老年糖尿病患者自我效能干预方案的实施

目的评价老年糖尿病患者自我效能干预方案的实施效果。方法采用随机数字表法将96例老年2型糖尿病患者随机分为两组各48例,对照组给予常规护理与健康教育,观察组在对照组基础上实施自我效能干预,干预前后分别应用糖尿病心理痛苦量表、糖尿病自我管理行为量表对患者进行测评。结果干预后观察组自我管理行为得分显著高于对照组,心理痛苦得分显著低于对照组(均P0.01)。结论对老年糖尿病患者实施自我效能干预能够明显缓解心理痛苦,提高自我管理行为水平,有利于老年糖尿病患者病情控制。

Practice of self-efficacy intervention for elderly patients with diabetes mellitus

Objective To evaluate the effect of self-efficacy intervention on elderly patients with diabetes mellitus.Methods Totally 96 elderly patients with type 2 diabetes mellitus were randomized into a control group and an observation group,with 48 patients in each group.The control group was given routine nursing and health education,while the observation group additionally received self-efficacy intervention.Diabetes Distress Scale(DDS) and Summary of Diabetes Self-care Activities (SDSCA) were used to as sess the two groups before and after the intervention.Results After the intervention,the score of SDSCA in the observation group was significantly higher than that in the control group,while the score of DDS was significantly lower than that in the control group (P＜0.01 for both).Conclusion Self-efficacy intervention for elderly patients with diabetes mellitus can obviously relieve psychological distress,and improve self-management behavior,which is helpful for disease control.