摘要
目的：探讨专病一体化护理对改善糖尿病营养管理中的作用,旨在提高患者自我护理水平,改善患者的营养状况。方法选择2011年1—11月治疗的糖尿病患者130例,用计算机产生随机数把患者分为对照组和观察组,每组各65例。对照组实施常规护理,观察组在对照组基础上给予专病一体化护理干预。6个月后比较两组患者体质量指数、空腹血糖、餐后2h血糖、糖化血红蛋白、三酰甘油、总胆固醇水平；比较两组患者疾病知识掌握程度。结果干预6个月后,除体质量指数外,观察组患者空腹血糖、餐后2 h 血糖、糖化血红蛋白、三酰甘油、总胆固醇分别为（6.21±1.62） mmol/L、（8.32±2.41）mmol/L、（6.43±1.71）%、（1.51±0.38）mmol/L、（5.01±0.72）mmol/L,均低于对照组,差异有统计学意义（t值分别为8.37,11.41,9.49,7.94,8.56；P〈0.05）。观察组患者在饮食方案、运动方案、药物治疗知识得分分别为（92.11±6.01）,（92.03±5.09）,（92.16±4.18）分,均高于对照组,差异有统计学意义（t值分别为15.49,17.32,14.79；P〈0.05）。结论应用专病一体化护理为基础的营养管理教育,可以改善糖尿病患者的营养状况。
Objective To explore the effects of disease integrated nursing model on nutrition management of diabetic patients, so as to promote patients′ slef-care and nutriture. Methods A total of 130 diabetic patients were selected and averagely divided into control group and experimental group by computer sequence from January to November 2011. The patients of control group underwent routine nursing, while the patients of experimental group received disease integrated nursing model based on the control group. After 6 months interventions, we compared the results of body mass index （ BMI） , fasting blood glucose （ FBG） , 2 hs postprandial blood sugar （ 2 hs PBS ） , glycosylated hemoglobin （ GH ） , triacylglycerol （ TG ） , and total cholesterol （ TC ） level, and compared mastering knowledge of disease between two groups. Results After 6 months intervention, except BMI, the FBG, 2 hs PBS, GH, TG and TC were （ 6. 21 ± 1. 62 ） mmol/L, （8. 32 ± 2. 41） mmol/L, （6. 43 ± 1. 71）%, （1. 51 ± 0. 38） mmol/L and （5. 01 ± 0. 72） mmol/L in the experimental group which was lower than these of the control group （t=8. 37, 11. 41, 9. 49, 7. 94, 8. 56;P〈0. 05）. The diet plan, movement plan and medicine knowledge of experimental group were （92. 11 ± 6. 01）, （92.03±5.09） and （92.16±4.18） score （t=15.49,17.32,14.79;P〈0.05）.Conclusions Application of nutrition management and education based on disease integrated nursing model can improve the nurtiture of diabetic patients.
出处
《中华现代护理杂志》
2015年第19期2237-2239,共3页
Chinese Journal of Modern Nursing
关键词
糖尿病
专科
疾病
营养管理
Diabetes
Special,disease
Nutrition management
