Intervention Effect of Chronic Disease Nursing Model under Stress and Adaptation Theory Guidance on Patients with T2DM
Objective:To explore the intervention effect of chronic disease nursing model under stress and adaptation theory guidance on patients with type 2 diabetes mellitus(T2DM).Method:Patients with T2DM who admitted to Jingzhou Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were selected as the research objects,the chronic disease nursing model under stress and adaptation theory guidance was implemented in our hospital(January 2022)as the dividing line,130 patients from January to December 2021 were included in the control group to implement routine nursing,and 130 patients from January to December 2022 were included in the observation group to implement the chronic disease nursing model under stress and adaptation theory guidance.The levels of blood glucose indexes[fasting plasma glucose(FPG),2 h postprandial blood glucose(2 h PG)],perceived stress[perceived stress scale(PSS)],disease self-burden[self-perceived burden scale(SPBS)],self-management ability[summary of diabetes self-care activities(SDSCA)]and quality of life[adjusted diabetes quality of life scale(A-DQOL)]were compared between two groups before and after 30 d of intervention,the compliance of two groups after 30 d of intervention was compared,the incidence of complications(intermittent claudication,neuropathy,foot deformity,chronic ulcer)within 30 d of intervention in the two groups were recorded.Result:After 30 d of intervention,the blood glucose indexes(FPG,2 h PG),PSS scores,SPBS scores and A-DQOL scores of two groups were decreased compared with those before intervention,and which in the observation group were lower than the control group,the differences were statistically significant(P<0.05);after 30 d of intervention,the SDSCA scores of two groups were higher than those before intervention,and which in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total compliance rate of the observation group after 30 d of intervention was higher than that of the control group,and the difference was statistically significant(P<0.05);the incidence of complications in the observation group within 30 d of intervention was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The chronic disease nursing model under stress and adaptation theory guidance can effectively alleviate the disease self-burden and perceived stress of T2DM patients,greatly improve the compliance and self-management ability of patients in the nursing process,and then effectively control the blood glucose level,reduce the occurrence of complications,and improve the quality of life.
Type 2 diabetes mellitusStress and adaptation theoryChronic disease nursing modelBlood glucoseDisease self-burden
国家科技期刊平台
NSTL
万方数据
维普
