摘要
目的探讨延续性护理对提高老年糖尿病患者自我护理能力的作用效果,为提高老年糖尿病患者护理质量提供参考。方法选择2016年1月至2018年1月我院收治的门诊老年糖尿病患者218例作为研究对象,随机将患者等分为对照组和研究组。两组患者均按照糖尿病患者临床诊治规范实施治疗,对照组给予常规延续性护理。研究组在对照组基础上,制定个性化延续性护理方案并实施。两组患者均连续观察6个月,比较两组患者入组时、入组后6个月老年人自我护理能力量表(SASE)评分变化,比较两组患者入组后6个月内血糖控制情况、用药依从性、随访依从性、新增糖尿病并发症等情况。结果两组患者入组时SASE各维度及综合评分比较差异无统计学意义(P> 0. 05)。入组6个月后,两组患者SASE各维度及总分较入组时均明显提高,且研究组患者SASE各维度及总分均明显高于对照组(P <0. 05)。两组患者入组时空腹血糖、糖化血红蛋白比较差异无统计学意义(P> 0. 05)。入组6个月后,两组患者空腹血糖、糖化血红蛋白明显低于入组时,且研究组低于对照组(P <0. 05)。研究组患者用药依从率、随访依从率均显著高于对照组(P <0. 05)。研究组患者随访期间新增并发症明显低于对照组(P <0. 05)。结论自我护理能力很大程度上决定着老年糖尿病患者居家病情控制质量,提高患者自我护理能力应作为延续性护理的重要内容。
Objective To explore the effect of continuous nursing on improving the self-care ability of elderly diabetic patients,thus providing a reference for improving the quality of nursing for elderly diabetic patients.Methods A total of 218 cases of elderly patients with diabetes mellitus admitted to our hospital from January 2016 to January 2018 were selected as the study subjects.These patients were divided into control group and study group with the same number of cases randomly.Both groups of patients were treated according to the standards of clinical diagnosis and treatment of diabetes patients.Patients in the control group was given routine continuous nursing.On the basis of the control group,the study group was implemented with personalized continuous nursing plan.The patients in the two groups were observed for 6 months.The scores of the elderly self-care ability scale (SASE) of the two groups were compared at the time when the patients were enrolled to the group and 6 months after the nursing.The blood glucose control,medication adherence,follow-up compliance,and new complications of diabetes of patients in the two groups after 6 months of nursing were compared.Results At the beginning of group division,there was no significant statistical difference in the SASE scores and comprehensive scores between the two groups(P>0.05).After 6 months of enrollment to the group,the SASE scores and comprehensive scores of the two groups were significantly higher than that at the beginning of group division,and the SASE scores and comprehensive score of the study group were higher than that of the control group(P<0.05).At the beginning of group division,there was no significant statistical difference in fasting blood glucose and glycosylated hemoglobin between the two groups(P>0.05).After 6 months of enrollment to the group,fasting blood glucose and glycosylated hemoglobin in the two groups were significantly lower than that at the beginning of group division,and the study group was lower than the control group(P<0.05).The adherence rate and follow-up rate of the patients in the study group were significantly higher than those in the control group(P<0.05).The new complications of study group during the follow-up period were significantly lower than that of the control group(P<0.05).Conclusion The self-care ability largely determines the quality of home disease control in elderly patients with diabetes.Improving the self-care ability of patients should be an important part of continuous nursing.
作者
刘雅静
马沛
陈慧芳
LIU Ya-jing;MA Pei;CHEN Hui-fang
出处
《护理实践与研究》
2019年第2期5-8,共4页
Nursing Practice and Research
