摘要
目的:探析以自我管理为导向的5A护理联合人文关怀在老年2型糖尿病(T2DM)患者中的实施效果。方法:选取2021年1月—2022年12月福建中医药大学附属人民医院收治的84例T2DM患者作为研究对象,根据随机数表法将其分为对照组和观察组,各42例。对照组给予常规护理,观察组实施以自我管理为导向的5A护理联合人文关怀,比较两组血糖水平、自我管理能力及护理满意度。结果:护理前,两组空腹血糖(FBG)、餐后2 h血糖(2 h PG)水平比较,差异无统计学意义(P>0.05);护理后,两组FBG、2 h PG水平低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理前,两组糖尿病自我管理行为量表(SDSCA)各维度评分比较,差异无统计学意义(P>0.05);护理后,两组SDSCA量表各维度评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理总满意度为95.24%,高于对照组的80.95%,差异有统计学意义(P<0.05)。结论:老年T2DM患者实施以自我管理为导向的5A护理联合人文关怀,可更好地控制血糖水平,且能有效提升患者自我管理能力及对护理服务的满意度。
Objective:To explore the implementation effect of self-management oriented 5A nursing combined with humanistic care in elderly patients with type 2 diabetes mellitus(T2DM).Method:A total of 84 patients with T2DM who admitted to People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2021 to December 2022 were selected as the research objects,they were divided into the control group and the observation group according to the random number table method,with 42 cases in each group.The control group was given routine nursing,and the observation group was given self-management oriented 5A nursing combined with humanistic care.The blood glucose level,self-management ability and nursing satisfaction were compared between two groups.Result:Before nursing,there were no significant differences in the levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG)between two groups(P>0.05);after nursing,the levels of FBG,2 h PG in two groups were lower than those before nursing,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in the scores of each dimension of summary of diabetes of self-care activities(SDSCA)between two groups(P>0.05);after nursing,the scores of each dimension of SDSCA scale in two groups were higher than those before nursing,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group was 95.24%,which was higher than 80.95%of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of self-management oriented 5A nursing combined with humanistic care in elderly patients with T2DM can better control blood glucose levels,and can effectively improve patients'self�management ability and satisfaction with nursing services.
作者
林榕
LIN Rong(People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China)
出处
《中外医学研究》
2024年第3期103-106,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
2型糖尿病
自我管理
5A护理
人文关怀
血糖水平
Type 2 diabetes mellitus
Self-management
5A nursing
Humanistic care
Blood glucose levels
