护理干预对老年糖尿病患者自我护理的影响

目的 探讨护理干预对老年糖尿病患者自我护理的影响.方法 对90例老年糖尿病患者采用糖尿病自我效能量表（DSES）及糖尿病自护行为量表（DSCS）评价其自我护理能力信心及自我护理行为执行情况,调查患者自我护理影响因素并进行护理干预,比较干预前后患者自我护理改善程度.结果 干预前后老年糖尿病患者自我护理能力信心及自我护理行为执行情况差异均有统计学意义（P＜0.01）.结论 要提高老年糖尿病患者自我护理能力,可通过对其进行个性化的健康教育、心理疏导、固有观念认知来提高其糖尿病相关知识认知率,改善其心理状况,改变其固有观念.

Effect of nursing intervention on self-nursing in elderly patients with diabetes mellitus

Objective To investigate influential factors of self-nursing in elderly patients with diabetes mellitus and its intervention strategies. Methods 90 elderly patients with diabetes mellitus in our Outpatient Department were investigated by Diabetes Self-Efficacy Scale (DSES), Diabetes Self-Management Scale (DSMS). Their self-nursing confidence and self-nursing performance were evaluated. The influential factors of their self-nursing were surveyed by a self-designed questionnaire, factors-based nursing was given to them, and their improvement of self-nursing before and after the intervention was compared. Results Self-nursing confidence and performance of elderly patients with diabetes mellitus were obviously improved by health education, psychological guidance and betterment of disease cognition (P ＜ 0. 01 ). Conclusions Self-nursing ability of elderly patients with diabetes mellitus could be improved by individualized health education,psychological guidance and betterment of disease cognition to ameliorate their psychological status and change their deep-rooted concept.