Abstract:

Objective　To explore the impact of the trinity nursing management mode on blood glucose, self-management level, and quality of life in patients with type 2 diabetes mellitus. Methods　Ninety-six patients with type 2 diabetes mellitus treated at Baoji People's Hospital from October 2022 to October 2023 were selected for the randomized controlled trial, and were divided into a control group and a study group by the random number table method, with 48 cases in each group. There were 29 males and 19 females in the control group; they were (48.36±4.17) years old. There were 30 males and 18 females in the study group; they were (48.29±4.33) years old. The control group took routine nursing education. The study group were intervened by the trinity nursing management mode. Both groups were intervened for 3 months. The blood glucose levels (including fasting blood glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin), self-management levels [Diabetes Self-Management Behavior Scale (SDSCA)], and quality of life [Quality of Life Scale for Patients with Type 2 Diabetes Mellitus (DMQLS)] were compared between the two groups before and after the intervention. χ² and t tests were used for the statistical analysis. Results　After the intervention, the levels of fasting blood glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin in the study group were lower than those in the control group [(7.13±2.02) mmol/L vs. (8.37±2.13) mmol/L, (9.51±2.50) mmol/L vs. (10.96±2.61) mmol/L, and (7.81±1.66) mmol/L vs. (8.54±1.76) mmol/L], with statistical differences (t=2.927, 2.780, and 2.090; all P<0.05). After the intervention, the scores of diet management, foot care, blood glucose monitoring, exercise management, and medication management in the study group were higher than those in the control group (23.10±2.11 vs. 21.02±2.30, 12.02±1.45 vs. 10.84±1.66, 11.96±1.85 vs. 10.06±1.77, 12.03±1.17 vs. 10.45±1.36, and 6.02±0.58 vs. 5.13±0.66); the score of smoking in the study group was lower than that in the control group (2.41±0.74 vs. 3.26±0.80); there were statistical differences (t=4.617, 3.709, 5.141, 6.102, 7.018, and 5.404; all P<0.05). After the intervention, the scores of disease, psychology, physiology, society, and satisfaction of DMQLS in the study group were lower than those in the control group (42.31±5.57 vs. 50.06±6.02, 30.26±4.22 vs. 35.31±4.17, 42.37±4.51 vs. 49.26±4.96, 27.56±3.97 vs. 32.38±3.48, and 24.01±2.49 vs. 30.06±2.74), with statistical differences (t=6.547, 5.897, 7.121, 6.325, and 11.321; all P<0.05). Conclusion　Trinity nursing management mode for patients with type 2 diabetes mellitus can effectively improve their blood glucose level, self-management level, and quality of life.

Key words:

Type 2 diabetes mellitus, Trinity nursing, Self-management, Quality of life

摘要：

目的　探究三一照护管理模式对2型糖尿病患者血糖、自我管理水平及生活质量的影响。方法　选取宝鸡市人民医院2022年10月至2023年10月收治的96例2型糖尿病患者进行随机对照试验。采用随机数字表法将其分为对照组与研究组，各48例。对照组男29例，女19例，年龄（48.36±4.17）岁，予以常规护理教育。研究组男30例，女18例，年龄（48.29±4.33）岁，予以三一照护管理模式。两组均干预3个月。比较两组干预前后血糖水平（包括空腹血糖、餐后2 h血糖、糖化血红蛋白）、自我管理水平［糖尿病自我管理行为量表（SDSCA）］、生活质量［2型糖尿病生活质量量表（DMQLS）］。采用χ²检验、t检验进行统计分析。结果　干预后，研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组［（7.13±2.02）mmol/L比（8.37±2.13）mmol/L、（9.51±2.50）mmol/L比（10.96±2.61）mmol/L、（7.81±1.66）mmol/L比（8.54±1.76）mmol/L］，差异均有统计学意义（t=2.927、2.780、2.090，均P<0.05）。干预后，研究组饮食管理、足部护理、血糖监测、运动管理、用药管理维度评分均高于对照组［（23.10±2.11）分比（21.02±2.30）分、（12.02±1.45）分比（10.84±1.66）分、（11.96±1.85）分比（10.06±1.77）分、（12.03±1.17）分比（10.45±1.36）分、（6.02±0.58）分比（5.13±0.66）分］，吸烟维度评分低于对照组［（2.41±0.74）分比（3.26±0.80）分］，差异均有统计学意义（t=4.617、3.709、5.141、6.102、7.018、5.404，均P<0.05）。干预后，研究组DMQLS疾病、心理、生理、社会、满意度维度评分均低于对照组［（42.31±5.57）分比（50.06±6.02）分、（30.26±4.22）分比（35.31±4.17）分、（42.37±4.51）分比（49.26±4.96）分、（27.56±3.97）分比（32.38±3.48）分、（24.01±2.49）分比（30.06±2.74）分］，差异均有统计学意义（t=6.547、5.897、7.121、6.325、11.321，均P<0.05）。结论　三一照护管理模式能有效改善2型糖尿病患者血糖水平，提升自我管理水平，提高生活质量。

关键词:

2型糖尿病, 三一照护, 自我管理, 生活质量