摘要
目的:探讨电话随访模式对出院糖尿病(DM)患者自我管理和血糖控制的影响。方法:174例DM患者按护理方式分为电话随访组(A组)和对照组(B组),各87例。A组患者由责任护士定期电话随访,B组患者不随访,比较两组的自我管理能力及血糖控制情况。结果:干预前,两组在血糖监测、饮食、运动和足部护理等方面的差异不明显,P>0.05。干预后,A组的血糖监测评分、饮食评分、运动评分及足部护理评分均明显高于B组,P<0.05;两组血糖状况均有不同程度的改善,A组的空腹血糖、餐后2h血糖和糖化血红蛋白均明显低于B组,P<0.05。结论:对出院DM患者实施电话随访模式,有助于改善患者的自我管理能力,对血糖可起到很好的控制作用。
Objective: To investigate the effect of telephone follow-up mode on self-management and blood glucose control in patients with diabetes mellitus(DM) discharged from hospital. Methods:174 cases of DM were divided into telephone follow-up group(group A) and control group(group B), each of 87 cases. A group by the responsibility of nurses to discharge patients for regular telephone follow-up, B group of patients after discharge without telephone follow-up, compare the two groups of self management ability and blood glucose control. Results: Before the intervention, the two groups in blood glucose monitoring, diet, exercise and foot care and other aspects of the difference is not obvious, P〈0.05. After the intervention, blood glucose monitoring, diet score score and motor score and foot care scores in A group were significantly higher than that of group B, P〈0.05; different degrees of improvement in both two groups of blood glucose, fasting blood sugar, group A 2H blood glucose and glycosylated hemoglobin were significantly lower than that of group B, P〈0.05. Conclusions: The implementation of telephone follow-up mode for patients discharged from hospital DM is helpful to improve the self-management ability of patients, and can control the blood glucose.
作者
彭林
Peng Lin(Department of Internal Medicine, Bazhou District Bazhong City People's Hospital, Sichuan, Bazhou 630066, Chin)
出处
《中国医药导刊》
2016年第11期1174-1175,共2页
Chinese Journal of Medicinal Guide
关键词
糖尿病
自我管理
电话随访
血糖
Diabetes mellitus
Self-management
Telephone follow-up
Blood sugar