摘要
目的:探讨护理门诊管理对糖尿病患者生活质量及生化指标的影响。方法:选择2011年10月~2012年10月参加护理门诊管理的2型糖尿病患者250例作为观察组,选择同期未参与护理门诊管理的2型糖尿病患者250例作为对照组,对所有患者进行监测评估,观察组通过咨询指导及危险因素干预实施为期6个月的门诊护理管理,比较两组患者的生活质量影响及生化指标变化。结果:6个月后,观察组患者症状自评量表、36条目简明健康量表评分、抑郁自评量表、焦虑自评量评分较对照组明显降低(P<0.01);空腹血糖、空腹胰岛素、胰岛素抵抗指数、餐后2 h血糖、糖化血红蛋白、甘油三酯、低密度脂蛋白较对照组显著降低,高密度脂蛋白、胆固醇水平明显增高(P<0.01)。结论:护理门诊管理能够提高糖尿病患者血糖控制水平,改善患者抑郁、焦虑状态,提高患者的生活质量。
Objective：To explore the influence of outpatient nursing management on the quality of life in patients with diabetes and on the biochemical indexes. Methods ：250 patients with type 2 diabetes enrolled in outpatient nursing management （ from October 2011 to Oc- tober 2012 ） were taken as the observation group and other 250 patients who were not under outpatient nursing management were taken as the control group. All patients in both groups were under monitoring and evaluation. The 6 - month outpatient nursing management was im- plemented in the observation group though consulting and intervention on risk factors,and then the life quality of the patients and the change of biochemical indexes were compared between the two groups. Results ： After 6 months, the scores of SCL - 90, SF - 36, SAS and SDS of the patients were significantly lower in observation group than the control group （ P 〈 0.01 ） ; fasting blood glucose, fasting insulin, insulin resistance index, l^ostprandial 2 h blood glucose, glycated hemoglobin, triglyceride and low density lipoprotein significantly de- creased and high density lipoprotein and cholesterol levels significantly increased in the observation group compared with the control group （ P 〈 0.01 ）. Conclusion：The outpatient nursing management can improve glycemic control in diabetic patients, relieve depression and anxi- ety and improve the quality of life of the patients.
出处
《齐鲁护理杂志》
2014年第19期35-37,共3页
Journal of Qilu Nursing
关键词
糖尿病
护理门诊管理
生活质量
Diabetes
Outpatient nursing management Quality of life
