摘要
目的分析糖尿病患者的护理需求,评价健康教育+护理干预对患者血糖水平、遵医行为、自我管理能力等方面的影响。方法选择我院内分泌科2019年4月至2020年2月诊治的130例2型糖尿病患者,所有患者均予以胰岛素等降糖治疗,以随机法进行分组护理。对照组、观察组分别采取常规护理、健康教育+护理干预。比较两组患者的自我管理、生活质量、遵医行为与血糖水平,以自我管理行为量表6(SDSCA-6)、简明健康测量量表(SF-36)评估患者的自我管理能力、生活质量。结果护理后,观察组患者的自我管理能力评分[(66.60±6.50)分vs.(55.50±5.50)分]、生理功能评分[(78.60±6.50)分vs.(65.50±5.00)分]、情感职能评分[(89.00±6.60)分vs.(80.00±5.30)分]、总体健康评分[(80.50±6.80)分vs.(73.30±5.50)分]均明显高于对照组患者(P<0.05);护理后,观察组患者的饮食(96.92%vs 81.53%)、用药(100%vs.84.61%)、自我监测(96.92%vs.81.53%)、自我护理(95.38%vs.76.92%)、并发症预防(95.38%vs.76.92%)遵医行为占比率均明显高于对照组患者,P<0.05;护理后,观察组患者的空腹血糖(FBG)[(6.90±1.20)mmol/L vs.(8.60±1.30)mmol/L]、餐后2 h血糖(2hPG)[(8.05±1.20)mmol/L vs.(11.20±1.50)mmol/L]、糖化血红蛋白(HbA1c)[(6.60±1.05)%vs.(10.80±1.50)%]水平对比对照组平稳(P<0.05)。结论基于2型糖尿病终身治疗、并发症多等特点,需强化治疗期间的护理干预工作。健康教育配合护理干预可提高糖尿病患者的遵医行为、自我管理能力、生活质量,利于患者的血糖控制。
Objective To analyze the nursing needs of diabetic patients,and to evaluate the impact of health education+nursing intervention on patients'blood glucose levels,compliance behaviors,self-management capabilities,etc.Methods A total of 130 patients with type 2 diabetes who were diagnosed and treated in our hospital's Department of Endocrinology from April 2019 to February 2020 were selected and randomized into groups based on insulin and other hypoglycemic therapy.The control group and observation group were treated with routine nursing,health education+nursing intervention.Compare the self-management,quality of life,compliance behaviors,and blood glucose levels of patients with type 2 diabetes.The self-management behavior scale 6(SDSCA-6)and concise health measurement scale(SF-36)were used to evaluate patients'self-management ability and life quality.Results After nursing,the self-management ability score of observation group[(66.60±6.50)points vs.(55.50±5.50)points],physiological function score[(78.60±6.50)points vs.(65.50±5.00)points],emotional function score[(89.00±6.60)points vs.(80.00±5.30)points]and overall health score[(80.50±6.80)points vs.(73.30±5.50)points]were significantly higher than those in the control group(P<0.05).After nursing,the observation group's diet(96.92%vs.81.53%),medication(100%vs.84.61%),self-monitoring(96.92%vs.81.53%),self-care(95.38%vs.76.92%),complication prevention(95.38%vs.76.92%)and the proportion of medical compliance behavior were significantly higher than those in the control group,P<0.05.After nursing,the fasting blood glucose(FBG)of the observation group[(6.90±1.20)mmol/L vs.(8.60±1.30)mmol/L],2 h postprandial blood glucose(2hPG)[(8.05±1.20)mmol/L vs.(11.20±1.50)mmol/L],glycosylated hemoglobin(HbA1c)[(6.60±1.05)%vs.(10.80±1.50)%]level was stable compared with the control group(P<0.05).Conclusion Based on the characteristics of lifelong treatment of type 2 diabetes and many complications,it is necessary to strengthen nursing intervention during treatment.Health education and nursing intervention can improve the compliance behavior,self-management ability and quality of life of diabetic patients,which is conducive to the patient's blood sugar control.
作者
付春宇
FU Chunyu(Department of Endocrinology,Liaoyang Central Hospital,Liaoyang 111000,China)
出处
《中国医药指南》
2022年第26期182-185,共4页
Guide of China Medicine
关键词
2型糖尿病
健康教育
护理干预
自我管理
血糖水平
遵医行为
Type 2 diabetes
Health education
Nursing intervention
Self-management
Blood sugar level
Compliance behavior
