Influence of the Solution-focused Nursing Model Based on Structure and Psychology on Blood Glucose Fluctuations,Diabetes Pain Scores and Quality of Life in Elderly Patients with Type 2 Diabetes Mellitus

ZHANG Fang; WANG Shufang; ZHANG Jijia

doi:10.16458/j.cnki.1007-0893.2026.01.026

Abstract：Objective To explore the impact of the solution-focused nursing model based on structure and psychology on blood glucose fluctuations,diabetes distress scores,and quality of life in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 204 elderly patients with T2DM admitted to the Second Affiliated Hospital of Zhengzhou University from January 2024 to March 2025 were selected as the research subjects.They were divided into a control group and an experimental group according to the random number table method,with 102 cases in each group.Patients in the control group received conventional nuesing intervention,while patients in the experimental group received the solution-focused nursing model based on structure and psychology+conventional nursing intervention.The blood glucose fluctuations,psychological distress,self-efficacy,self-management behaviors,quality of life and nursing satisfaction of the two groups of patients before and after the intervention were compared.Results After the intervention,the coefficient of variation(CV),mean amplitude of glycemic excursion(MAGE),largest amplitude of glycemic excursion(LAGE),and the scores of each dimension of the diabetes distress scale of the patients in the experimental group were all lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the diabetes management self-efficacy scale(DMSES),the diabetes summary of diabetes self care activities(SDSCA)were all higher than those in the control group,and diabetes specific qualify of life the diabetes specific quality of life(DSQL)in the experimental group were all lower than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of nursing in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the solution-focused nursing model based structure and psychology in elderly patients with T2DM,it can effectively slow down blood glucose fluctuations,relieve psychological distress,enhance self-efficacy,improve self-management behaviors,and increase the quality of life and nursing satisfaction.