摘要
目的探讨Snyder希望理论的心理干预模式在老年糖尿病肾病中的临床应用价值。方法选取2021年1月至2022年12月124例老年糖尿病肾病患者,按入院顺序分为实验组(n=62)、对照组(n=62),对照组行常规护理,实验组在此基础上行Snyder希望理论的心理干预模式。比较两组血糖水平[空腹血糖(FBG)、餐后2h血糖(2hPG)]、自我管理能力[自我护理能力测量量表(ESCA)]、心理弹性[Wagnild-Young心理弹性量表(RS-11)]、希望水平[中文版Herth希望量表(C-HHI)]。结果实验组FBG、2hPG指标水平均低于对照组(P<0.05);干预后实验组自护能力、自护责任、健康知识水平、自护技能、自我概念评分高于对照组(P<0.05);干预后两组RS-11评分均较干预前升高(P<0.05);干预后实验组RS-11评分高于对照组(P<0.05);干预后实验组C-HHI评分高于对照组(P<0.05)。结论对老年糖尿病肾病患者实施Snyder希望理论的心理干预模式,能提高心理弹性、希望水平、自我管理能力,降低血糖水平。
Objective To explore the clinical value of Snyder’s hope theory psychological intervention model in elderly diabetes nephropathy.Methods 124 elderly patients with diabetes nephropathy from January 2021 to December 2022 were selected and divided into experimental group(n=62)and control group(n=62)according to the order of admission.The control group received routine nursing care.The experimental group carried out the psychological intervention model of Snyder’s hope theory.Compare the blood glucose levels[fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPG)],self-management ability[self-care ability measurement scale(ESCA)],psychological resilience[Wagnild-Young psychological resilience scale(RS-11)],and hope levels[Chinese version of Herth hope scale(C-HHI)]of two groups.Results The levels of FBG and 2hPG indicators in the experimental group were lower than those in the control group(P<0.05);after intervention,the self-care ability,self-care responsibility,health knowledge level,self-care skills,and self-concept scores of the experimental group were higher than those of the control group(P<0.05);after intervention,the RS-11 scores of both groups increased compared to before intervention(P<0.05);after intervention,the RS-11 score of the and the C-HHI score of the experimental group was higher than that of the control group(P<0.05).Conclusion The implementation of Snyder’s hope theory psychological intervention model in elderly patients with diabetes nephropathy can improve psychological resilience,hope level,self-management ability and reduce blood sugar level.
作者
黄世英
刘彦会
雷龙涛
Huang Shi-ying(Xinzheng Public People’s Hospital,Zhengzhou 451100,Henan,China)
出处
《牡丹江医学院学报》
2024年第2期36-39,共4页
Journal of Mudanjiang Medical University
基金
河南省医学科技攻关计划项目(2018020810)。
