77．53±4．25），（76．58±3．75），（79．05±5．05），（79．24±4．82）分，均高于对照组的（73．46±4．37），（72．43±4．50），（74．63±4．14），（73．42±3．75），（72．19±3．61），（72．03±3．92），（72．93±3．69），（72．83±3．86）分，差异具有统计学意义（t分别为6．34，6．15，6．32，6．07，7．02，6．75，8．34，8．75；P〈0．05）。结论对老年糖尿病患者尽早进行以认知行为疗法为主的综合护理干预，能显著改善患者的生活质量。
Objective To explore the effect of cognition behavior - based comprehensive nursing intervention on quality of life of elderly patients with diabetes in order to provide the theoretical help for clinical treatment. Methods One hundred and sixty-two elderly patients with diabetes in a 3 A grade hospital were randomly divided into two groups according to random number table, each with 81 cases. The observation group received the cognition behavior-based comprehensive nursing intervention, and the control group received the routine nursing. The quality of life was evaluated by short form 36 questionnaire （SF-36.） in two groups before and after the intervention. Results No differences were found in the eight dimensions score of life quality between two groups before the intervention （ P 〉 0.05）. The scores of overall health, physiological function, physiological role, body pain, vitality, social function, emotional function, mental health were respectively （78.35±3.43）, （77.65 ±4.63）, （79.32 ±4.93）, （78.63 ±3.85）, （77.53 ±4.25）, （76.58 ±3.75）, （79.05±5.05）, （79.24± 4. 82） in the observation group after the intervention, and were higher than （73.46 ±4.37）, （72.43±4.50）, （74.63±4.14）, （73.42 ±3.75）, （72.19 ±3.61）, （72.03±3.92）, （72.93 ± 3.69 ）, （72.83 ± 3.86 ） in the control group, and the differences were statistically significant （ t = 6.34, 6.15, 6.32, 6.07,7.02,6.75,8.34,8.75, respectively; P 〈 O. 05 ）. Conclusions The cognition behavior-based comprehensive nursing intervention in elderly patients with diabetes can significantly improve their quality of life.
出处
《中华现代护理杂志》
2013年第35期4333-4336,共4页
Chinese Journal of Modern Nursing
关键词
老年人
糖尿病
生活质量
认知行为疗法
Elderly
Diabetes
Quality of life
Cognitive behavior therapy
