International Journal of Nursing Research

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.

TCM emotional nursing; Elderly patients; Type 2 diabetes mellitus; Negative emotions; Self-efficacy; Blood glucose indicators; Quality of life