摘要
目的 探讨出院延续护理对青少年1型糖尿病患者治疗效果的影响.方法 将符合纳入标准的78例青少年1型糖尿病患者随机分至观察组和对照组各39例.观察组实施出院延续护理,对照组进行常规护理及出院后的电话随访,比较两组出院6个月时的自我管理能力、血糖控制及再入院率.结果 出院6个月时,观察组自我管理效能和自我管理行为平均得分均高于对照组,HbA1c平均水平低于对照组,组间差异均有统计学意义（P〈0.05）;两组6个月再入院率差异无统计学意义（P〉0.05）.结论 出院延续护理可以提高患者的自我管理能力,可以作为院外血糖管理的一个有效模式.
Objective To explore the effects of transitional care on adolescent patient with Type 1 diabetes （T1DM） after discharging from hospital. Methods The study investigated 78 adolescent patients with T1DM and they were randomly divided into observation group and control group on average. The patients of observation group received the transitional care and the patients of control group received the routine care and telephone follow-up after discharging from hospital. The self-management ability, glycemic control and incidence rate of readmission in six months after discharging were compared between the two groups. Results The patients of observation group showed higher self-management efficacy and behavior scores and lower HbA1c level than the control group （P〈0. 05）. However, the difference of readmission rate had no statistical significance between two groups （P 〉0. 05）. Conclusions Transitional care is an effective method to improve patients′ self-management capacity and glycemic control after they discharge from hospital.
出处
《中华现代护理杂志》
2016年第9期1289-1292,共4页
Chinese Journal of Modern Nursing
基金
国家临床重点专科护理专业建设项目（卫办医政函[2011]872号）
南京市医学重点科技发展项目（ZKX1203）
