Implementation Effect of Self-management Oriented 5A Nursing Combined with Humanistic Care on Elderly Patients with Type 2 Diabetes Mellitus
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.
Type 2 diabetes mellitusSelf-management5A nursingHumanistic careBlood glucose levels