摘要
目的通过对骨科术后合并糖尿病患者出院后血糖管理行为进行调查与分析,了解围手术期合并糖尿病患者出院后的血糖自我管理现状,为开展围手术期合并糖尿病患者出院后延续性护理方案提供指导依据。方法对2018年6月—2019年6月福州市某三甲综合医院骨科术后合并糖尿病患者223例进行出院后7 d、14 d、1个月的电话问卷调查。结果223例糖尿病患者中男124例,女99例,年龄22~82岁,平均(57.56±15.98)岁;文化程度≤小学122例,初中及高中79例,≥专科22例;职业,农民48例,在职人员51例,离退休及待业人员124例;初诊糖尿病者89例,非初诊糖尿病者134例;糖尿病患者出院后7 d饮食管理、运动管理、血糖监测、药物治疗及内分泌随诊平均得分均高于出院后14 d得分、30 d平均得分,差异有统计学意义(P<0.05),而出院后14 d血糖管理各项得分均高于出院后30 d平均得分,差异有统计学意义(P<0.05)。性别与血糖自护行为无相关性(P>0.05),年龄越大血糖自护行为得分越高,文化程度为初中至高中阶段的得分最高,小学及以下的自护行为得分最低,离退休人员自护行为得分最高,在职人员得分居中,最低的是农民。特别是首诊糖尿病患者,出院后的自护行为得分均较低;年龄、文化程度、职业及是否为初诊糖尿病与自护行为评分之间均具有相关性(P<0.05)。骨科术后合并糖尿病患者对出院后血糖的宣教需求占比66.8%。结论非内分泌科针对围手术期合并糖尿病患者进行出院管理时应加强相关糖尿病的宣教,特别是首次诊断糖尿病患者,提高这类患者的血糖自我管理能力。
Objective To investigate and analyze the blood glucose management behavior of patients with diabetes after orthopedic surgery after discharge,to understand the status of self-management of blood glucose in patients with diabetes during the perioperative period,and to provide guidance for carrying out continuous nursing care for patients with diabetes during the perioperative period.Methods A telephone questionnaire survey was conducted on 223 patients with diabetes mellitus after surgery in the department of orthopedics of a General Hospital of Fuzhou City from June 2018 to June 2019,7 d,14 d and 1 month after discharge.Results 223 cases of diabetic patients were 124 males and 99 females,aged 22-82 years old,with an average age of(57.56±15.98)years;education level≤122 cases of primary school,79 cases of junior high school and high school,≥22 cases of specialty;farmer 48 cases,51 cases of working staff,124 cases of retired and unemployed persons;89 cases of newly diagnosed diabetes,134 cases of non-newly diagnosed diabetes;7 d after discharge from hospital,diet management,exercise management,blood glucose monitoring,drug treatment,and endocrine follow-up average scores were higher than the 14 d and 30 d average scores after discharge,the difference was statistically significant(P<0.05),and the scores of blood glucose management 14 days after discharge were higher than the 30-day average scores after discharge,the difference was statistically significant(P<0.05).There was no correlation between gender and blood glucose self-care behavior(P>0.05).The older the age,the higher the blood glucose self-care behavior score.The education level was the highest score from junior high school to high school.The self-care behavior score of elementary school and below was the lowest.Retired people of the self-protection behavior scores the highest,the in-service personnel scores in the middle,and the lowest was the farmers.In particular,the self-care behavior scores of first-diagnosed diabetic patients were lower after discharge;age,education level,occupation,and whether they were newly diagnosed with diabetes were correlated with self-care behavior scores(P<0.05).Patients with diabetes mellitus after orthopedics surgery accounted for 66.8%of their demand for blood glucose education after discharge.Conclusion The non-endocrinology department should strengthen the education of diabetes related to the discharge management of patients with diabetes during the perioperative period,especially for patients with diabetes for the first time,to improve their blood glucose self-management ability.
作者
余丽娟
林立宇
陈晨
YU Li-juan;LIN Li-yu;CHEN Chen(Second Department of Orthopedics,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)
出处
《糖尿病新世界》
2021年第3期151-154,共4页
Diabetes New World Magazine
关键词
骨科术后
糖尿病患者
血糖管理
Orthopedic surgery
Diabetic patients
Blood glucose management
