标题：延续性护理对老年糖尿病肾病患者治疗依从性、负性情绪和生活质量的影响

      作者：余蕾 1，孙小莉 2，黄聘欢 3，叶燕萍 1，蔡雪梅 1    汕尾市海丰县彭湃纪念医院妇科 1、内科二区 2、内科一区 3，广东 汕尾 516400

      卷次： 2019年30卷3期

      【摘要】 目的 探讨延续性护理对老年糖尿病肾病患者治疗依从性、负性情绪和生活质量的影响，以期为临床护理方法的选择提供依据。方法 选择2015年7月2017年12月期间汕尾市海丰县彭湃纪念医院收治的100例老年糖尿病肾病患者为研究对象，根据随机数表法分为对照组和观察组，每组50例，所有患者均给予控制血糖等对症治疗，对照组患者出院时常规健康宣教和出院指导，以及门诊定期复诊，观察组患者出院后进行延续性护理干预，干预时间 6个月。比较两组患者干预后的治疗依从性，采用Zung焦虑(SAS)和抑郁自评量表(SDS)评价焦虑和抑郁情况，并采用 SF-36量表评价生活质量，包括生理健康总评分(PCS)和心理健康总评分(MCS)两个方面。结果 干预后，观察组患者的治疗依从率为86.0%，明显高于对照组的70.0%，差异有统计学意义(P<0.05)；干预后，观察组患者的SAS、SDS评分分别为(45.8±4.7)分和(44.3±4.2)分，明显低于对照组的(48.2±5.1)分和(47.1±5.4)分，SF-36量表中的PCS、MCS分别为(68.3±7.5)分和(68.7±6.9)分，明显高于对照组的(61.2±6.8)分和(62.4±6.7)分，差异均有统计学意义(P<0.05)。结论 老年糖尿病肾病患者应用延续护理干预可以显著提高患者的治疗依从性，改善焦虑、抑郁等负性情绪，进而提高患者的生活质量。
      【关键词】 糖尿病肾病；延续性护理；依从性；焦虑；抑郁；生活质量
      【中图分类号】 R473.5 【文献标识码】 A 【文章编号】 1003—6350（2019）03—406—03E

ffect of continuous nursing on compliance, negative emotion, and quality of life in elderly diabetic nephropathy.YU Lei 1, SUN Xiao-li 2, HUANG Pin-huan 3, YE Yan-ping 1, CAI Xue-mei 1.
Department of Gynaecology 1, the Second ofDepartment of Internal Medicine 2, the First of Department of Internal Medicine 3, Meifeng Pengpai Memorial Hospital,Shanwei 516400, Guangdong, CHINA
【Abstract】 Objective To explore the effect of continuous nursing on compliance, negative emotion, and quali-ty of life in elderly diabetic nephropathy, and to provide basis for selection of clinical nursing methods. Methods A to-tal of 100 patients with diabetic nephropathy treated in Department of Gynaecology, Meifeng Pengpai Memorial Hospi-tal from July 2015 to December 2017 were selected. They were divided into control group and observation group accord-ing to the random digital table, with 50 cases in each group. All the patients were treated with blood glucose control. Thecontrol group discharged from the hospital with regular health education and discharge guidance, and the observationgroup was given continuous nursing intervention at discharge, the intervention time was 6 months. The therapeutic com-pliance after intervention was compared between the two groups. Zung anxiety (SAS) and depression self-rating scale(SDS) were used to evaluate anxiety and depression. The quality of life (QOL) was evaluated with the SF-36 scale, in-·护理·doi:10.3969/j.issn.1003-6350.2019.03.042