Feng XH, Shen SJ, Jin GJ. Effect of narrative nursing model on self-management ability and quality of life of patients with advanced pancreatitis and diabetes.
Shijie Huaren Xiaohua Zazhi 2021;
29:1316-1322. [DOI:
10.11569/wcjd.v29.i22.1316]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND
Pancreatic inflammation can cause the destruction and reduction of pancreatic islet β cells in patients, elicit stress-induced hyperglycemia, and induce complications such as diabetes, which not only prolongs the course of the disease, but also reduces the patient's quality of life. Therefore, strengthening nursing interventions during treatment to improve the quality of life of patients with advanced pancreatitis and diabetes is of great significance.
AIM
To evaluate the impact of narrative nursing mode on the self-management ability and quality of life of patients with advanced pancreatitis and diabetes.
METHODS
This study is a single-center, prospective, randomized controlled study. Forty-eight patients with advanced pancreatitis and diabetes who were admitted to our hospital from March 2019 to February 2021 were included in the study. The patients were numbered in sequence according to the time of admission. The digital table method was used to divide the patients randomly into a control group and an experimental group, each with 24 cases. Both groups received routine nursing, and the experimental group received a narrative nursing model on this basis. The two groups were compared for disease recovery, intestinal dysfunction, blood sugar control, healthy behavior ability, healthy lifestyle, mental flexibility, self-management ability, quality of life, and complications.
RESULTS
In the experimental group, urinary amylase returned to normal, abdominal pain and bloating subsided, body temperature returned to normal, and the time to the first defecation and hospitalization were shorter compared with the control group (P < 0.05). After nursing care, intestinal dysfunction and diabetes quality of life specific scale scores, fasting blood glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin levels were significantly lower, and Self-rating Health Behavior Ability Scale, Health Promotion Lifestyle Scale II, and Psychological Resilience Scale scores were significantly higher in the experimental group than in the control group (P < 0.05). The incidence of complications in the experimental group was slightly lower than that in the control group (8.33% vs 16.67%), but the difference was not statistically significant (P < 0.05).
CONCLUSION
The implementation of narrative care mode for patients with advanced pancreatitis and diabetes has a significant effect, which helps to improve self-management ability and healthy behavior ability, relieve clinical symptoms and signs, control blood sugar level, improve health, and promote lifestyle and quality of life.
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