连续性护理对2型糖尿病患者自我管理能力及血糖控制的影响
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摘要
目的探讨连续性护理对2型糖尿病(T2DM)患者自我管理能力及血糖控制的应用效果。方法选择2015年9月～2017年6月在我院接受治疗108例T2DM患者作为研究对象,将2015年9月～2016年6月给予常规护理干预的54例作为对照组,2016年9月～2017年6月在常规护理的基础上给予连续性护理干预的54例作为观察组。比较两组的自我管理能力及血糖水平。结果干预6个月后,观察组的自我管理行为量表(SDSCA)评分高于对照组,差异有统计学意义(P<0.05);观察组的空腹血糖(FBG)、餐后2 h血糖(2 h BG)及糖化血红蛋白(HbA1c)水平均低于对照组,差异有统计学意义(P<0.05)。结论实施连续性护理干预,能明显提高T2DM患者的自我管理能力,有助于控制血糖水平。
Objective To investigate the effect of continuous nursing on self-management ability and blood glucose control in patients with type 2 diabetes mellitus(T2DM). Methods A total of 108 T2DM patients treated in our hospital from September 2015 to June 2017 were selected, 54 patients with routine nursing intervention from September 2015 to June 2016 were selected as control group, and 54 patients with continuous nursing intervention based on routine nursing from September 2016 to June 2017 were selected as observation group. The self-management ability and blood glucose level were compared between the two groups. Results After intervention for 6 months, the diabetes self-management behavior scale(SDSCA) score of the observation group was higher than that of the control group, with statistical difference(P<0.05). The levels of fasting blood glucose(FBG), two hours postprandial blood glucose(2 h BG), glycated hemoglobin(HbA1c) in the observation group were lower than those in the control group, with statistical differences(P<0.05). Conclusion Continuous nursing for T2DM patients can increase self-management ability and control blood glucose level.
Objective To investigate the effect of continuous nursing on self-management ability and blood glucose control in patients with type 2 diabetes mellitus(T2DM). Methods A total of 108 T2DM patients treated in our hospital from September 2015 to June 2017 were selected, 54 patients with routine nursing intervention from September 2015 to June 2016 were selected as control group, and 54 patients with continuous nursing intervention based on routine nursing from September 2016 to June 2017 were selected as observation group. The self-management ability and blood glucose level were compared between the two groups. Results After intervention for 6 months, the diabetes self-management behavior scale(SDSCA) score of the observation group was higher than that of the control group, with statistical difference(P<0.05). The levels of fasting blood glucose(FBG), two hours postprandial blood glucose(2 h BG), glycated hemoglobin(HbA1c) in the observation group were lower than those in the control group, with statistical differences(P<0.05). Conclusion Continuous nursing for T2DM patients can increase self-management ability and control blood glucose level.
引文
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[11]洪益荣,瞿佳,黄芳.多元化护理在2型糖尿病患者自我管理行为中的应用[J].温州医科大学学报,2018,48(25):142-144.
[12]韩美玲,王芳,丁素珍,等.连续性护理对2型糖尿病患者自我管理能力和行为的影响[J].中国实用护理杂志,2015,31(7):489-491.
[13]贾绍静,郑栋莲,米光丽.2型糖尿病高危人群糖尿病预防知信行现状的调查研究[J].中国护理管理,2018,18(4):457-460.
[14]张井香,樊敏华.综合健康教育对社区2型糖尿病患者血糖控制、焦虑情绪及自我管理水平的影响[J].中华现代护理杂志,2017,23(35):4520-4523.
[15]李洁凌,钟舒琴,古东海,等.院外人性化关怀对1型糖尿病患者综合管理的影响[J].实用医学杂志,2018,34(8):1380-1382.
[2]兰洁,孙红霞,马建华.个体化糖尿病教育对2型糖尿病患者自我管理能力及血糖控制的影响[J].中国实用医药,2014,9(36):238-240.
[3]杨焕芝,付艳霞,娄秀娥,等.系统性护理干预对初诊2型糖尿病患者自我管理能力及血糖的影响[J].齐鲁护理杂志,2015,21(19):16-18.
[4]高岩,周丹,包乌仁.连续性护理干预对空巢老年2型糖尿病患者治疗依从性的影响[J].齐鲁护理杂志,2016,22(21):33-34.
[5]中华医学会内分泌学分会脂代谢学组.中国2型糖尿病合并血脂异常防治专家共识(2017年修订版)[J].中华内分泌代谢杂志,2017,33(11):925-936.
[6]黄婵娟,童丽灵,陈萍萍,等.个体化综合护理干预对2型糖尿病患者自我管理能力及血糖水平的影响[J].海南医学,2017,28(17):2916-2918.
[7]曹宏伟,谌静,甘宇,等.2型糖尿病患者自我管理行为及血糖控制现状的研究[J].航空航天医学杂志,2017,28(11):1397-1398.
[8]丁炜光,张玉兰.全程健康教育对2型糖尿病患者血糖控制效果及自我效能的影响[J].当代医学,2015,21(21):3-5.
[9]王爱民,何文静,熊晓琴,等.2型糖尿病患者的延续护理[J].护理学杂志,2014,29(11):82-84.
[10]尹建红,张绍果,苏琳,等.2型糖尿病病人出院后延续护理方案的实施与效果评价[J].护理研究,2017,31(19):2396-2399.
[11]洪益荣,瞿佳,黄芳.多元化护理在2型糖尿病患者自我管理行为中的应用[J].温州医科大学学报,2018,48(25):142-144.
[12]韩美玲,王芳,丁素珍,等.连续性护理对2型糖尿病患者自我管理能力和行为的影响[J].中国实用护理杂志,2015,31(7):489-491.
[13]贾绍静,郑栋莲,米光丽.2型糖尿病高危人群糖尿病预防知信行现状的调查研究[J].中国护理管理,2018,18(4):457-460.
[14]张井香,樊敏华.综合健康教育对社区2型糖尿病患者血糖控制、焦虑情绪及自我管理水平的影响[J].中华现代护理杂志,2017,23(35):4520-4523.
[15]李洁凌,钟舒琴,古东海,等.院外人性化关怀对1型糖尿病患者综合管理的影响[J].实用医学杂志,2018,34(8):1380-1382.