Analysis of the impact of an intervention model based on TCM emotional nursing on negative emotions and self-efficacy in elderly patients with type 2 diabetes mellitus
基于中医情志护理的干预模式对老年2型糖尿病患者负性情绪、自我效能的影响分析

摘要

目的 探讨基于中医情志护理的干预模式对老年2型糖尿病患者负性情绪、自我效能的影响分析。方法 以118例患者为对象，开展临床护理研究（2023年3月至2024年12月），随机分组后行不同护理措施配合（对照组/观察组，59/59例），评价常规护理（对照组）、基于中医情志护理的干预（观察组）对患者负性情绪、自我效能、血糖指标、生活质量的影响。结果 两组SAS、SDS评分均较护理前降低，观察组更低（P<0.05）。两组GSES评分均较护理前提高，观察组更高（P<0.05）。两组2hPG、FPG、HbAlc指标均较护理前降低，观察组更低（P<0.05）。两组TIR指标均较护理前提高，观察组更高（P<0.05）。两组5项WHO-QOL评分均较护理前提高，观察组更高（P＜0.05）。结论 对2型糖尿病老年患者进行基于中医情志护理的干预能够减少患者负性情绪，提高自我效能，患者的血糖指标进一步改善，整体生活质量增强，综合应用效果理想，可进一步推广应用。

Abstract

Objective To explore the impact of an intervention model based on TCM emotional nursing on negative emotions and self-efficacy in elderly patients with type 2 diabetes mellitus.
Methods A clinical nursing study was conducted on 118 patients from March 2023 to December 2024. The patients were randomly divided into two groups with 59 cases each: the control group and the observation group. The control group received routine nursing, while the observation group was given the intervention based on TCM emotional nursing. The effects of the two nursing methods on the patients' negative emotions, self-efficacy, blood glucose indicators, and quality of life were evaluated.
Results After nursing intervention, the scores of Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) decreased in both groups, with the observation group showing significantly lower scores (P<0.05). The General Self-Efficacy Scale (GSES) scores increased in both groups, and the observation group had remarkably higher scores (P<0.05). The levels of 2-hour postprandial blood glucose (2hPG), fasting plasma glucose (FPG), and glycosylated hemoglobin (HbAlc) decreased in both groups, and the observation group presented significantly lower levels (P<0.05). The time in range (TIR) increased in both groups, with the observation group having a notably higher value (P<0.05). The five-domain scores of the World Health Organization Quality of Life Scale (WHO-QOL) increased in both groups, and the observation group achieved significantly higher scores (P<0.05).
Conclusion   The intervention based on TCM emotional nursing for elderly patients with type 2 diabetes mellitus can alleviate negative emotions, improve self-efficacy, further optimize blood glucose indicators, enhance the overall quality of life of patients, and achieve favorable comprehensive application effects. It is worthy of further clinical promotion and application.