延续性护理对老年糖尿病肾病患者治疗依从性、负性情绪和生.docVIP

延续性护理对老年糖尿病肾病患者治疗依从性、负性情绪和生活质量的影响 余蕾1，孙小莉2，黄聘欢3，叶燕萍1，蔡雪梅1 （汕尾市海丰县彭湃纪念医院1.妇科1、内科二区2、内科一区3， 广东 汕尾516400） [摘要]目的 探讨延续性护理对老年糖尿病肾病患者治疗依从性、负性情绪和生活质量的影响，以期为临床护理方法的选择提供依据。方法 选择2015年7月2017年12月期间汕尾市海丰县彭湃纪念医院收治的100例老年糖尿病肾病患者为研究对象，根据随机数字表法分为对照组和观察组，每组50例，所有患者均给予控制血糖等对症治疗，对照组患者出院时常规健康宣教和出院指导，以及门诊定期复诊，观察组患者出院后进行延续性护理干预，干预时间6个月。比较两组患者干预后的治疗依从性，采用Zung焦虑(SAS）和抑郁自评量表(SAS和SDS)评价焦虑和抑郁情况，并采用 SF-36 量表评价生活质量，包括生理健康总评分（PCS）和心理健康总评分（MCS）两个方面。结果 干预后，观察组患者的治疗依从率为86.0%，明显高于对照组的70.0%，差异有统计学意义（P＜0.05）；干预后，观察组患者的SAS、SDS评分在观察组患者分别为（45.8±4.7）分和（44.3±4.2）分，明显低于对照组的（48.2±5.1）分和（47.1±5.4）分，SF-36量表中的PCS、MCS分别为（68.3±7.5）分和（68.7±6.9）分，明显高于对照组的（61.2±6.8）分和（62.4±6.7）分，差异均有统计学意义（P＜0.05）。结论 老年糖尿病肾病患者应用延续护理干预，可以显著提高患者的治疗依从性，改善焦虑、抑郁等负性情，进而提高患者的生活质量。 [关键词] 糖尿病肾病；延续性护理；依从性；焦虑；抑郁；生活质量 Effect of continuous nursing on compliance, negative emotion and quality of life in elderly diabetic nephropathy Yu Lei1, Sun Xiaoli2, Huang pin Huan3, Ye Yanping1, Cai Xuemei1 1.Department of Gynaecology；2.Department of Internal Medicine No 2；3. Department of Internal Medicine No 1 ,Meifeng Pengpai Memorial Hospital, Shanwei, Shanwei, 516400 ,Guangdong Province [Abstract]Objective To explore the effect of continuous nursing on compliance, negative emotion and quality of life in elderly diabetic nephropathy, to provide basis for selection of clinical nursing methods. Methods 100 cases of patients with diabetic nephropathy treated in Department of Gynaecology, Meifeng Pengpai Memorial Hospital from July 2015 to December 2017 were selected and divided into two groups according to the random digital table method. 50 cases in each group ,they were treated with blood glucose control. The control group discharged from the hospital with regular health education and discharge guidance. The observation group was given continuous nursing intervention at discharge, the intervention time was 6 months. The treatment compliance of the two groups was compared and the anxiety and depression were evaluated with the SAS and SDS, and the SF-36 life q