摘要
【目的】探讨基于CICARE沟通模式的分层管理对糖尿病患者心理状态和生活质量的影响。【方法】选取2024年1月至12月在本院诊治的117例糖尿病患者,按照随机数字表法将患者分为对照组(接受常规护理,n=58)和观察组(接受基于CICARE沟通模式的分层管理,n=59)。比较两组患者护理前及护理3个月后的心理状态[症状自评量表(SCL-90)评分]、疾病认知水平、自我管理行为[糖尿病自我管理行为量表(SDSCA)评分]及生活质量[糖尿病生存质量特异性量表(DSQL)评分]。【结果】护理3个月后,两组患者SCL-90、DSQL各维度评分均低于护理前,且观察组低于对照组;两组疾病认知水平及SDSCA评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。【结论】基于CICARE沟通模式的分层管理能有效改善糖尿病患者的心理状态和生活质量,提高患者疾病认知水平和自我管理能力,值得临床推广应用。
【Objective】To explore the impact of hierarchical management based on the CICARE communication model on the psychological state and quality of life in diabetic patients.【Methods】A total of 117 diabetic patients diagnosed and treated in our hospital from January to December 2024 were selected and divided into a control group(receiving routine nursing care,n=58)and an observation group(receiving hierarchical management based on the CICARE communication model,n=59)using the random number table method.The psychological state[Symptom Checklist 90(SCL-90)score],disease cognitive level,self-management behavior[Summary of Diabetes Self-Care Activities(SDSCA)score]and quality of life[Diabetes Specific Quality of Life Scale(DSQL)score]of the two groups were compared before nursing intervention and 3 months after nursing intervention.【Results】Three months after nursing intervention,the scores of all dimensions of SCL-90 and DSQL in both groups were lower than those before intervention,and the scores in the observation group were lower than those in the control group.The disease cognitive level and SDSCA scores in both groups were higher than those before intervention,and the indexes in the observation group were higher than those in the control group.All the differences were statistically significant(P<0.05).【Conclusion】Hierarchical management based on the CICARE communication model can effectively improve the psychological state and quality of life of diabetic patients,enhance their disease cognitive level and self-management ability,which is worthy of clinical promotion and application.
作者
李倬怡
LI Zhuoyi(Department of Diabetic Nephropathy/Endocrinology,the Kaifeng Hospital of Traditional Chinese Medicine,Kaifeng Henan 475000)
出处
《医学临床研究》
2026年第1期106-109,113,共5页
Journal of Clinical Research
关键词
糖尿病
护理
心理现象
生活质量
Diabetes Mellitus
Nursing Care
Psychological Phenomena
Quality of Life
