摘要
目的探讨团体心理干预联合5 A护理模式应用于妊娠期糖尿病患者中对心理韧性及自我管理能力的影响。方法选取2018年10月—2020年10月在莆田市第一医院接受治疗的85例妊娠期糖尿病患者作为研究对象,根据随机数字表法将患者分为两组,分别为观察组(n=43)与对照组(n=42),对照组实行常规护理干预,观察组实行团体心理干预联合5A护理模式干预,对两组心理韧性、血糖水平及自我管理能力进行比较。结果干预后,两组心理弹性量表(CD-RISC)评分明显高于干预前,差异有统计学意义(P<0.05),观察组CD-RISC评分中力量性评分(14.65±2.48)分、乐观性评分(26.75±2.64)分、坚韧性评分(45.33±3.19)分高于对照组,差异有统计学意义(t=13.958、2.970、12.664,P<0.05);干预后,两组血糖水平低于干预前,差异有统计学意义(P<0.05),观察组空腹血糖(FPG)(5.29±0.21)mmol/L、糖化血红蛋白(HbA1c)水平(6.73±0.64)%明显较对照组更低,差异有统计学意义(P<0.05);干预后,两组自我护理能力测定量表(ESCA)评分明显高于干预前,观察组ESCA评分(137.19±12.35)分明显高于对照组,差异有统计学意义(P<0.05)。结论在妊娠期糖尿病患者中团体心理干预联合5A护理模式的应用有利于提高自我管理能力,改善心理韧性,效果较好。
Objective To explore the effect of group psychological intervention combined with 5 A nursing mode on mental toughness and self-management ability in patients with gestational diabetes mellitus.Methods Selected 85 patients with gestational diabetes who were treated in Putian first hospital from October 2018 to October 2020 as the research objects.According to the random number table method,the patients were divided into two groups,the observation group(n=43) and the control group(n=42).The control group implemented routine nursing intervention,and the observation group implemented group psychological intervention combined with 5 A nursing mode intervention.The psychological toughness,blood glucose level and self-management ability of the two groups were compared.Results After the intervention,the scores of the two groups of mental resilience scale(CD-RISC) were significantly higher than those before the intervention,the difference was statistically significant(P<0.05).In the CD-RISC score of the observation group,the scores of strength score(14.65±2.48)points,optimism score(26.75±2.64)points,and toughness score(45.33±3.19)points were higher than those of the control group.The difference was statistically significant(t=13.958,2.970,12.664,P<0.05);after the intervention,the blood glucose levels of the two groups were lower than before the intervention,the difference was statistically significant(P<0.05),the fasting blood glucose(FPG)(5.29 ±0.21)mmol/L and the level of glycosylated hemoglobin(HbA1 c)(6.73 ±0.64)% of the observation group were significantly lower than those of the control group.The difference was statistically significant(P<0.05);after the intervention,the scores of the self-care ability assessment scale(ESCA) of the two groups were significantly higher than those before the intervention,the ESCA score(137.19±12.35)points of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of group p
作者
邱立英
QIU Liying(Department of Gynecology,Putian First Hospital,Putian,Fujian Province,351100 China)
出处
《糖尿病新世界》
2021年第19期163-166,共4页
Diabetes New World Magazine
关键词
团体心理干预
5A护理
妊娠期糖尿病
心理韧性
自我管理能力
Group psychological intervention
5 A care
Gestational diabetes mellitus
Mental toughness
Self-management ability
