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老年2型糖尿病患者团体心理干预效果分析

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目的 分析老年 2 型糖尿病(T2DM)患者团体心理干预效果。方法 选取 2020 年 1 月至 2022 年 1 月期间在南阳医学高等专科学校第一附属医院收治的 75 例老年T2DM患者,按照随机数表法将患者分为研究组(38 例)、对照组(37 例)。对照组接受常规护理干预,研究组接受常规护理干预加团体心理干预。比较两组干预前后负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、健康素养[慢性病患者健康素养量表(HeLMS)]、自我效能感[自我效能感量表(GSES)]、自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]及护理满意度。结果 干预后,研究组SDS评分、SAS评分均低于对照组,差异有统计学意义(P<0。05)。干预后,研究组信息获取能力评分、改善健康意愿评分、交流互动能力评分、经济支持意愿评分分值均高于对照组,差异有统计学意义(P<0。05)。干预后,研究组GSES评分、AHSMSRS评分分值均高于对照组,差异有统计学意义(P<0。05)。研究组护理满意度(94。74%)明显高于对照组(67。57%),差异有统计学意义(P<0。05)。结论 老年T2DM患者接受团体心理干预,可增强健康素养,改善负性情绪、自我管理能力、自我效能感,提高护理满意度。
Effect of Group Psychological Intervention on Elderly Patients with Type 2 Diabetes
Objective To analyze the effect of group psychological intervention on elderly patients with Type 2 Diabetes Mellitus(T2DM).Methods 75 elderly T2DM patients who were admitted to the First Affiliated Hospital of Nanyang Medical College from January 2020 to January 2022 were selected.According to the random number table method,the patients were divided into a research group(38 cases)and a control group(37 cases).The control group received routine nursing intervention,and the research group received routine nursing intervention plus group psychological intervention.The negative emotions[Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)],health literacy[Health Literacy Scale for Chronic Disease Patients(HeLMS)],self-efficacy[General Self-Efficacy Scale(GSES)],self-management ability[Adult Health Self-Management Ability Evaluation Scale(AHSMSRS)],and nursing satisfaction of the two groups before and after intervention were compared.Results After intervention,the SDS score and SAS score of the research group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of information acquisition ability,improvement of health willingness,communication interaction ability,and economic support willingness in the research group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the GSES score and AHSMSRS score of the research group were higher than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the research group(94.74%)was significantly higher than that of the control group(67.57%),and the difference was statistically significant(P<0.05).Conclusion Group psychological intervention for elderly T2DM patients can enhance health literacy,improve negative emotions,self-management ability,self-efficacy,and increase nursing satisfaction.

type 2 diabeteselderlygroup psychological interventionnegative emotionsself-management ability

姚亚宛、李静

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南阳医学高等专科学校第一附属医院 内分泌科,河南 南阳 473000

2型糖尿病 老年 团体心理干预 负性情绪 自我管理能力

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(5)
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