摘要
目的探讨协同护理模式在老年糖尿病护理中的应用效果。方法老年糖尿病病人78例,随机分为观察组和对照组,各39例,观察组采用协同护理模式进行护理干预,对照组采用常规传统护理模式进行护理干预。应用自行设计的糖尿病治疗依从性调查问卷,调查两组病人干预后的治疗依从性情况;采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评价两组病人抑郁及焦虑情况。结果干预前两组病人治疗依从性比较,差异无显著性(P>0.05)。干预后,两组病人治疗依从性评分均较干预前有所提高,差异有统计学意义(t=31.181、11.648,P<0.01)。观察组干预后依从性评分总分高于对照组,差异有统计学意义(t=-22.687,P<0.01)。干预后观察组病人SDS和SAS评分低于对照组,差异有统计学意义(t=5.754、6.324,P<0.01)。结论应用协同护理模式进行护理干预,有助于提高老年糖尿病病人治疗依从性,并可以改善病人的不良情绪。
Objective To explore the effects of collaborative care model on elderly patients with diabetes. Methods This study consisted of 78 elderly patients with diabetes who were equally randomized to observation group and control group.The patients in the observation group were given synergic nursing models to carry out nursing intervention,for those in the control group were offered conventional nursing models.A self-designed questionaire on diabetes-treatment compliance was used to investigate the treatment compliance after the intervention,and a self-designed self-rating depression scale was applied to assess depression and anxiety of patients in the two groups. Results Before the intervention,the difference between the two groups was not significant in terms of treatment compliance（P 〉0.05）,after the intervention,the score of treatment compliance of the two groups improved,the difference was statistically significant（t=31.181,11.648;P〈0.01）.The total score of treatment compliance in the observation group after intervention was higher than that in the control（t=-22.687,P〈0.01）,and the score of depression and anxiety was lower versus the control（t=5.754,6.324;P〈0.01）. Conclusion Using synergic nursing models to carry out nursing care is conducive to enhancing treatment compliance in senior patients with diabetes and improving their unhealthy emotions.
出处
《齐鲁医学杂志》
2015年第4期481-483,共3页
Medical Journal of Qilu
关键词
糖尿病
服药依从性
协同护理模式
抑郁
焦虑
diabetes mellitus
medication adherence
collaborative care model
depression
anxiety
