摘要
目的 分析个性化预防护理模式相较于常规护理,在老年2型糖尿病(T2DM)患者中的应用价值。方法 采用前瞻性研究方法,选取我院2023年6月至2025年6月期间就诊的120例老年T2DM患者作为研究对象,依据随机数字表法将其分为干预组与对照组。结果 干预组患者的FPG与2hPG水平均显著低于对照组,且干预组患者的SDSCA量表各维度评分及总分均显著高于对照组,而DSQL量表总分及各领域评分则显著低于对照组,差异均具有统计学意义(P<0.05)。结论 个性化预防护理能够有效优化老年T2DM患者的代谢指标,强化其自我管理行为,并最终提升其生存质量。
关键词: 个性化护理;预防护理;老年;2型糖尿病;自我管理;生活质量
Abstract
Objective To analyze the application value of personalized preventive care model in elderly patients with type 2 diabetes (T2DM) compared with conventional care. Methods A prospective study was conducted, selecting 120 elderly T2DM patients who visited our hospital from June 2023 to June 2025 as the research subjects. They were randomly divided into an intervention group and a control group using a random number table method. Results The levels of FPG and 2hPG in the intervention group were significantly lower than those in the control group, and the scores and total scores of each dimension of the SDSCA scale in the intervention group were significantly higher than those in the control group, while the total scores and scores of each domain of the DSQL scale were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Personalized preventive care can effectively optimize the metabolic indicators of elderly T2DM patients, strengthen their self-management behavior, and ultimately improve their quality of life.
Key words: Personalized care; Preventive care; Old age; Type 2 diabetes; Self-management; Quality of life
参考文献 References
[1] 中国老年2型糖尿病防治临床指南(2022年版)[J].中国糖尿病杂志,2022,30(01):2-51.
[2] 田蓉,傅桂芬,李丽蓉,等.老年T2DM合并高血压患者发生糖尿病肾病的影响因素[J].心血管康复医学杂志,2023, 32(01):4-8.
[3] 殷丹,鲍莉莉,徐琳洁.自我效能结合个性化护理模式对多发性骨髓瘤患者的影响[J].齐鲁护理杂志,2020,26(23): 54-56.
[4] 张永叶.中文版老年2型糖尿病自我管理行为量表的信效度分析[J].护理实践与研究,2020,17(09):5-7.
[5] 吴瑶瑶,程璐瑶,郭海健,等.糖尿病特异性生存质量量表与EQ-5D效用量表的映射研究[J].中国卫生统计,2022, 39(04): 499-503+508.
[6] 王富军,丁海霞.《中国老年2型糖尿病胰岛素抵抗诊疗专家共识(2022版)》解读[J].河北医科大学学报,2024, 45(11):1241-1246.
[7] 王凤玲,孟雪梅,宋永存.协同护理模式对老年T2DM患者自我管理行为的影响[J].糖尿病新世界,2024,27(15): 136-139.
[8] 李晨.多方协同多元化健康管理计划对老年T2DM患者自我效能、血糖控制和不良事件的影响观察[J].现代诊断与治疗,2025,36(02):300-302.