生命力护理干预对2型糖尿病患者生活质量和自我管理能力的影响

目的观察生命力护理干预对2型糖尿病患者生活质量和自我管理能力的影响。方法将2011年6月至2012年6月104例2型糖尿病患者随机分为两组各52例，对照组采用常规护理，观察组在对照组护理基础上采用生命力护理干预，采用WHOQOL-100生活质量量表和Deborah糖尿病自我管理量表比较两组护理前后生活质量、自我管理能力以及血糖的变化。结果两组护理后生理功能、精神支柱、社会关系、环境和独立性评分较护理前明显升高，差异有统计学意义（P〈0．05）。观察组护理后生理功能、精神支柱、社会关系、环境和独立性评分均明显高于同期对照组水平（P〈0．05）。观察组护理后运动、饮食、用药、检查依从性评分较护理前明显升高（P〈0．05），而对照组护理后运动、饮食、用药、检查依从性评分与护理前比较差异无统计学意义（P〉O．05）。观察组护理后运动、饮食、用药、检查依从性评分均高于同期对照组水平（P〈O．05）。护理干预后观察组空腹血糖、餐后2h血糖以及糖化血红蛋白水平分别为（6．52±1．25）mmol／L、（9．07±1．89）mmol／L和（5．25±0．92）％，明显低于同期对照组的（8．32±1．68）mmol／L、（12．78±2．34）mm01／L和（9．76±1．28）％，两组比较差异有统计学意义（P〈O．05）。结论对2型糖尿病患者实施生命力护理干预能够明显改善患者的生活质量，提高自我管理能力，更好的控制血糖，值得临床推广应用。

Effect of vitality nursing on life quality and self-management ability for patients with type 2 diabetes mellitus.

Objective To observe the effect of vitality nursing on life quality and self-management ability for patients with type 2 diabetes mellitus. Methods From March 2011 to March 2012, 104 patients with type 2 diabe- tes mellitus were randomly classified into two groups. The control group （n=52） were treated with normal nursing, the observation group （n=52） were treated with vitality nursing at the basis of normal nursing. The life quality, self-man- agement ability and blood sugar between two groups were compared using WHOQOL-100 quality of life table and Deborah diabetes self-management table, respectively. Results Compared with pre-nursing, the scores of physiologi- cal functions, spiritual support, social relations, environmental and independence in both two groups were significant- ly improved after nursing （P〈0.05）. Moreover, the scores of physiological functions, spiritual support, social relations, environmental and independence in the observation group were significantly higher than those in the control group （P〈0.05）. The compliance of exercise, diet, medication, checking in the observation group were significantly im- proved after nursing （P〈0.05）, while no significant differences was found in the control group （P〉0.05）. Moreover, the compliance of exercise, diet, medication, checking in the observation group were significantly better than those in the control group （P〈0.05）. After nursing, the levels of fasting glucose, postprandial 2 h glucose and glycosylated he- moglobin in the observation group were （6.52±1.25） mmol/L, （9.07± 1.89） mmol/L and （5.25±0.92）%, which were significantly lower than those in the control group （8.32±1.68） mmol/L, （12.78±2.34） mmol/L and （9.76±1.28）%], P〈0.05. Conclusion Vitality nursing on patients with type 2 diabetes mellitus can improve life quality, enhance self-management ability, and control blood glucose, which can be widely applied in clinic.