摘要
目的:探讨老年糖尿病患者应用个性化心理指导联合微信健康教育干预对患者心理状态、遵医行为及血糖控制达标情况的影响。方法:选取2019年3-11月入院的59例糖尿病患者纳入对照组,采用常规模式干预,2019年12月-2020年8月入院的59例糖尿病患者纳入观察组,采用个性化心理指导联合微信健康教育干预,两组均为期干预8周。观察两组患者的心理状态、遵医行为、血糖控制达标情况及生活质量状况。结果:干预后对照组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分明显高于观察组(t=4.684,5.146;P<0.05),对照组遵医行为与观察组比较明显较差(Z=4.138,P<0.05),对照组血糖达标率明显低于观察组(χ^(2)=4.883,P<0.05),对照组空腹血糖、餐后2h血糖、糖化血红蛋白水平明显高于观察组(t=4.986,2.079,2.534;P<0.05),对照组生活质量量表(GQOLI-74)中躯体功能、心理功能、社会功能、物质生活状态评分明显低于观察组(t=-3.877,-2.845,-2.727,-2.950;P<0.05)。结论:个性化心理指导联合微信健康教育能提升糖尿病患者的遵医行为,帮助患者有效控制血糖,提高血糖控制达标率,缓解负性情绪,促进患者回归正常生活。
Objective:To explore the influence of personalized psychological guidance combined with WeChat health education intervention on the psychological state,compliance behavior and blood glucose control of elderly diabetic patients.Methods:A total of 59 diabetic patients admitted from March 2019 to November 2019 were included in the control group,and 59 diabetic patients admitted from December 2019 to August 2020 were included in the observation group,and both groups were intervened for 8 weeks with personalized psychological guidance and WeChat health education.The psychological state,compliance behavior,blood sugar control standard and quality of life of two groups were observed.Results:After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the control group were significantly higher than those in the observation group(t=4.684,5.146;P<0.05).The compliance behavior of the control group was significantly worse than that of the observation group(Z=4.138,P<0.05),the blood glucose compliance rate of the control group was significantly lower than that of the observation group(χ^(2)=4.883,P<0.05),the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels of the control group were significantly higher than those of the observation group(t=4.986,2.079,2.534;P<0.05).The scores of physical function,psychological function,social function and material living state in the control group(t=-3.877,-2.845,-2.727,-2.950;P<0.05)were significantly lower than those in the observation group.Conclusion:Personalized psychological guidance combined with WeChat health education can improve the compliance behavior of diabetic patients,help patients effectively control blood sugar,improve the compliance rate of blood sugar control,relieve negative emotions and promote patients to return to normal life.
作者
李玉萍
董瑞鸿
桑艳红
翟红娟
LI Yuping;DONG Ruihong;SANG Yanhong(Nursing Teaching and Research Section,The Fifth Affiliated Hospital of Zhengzhou University,Henan,Zhengzhou,450000 China)
出处
《中国健康心理学杂志》
北大核心
2021年第11期1646-1650,共5页
China Journal of Health Psychology
基金
河南省医学科技攻关计划项目项目(编号:2018020232)。
关键词
糖尿病
个性化心理指导
微信健康教育
心理状态
遵医行为
Diabetes mellitus
Personalized psychological guidance
WeChat health education
Psychological state
Compliance behavior
