摘要
目的探讨自我管理模式在初诊糖尿病患者中的应用效果。方法将140例初诊糖尿病患者随机分为观察组和对照组,各70例。对照组给予常规糖尿病护理,观察组在此基础上实施糖尿病自我管理模式。观察两组患者出院时、出院后3、6个月的生存质量、自我管理行为及生化指标水平。结果出院后3、6个月,两组患者的生理功能、心理功能、社会关系及治疗情况评分均显著降低,且观察组出院后6个月的上述评分均显著低于对照组(P<0.05)。出院后3、6个月,两组的SDSCA评分均显著升高,且观察组高于对照组(P<0.05)。出院后3、6个月,两组的FBG、2 h PBG、HbA1c水平及BMI均显著降低,且观察组均显著低于对照组(P<0.05)。结论对初诊糖尿病患者开展自我管理模式干预,可有效控制血糖,提高患者生存质量。
Objective To explore the application effect of self-management model in newly diagnosed diabetic patients.Methods A total of140newly diagnosed diabetic patients were randomly divided into observation group and control group,with70cases in each group.The control group was given routine diabetes nursing,while the observation group was given self-management model of diabetes on the basis of routine diabetes nursing.The quality of life,self-management behavior and levels of biochemical indicators of the two groups were observed at discharge and3,6months after discharge.Results At3and6months after discharge,the scores of physiological function,psychological function,social relationship and treatment of the two groups significantly decreased,and those of the observation group were significantly lower than the control group at6months after discharge(P<0.05).At3and6months after discharge,the SDSCA scores of both groups increased significantly,and those in the observation group were higher than the control group(P<0.05).At3and6months after discharge,the levels of FBG,2h PBG,HbAlc and BMI in the two groups significantly decreased,and those of the observation group were significantly lower than the control group(P<0.05).Conclusion Self-management model intervention for newly diagnosed diabetic patients can effectively control blood sugar and improve their quality of life.
作者
张亚妮
郑晓娟
梁莉娟
ZHANG Ya-ni;ZHENG Xiao-juan;LIANG Li-juan(No.1 Cardiovascular Internal Medicine Department, Traditional Chinese Medicine Hospital of Baoji, Baoji 721000, China)
出处
《临床医学研究与实践》
2018年第36期158-160,共3页
Clinical Research and Practice
基金
2017年度宝鸡市卫生和计划生育局科研立项课题计划(No.2017-22)
关键词
自我管理模式
糖尿病
血糖
生存质量
self-management model
diabetes
blood sugar
quality of life
