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目的探讨延续性认知行为干预对老年糖尿病患者自我效能、血糖指标的效果分析,为老年糖尿病患者的生存质量提供依据。方法 130例老年糖尿病患者随机分为对照组和干预组各65例,对照组常规护理与健康教育,干预组给予常规护理与健康教育并于出院后延续认知行为干预3个月,采用糖尿病自我效能量表、血糖指标对二组患者进行分析评估。结果干预组较对照组自我效能显著升高(P<0.05);干预组空腹血糖、餐后血糖及糖化血红蛋白水平显著低于对照组,组间相比,差异均有统计学意义(P<0.05)。结论延续性认知行为干预能够提高老年糖尿病患者自我效能,降低血糖指标,改善其身心健康,提高患者生存质量。
Objective To explore the effect of continuous cognitive behavioral intervention on the self-efficacy and blood glucose of elderly patients with diabetes mellitus, and to provide evidence for the quality of life of elderly patients with diabetes mellitus. Methods A total of 130 elderly patients with diabetes mellitus were randomly divided into control group (n = 65) and intervention group (n = 65). The control group received routine nursing and health education. The intervention group received routine nursing and health education and continued cognitive behavioral intervention for 3 months after discharge. Efficacy scale, blood glucose indicators of the two groups were analyzed and evaluated. Results The self-efficacy of the intervention group was significantly higher than that of the control group (P <0.05). The levels of fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin in the intervention group were significantly lower than those in the control group, the difference was statistically significant (P <0.05 ). CONCLUSIONS: Cognitive and behavioral interventions can improve self-efficacy, lower blood glucose, improve their physical and mental health, and improve their quality of life in elderly patients with diabetes mellitus.