| Objective :The research studies on the self-transcendence level of elderly patients with type 2diabetes in taiyuan community and analyzes the influencing factors of the social demographic and disease.Then make a series of the targeted referable and operational structured group intervention plans. Explore the intervention effect on self-transcendence scale and life satisfaction scale in elderly patients with type 2 diabetes and finally provide the reference for nursing staff of community for practically psychological intervention.Methods :The research was divided into research phase and intervention study phase. In the first stage of survey research,conducted a questionnaire which was made up of the general information and self-transcendence level for 211 elderly patients with type 2 diabetes in Taiyuan community by convenient sampling from 8~10, 2014,at the same time analyzed its influencing factors. In the second stage choosed 80 elderly patients with type 2 diabetes as the research cases through advertising recruit and individual interview in 2 communities who were classified randomly into intervention group and control group for 40 people combining individual apiration.Lectures about elderly diabetes and mental health, and health hand books were given freely to the control group. While the intervention group on the basis of the implementation carried out structured group therapy intervention with targeted topic every time. It spended 40~50 min once a week, for a period of 6 weeks,around "superego and be happy life,targeted topic every time. Used the self transcendencescale to measure and analyzed the effect before and after the intervention.Results:1.The score of self-transcendence of 211 elderly patients with type 2 diabetes distributions between 26~58,averaged score was(41.03±4.641) points.2.The single factor analysis of variance showed that in the demographic data,marital status,educational level, occupation before retirement, monthly income,living situation,characteristics, participating in group activities, have or not a major event in half a year were the influncing factors;situation, diabetes duration, the chronic disease combination,complications and health were the influencing factors in the disease data. Further by the multiple linear step wise regression analysis results showed that, educational level,living conditions, participating in group activities, monthly income, disease duration were the main influence factors(F = 13.191, P < 0.001).3.After the intervention, self-transcendence scores was different significantly between the intervention group and the control group(P < 0.01). Measuring the scale scores before and after the intervention is significantly different(P < 0.05), while the control group has no statistical significance at the same time according to the data from the measurement to obtain test results(P > 0.05).4.Activity evaluation form Results showed that:After participating in the activities,most of the patients can well manage their emotions,be positive and optimistic attitude to face pressure.At the same time, they can get along with the people around, that the harvest of faith, joy, to achieve the desired objectives from activities,and hoping to take part in such activities more times.Conclusions:1.The self-transcendence of elderly patients with type 2 diabetes in Taiyuan community is lower than the average in the elderly and at a level below average.2.The self-transcendence of elderly patients with type 2 diabetes in Taiyuan community is closely related to diabetes duration, educational level, living situation,characteristics, to participate in collective activities, as a result we can focus on the psychological nursing intervention and encourage their active participation in collective activities to promote physical and mental health.3.Structured group therapy based on diabetes health education and psychological health education can improve the level of self-transcendence.4.Structured group therapy can be used as an effective means to improve elderly patients with type 2 diabetes self-transcendence level for implementation. Making a set of intervention programs to develop practical applicability, help promote physical and mental health of the population, and propose community-related nursing reference application. |
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