首页|基于现状—背景—评估—建议模式的心理护理对老年糖尿病患者心理状态及疾病不确定感的影响

基于现状—背景—评估—建议模式的心理护理对老年糖尿病患者心理状态及疾病不确定感的影响

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目的:探讨基于现状—背景—评估—建议(SBAR)模式的心理护理对老年糖尿病患者心理状态及疾病不确定感的影响,为临床护理提供依据.方法:选取2019年1月—2021年12月郑州大学第一附属医院内分泌及代谢病科收治的100例老年糖尿病患者作为研究对象,按照随机原则将其分为对照组与研究组,每组各50例.对照组实施常规护理干预,研究组在常规护理基础上实施基于SBAR模式的心理护理干预.比较两组患者干预前后心理状态[中文版简明心境量表(BPOMS)评分]、疾病不确定感[Mishel疾病不确定感量表(MUIS-A)评分]及健康赋权(老年慢性病患者健康赋权量表评分)情况.结果:干预后,研究组患者BPOMS各维度评分及总分均明显低于对照组,差异有统计学意义(t=3.818、4.702、5.516、5.189、6.289、6.403、3.602,P<0.05).干预后,研究组患者MUIS-A各维度评分及总分均明显低于对照组,差异有统计学意义(t=11.773、11.522、12.224、9.832、13.670,P<0.05).干预后,研究组患者健康赋权量表各维度评分及总分均明显高于对照组,差异有统计学意义(t=7.773、8.676、7.282、7.905、8.704、6.782,P<0.05).结论:基于SBAR模式的心理护理干预能够有效改善老年糖尿病患者的心理状态,减轻患者的疾病不确定感,提高患者的健康赋权水平.
Effect of Psychological Nursing Based on SBAR Model on the Psychological State and Uncertainty of Elderly Patients with Diabetes
Objective:To explore the effect of psychological nursing based on status quo-background-assessment-suggestion(SBAR)model on the psychological status and disease uncertainty of elderly diabetes patients,so as to provide reference for clinical nursing.Methods:A total of 100 elderly patients with diabetes mellitus were selected from the Department of Endocrinology and Metabolism,the First Affiliated Hospital of Zhengzhou University from January,2019 to December,2019.They were randomly divided into control group and study group,with 50 cases in each group.The control group was given routine nursing intervention,and the study group was given psychological nursing intervention based on SBAR model.The mental status(BPOMS),uncertainty of illness(MUIS-A)and health empowerment(health empowerment scale for elderly patients with chronic diseases)were compared between the two groups before and after intervention.Results:After intervention,the BPOMS scores in the study group were significantly lower than those in the control group(t=3.818,4.702,5.516,5.189,6.289,6.403,3.602;P<0.05).After intervention,the scores of MUIS-A in the study group were significantly lower than those in the control group(t= 11.773,11.522,12.224,9.832,13.670;P<0.05).After intervention,the score of health empowerment in the study group was significantly higher than that in the control group(t=7.773,8.676,7.282,7.905,8.704,6.782;P<0.05).Conclusion:Psychological nursing based on SBAR model can effectively improve the psychological status of elderly patients with diabetes,reduce their sense of disease uncertainty,and improve their health empowerment level.

Aged diabetesStatus-context-assessment-proposed modelPsychological nursingMentalityDisease uncertaintyHealth empowerment

刘双双、刘宁、刁春艳

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郑州大学第一附属医院内分泌及代谢病科,河南 郑州 450000

郑州市妇幼保健院急诊医学科,河南 郑州 450000

郑州大学第一附属医院中心手术部,河南 郑州 450000

老年糖尿病 现状—背景—评估—建议模式 心理护理 心理状态 疾病不确定感 健康赋权

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(7)
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