摘要
目的探讨实施家庭干预对老年2型糖尿病患者自护行为能力和代谢指标的影响。方法将66例老年2型糖尿病患者出院后随机分为观察组和对照组各33例。对照组进行常规健康教育。观察组在此基础上同步进行为期1年的家庭干预。在干预前及干预后半年、1年采用自护行为能力量表评定患者的自护行为能力及观察代谢指标(糖化血红蛋白、空腹血糖、餐后2 h血糖、甘油三酯、总胆固醇、体质量指数)的变化。结果实施家庭干预半年、1年后,观察组自护行为能力和代谢指标的改善明显优于对照组(P<0.01或P<0.05)。结论通过家庭干预,可以提高老年2型糖尿病患者的自护行为能力,利于代谢指标的控制。
Objective To evaluate the effect of family intervention on self-care behavior and metabolic parameters in elderly patients with type 2 diabetes. Methods A total of 66 elderly patients with type 2 diabetes were randomly divided into two groups. The patients in control group received routine health education, while patients in experiment group received family intervention for one year. The ability of self-care behavior and the metabolic parameters such as fasting plasma glucose（FPG）, 2 hour postprandial plasma glucose（2hPG）, HbAlc, triglyceride, total cholesterol and BMI were measured and compared between the two groups every 6 months for 1 year. Results After family nursing intervention, there were significant differences on the metabolic parameters and diabetic self-management behaviors （P〈0.05 or P〈0.01）. Conclusion Family intervention can promote self-management behaviors which leads to better control of metabolic parameters in elderly patients with type 2 diabetes after discharge.
出处
《护理学报》
2011年第24期38-40,共3页
Journal of Nursing（China）
关键词
2型糖尿病
老年患者
家庭干预
自护行为
type 2 diabetes Mellitus
elderly patient
family intervention
self-care behavior
