基于Watson人文关怀理论的护理模式对1型糖尿病患者焦虑、抑郁的影响
The Influence of Nursing Model Based on Watson Humanistic Care Theory on Anxiety and Depression in Patients with Type 1 Diabetes
DOI: 10.12677/ACM.2024.142568, PDF,    科研立项经费支持
作者: 万海艳*：成都市第五人民医院内分泌与代谢性疾病科，四川 成都；罗雪梅：四川省人民医院皮肤科，四川 成都
关键词: Watson人文关怀理论；1型糖尿病；焦虑；抑郁；Watson Care Theory； Type 1 Diabetes； Anxiety； Depression
摘要: 目的：探究基于Watson人文关怀理论的护理模式对1型糖尿病患者焦虑、抑郁情况的影响。方法：选取2023年1月至6月在成都市某三甲医院内分泌与代谢性疾病科的40例1型糖尿病患者为研究对象，将其随机分为对照组(20例)和干预组(20例)。对照组实施常规护理，干预组在对照组的基础上实施基于Watson人文关怀理论的护理模式。干预前后采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组患者焦虑和抑郁的情况，并进行分析。结果：干预后，干预组患者焦虑、抑郁得分显著低于对照组，两组差异具有统计学意义(P < 0.05)；结论：基于Watson人文关怀理论的护理模式可改善1型糖尿病患者焦虑和抑郁情绪。
Abstract: Objective: To explore the effect of nursing model based on Watson humanistic care theory on anxi-ety and depression in patients with type 1 diabetes. Methods: A total of 40 patients with type 1 di-abetes were selected from January to June 2023 in the Department of Endocrine and Metabolic Dis-eases of a Grade-A hospital in Chengdu. They were divided into control group (20 cases) and inter-vention group (20 cases) by random number table method. The control group implemented routine nursing, and the intervention group implemented nursing model based on Watson humanistic care theory on the basis of control group. After intervention, self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) were used to evaluate the anxiety and depression of the two groups. Results: After intervention, the anxiety and depression scores in the intervention group were significantly lower than those in the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: The nursing model based on Watson’s humanistic care theory can improve anxiety and depression in patients with type 1 diabetes.
文章引用：万海艳, 罗雪梅. 基于Watson人文关怀理论的护理模式对1型糖尿病患者焦虑、抑郁的影响[J]. 临床医学进展, 2024, 14(2): 4089-4094. https://doi.org/10.12677/ACM.2024.142568

参考文献

[1] 孔璐璐, 孔刘莎. 1型糖尿病患者心理状况及糖尿病痛苦[J]. 中国老年学杂志, 2021, 41(4): 864-866.
[2] Pan, C., Yang, W., Jia, W., et al. (2012) Psychological Status of Chinese Patients with Type 2 Diabetes: Data Review of Di-abcare-China Studies. Diabetic Medicine, 29, 515-521. [Google Scholar] [CrossRef] [PubMed]
[3] 张艺旋, 冯天元, 高一飞. II型糖尿病患者伴发抑郁危险预测模型的构建及验证[J]. 中国循证医学杂志, 2023, 23(8): 874-879.
[4] 李晶, 张艳明, 刘东远, 等. 基于Watson理论的人文关怀对出血性脑卒中患者心理状态及早期康复的影响[J]. 中国老年保健医学, 2022, 20(6): 39-42.
[5] 张丽华, 郑海英, 邓桂萍, 等. 人文关怀护理行为感知的研究现状[J]. 护理学杂志, 2013, 28(21): 91-94.
[6] 吴文源. 焦虑自评量表[J]. 中国心理卫生杂志, 1999, 13(增刊): 235-238.
[7] 舒良. 抑郁自评量表[J]. 中国心理卫生杂志, 1999, 13(增刊): 194-196.
[8] 许雪萍, 卜翠萍. 1型糖尿病患儿体力活动及心理状况与生活质量的相关性[J]. 护理学杂志, 2016, 31(19): 5-8.
[9] Pajnkihar, M., McKenna, H.P., Štiglic, G., et al. (2017) Fit for Practice: Analysis and Evaluation of Watson’s Theory of Human Caring. Nursing Science Quarterly, 30, 243-252. [Google Scholar] [CrossRef] [PubMed]
[10] Gunawan, J., Aungsuroch, Y., Watson, J., et al. (2022) Nursing Administration: Watson’s Theory of Human Caring. Nursing Science Quarterly, 35, 235-243. [Google Scholar] [CrossRef] [PubMed]
[11] 李爱夏, 曹蕾, 陈燕, 等. Watson关怀理论在养老护理员职业素质培养中的应用[J]. 护理学报, 2014, 21(22): 12-14.
[12] Castellano-Guerrero, A.M., Guerrero, R., Relimpio, F., et al. (2018) Prevalence and Predictors of Depression and Anxiety in Adult Patients with Type 1 Diabetes in Tertiary Care Setting. Acta Diabetologica, 55, 943-953. [Google Scholar] [CrossRef] [PubMed]
[13] Fisher, L., Polonsky, W.H., Hessler, D.M., et al. (2015) Under-standing the Sources of Diabetes Distress in Adults with Type 1 Diabetes. Journal of Diabetes and its Complications, 29, 572-577. [Google Scholar] [CrossRef] [PubMed]
[14] 王佳, 郝飞, 周慧敏. “五心”护理结合Watson关怀理论在乳腺癌病人护理中的应用效果[J]. 护理研究, 2018, 32(16): 2532-2535.
[15] 宋婵娟, 赵娣, 陈慧娟. 基于Watson关怀理论的人文关怀在老年慢性阻塞性肺疾病患者中的应用效果[J]. 中国医药导报, 2022, 19(23): 162-165.
[16] 蒋君芳. Waston关怀理论在护士人文关怀素质中的应用[J]. 中医药管理杂志, 2021, 29(23): 187-189.
[17] Sitz-man, K. and Muller, D.H. (2018) Usefulness of Watson’s Caring Science for Online Educational Practices in Disciplines Outside of Nursing. Advances in Nursing Science, 41, E53-E63. [Google Scholar] [CrossRef] 

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