摘要
目的观察和探讨老年糖尿病肾病患者的心理状况及自我管理行为的效果。方法选取本院收治的120例老年糖尿病肾病患者作为研究对象,其中对照组60例采用常规管理模式,观察组60例在此基础上运用自我管理行为,并对其心理状况分析。结果老年糖尿病肾病患者给予自我管理活动问卷结果显示,遵医嘱用药、运动自我管理、饮食自我管理等维度得分均较高,观察组患者的指标尿白蛋白(UA)、总胆固醇(TC)以及血肌酐等指标均比对照组降低,差异有统计学意义(P<0.05)。自我管理与生存质量总分、生理功能、心理、社会关系、治疗具有相关性(P<0.05)。结论老年糖尿病肾病患者自我管理状况与其心理状况及生存质量有正相关性,护理工作人员应最大限度地采取措施,增强老年糖尿病肾病患者的自我管理水平,提高生活质量。
Objective To investigate the effect of psychological conditions observed in elderly patients with diabetic nephropathy and self-management behaviors. Methods Select our hospital 120 cases of elderly patients with diabetic as research subjects,60 patients in the control group with conventional management,60 cases of observation group using self-management behaviors,and analyze their psychological state. Results Self-management activities questionnaire results in elderly patients with diabetic nephropathy show ：prescribed medication,exercise self-management,self-management and other dimensions of the diet scores were higher,the observation group were indicators of urinary albumin（UA）,total cholesterol（TC）and serum creatinine other indicators are lower than the control group,the difference was statistically significant（P0.05）. Self-management and quality of life scores,physical function,psychological,social relations,treating a relationship（P0. 05）. Conclusion Elderly patients with diabetic nephropathy and its self-management status of mental health and quality of life are positively correlated,nursing staff should take maximum measures to enhance the level of in elderly patients with diabetic nephropathy,in order to improve quality of life.
出处
《国际精神病学杂志》
2016年第4期675-677,共3页
Journal Of International Psychiatry
关键词
老年糖尿病肾病
自我管理
心理状况
Elderly diabetic nephropathy
Self management
Psychological status
