摘要
目的探讨在2型糖尿病患者中实施延续护理的效果。方法选择抚顺市新宾满族自治县人民医院2014年2月一2015年12月收治的2型糖尿病患者80例，按照护理方法不同分为常规护理组和延续护理组各40例。比较两组血糖控制达标率、护理满意度；出院后自我护理行为评分；出院时和出院后半年血糖和糖化血红蛋白水平。结果延续护理组血糖控制达标率90．0％、护理满意度92．5％，常规护理组血糖控制达标率和护理满意度均为75．00％，两组上述指标比较，差异均有统计学意义（X2值分别为4．354和4．501，P〈0．05）。出院时两组血糖和糖化血红蛋白水平差异无统计学意义（P〉0．05）；出院后半年延续护理组相较于常规护理组，血糖和糖化血红蛋白改善程度更显著，差异均有统计学意义（P〈0．05）。出院后延续护理组相较于常规护理组自我护理行为评分更高，差异均有统计学意义（P〈0．05）。结论2型糖尿病患者实施延续护理的效果较好，可有效提高患者自我护理行为，改善血糖水平，满意度较高，值得推广使用。
Objective To investigate the effect of continuing nursing care in patients with type 2 diabetes. Methods Eighty patients with type 2 diabetes in Xinbin Manchu Autonomous County Hospital of People of Fushun City from February 2014 to December 2015 were selected. Patients were divided into routine nursing group and the continuing nursing group with 40 cases in each group according to the different nursing methods. The glycemic control target rate, the degree of satisfaction of nursing, the self-nursing behavior score after discharge, and the blood glucose levels and levels of glycosylated hemoglobin at discharge and six months after discharge of the two groups were compared respectively. Results The control target rate of blood glucose of continuing nursing group was 90.0%, and the nursing satisfaction rate was 92.5%. Blood glucose control rate and nursing satisfaction of routine nursing group were both 75.00%. The differences were statistically significant （X2 = 4.354 and 4.501 respectively, P 〈 0.05）. There was no statistically significant difference between the two groups of blood glucose and glycosylated hemoglobin levels at discharge （P 〉 0.05）. Six months after discharge, the degree of the improvement of the blood glucose and glycosylated hemoglobin levels of continuing nursing group was obvious compared with that of the routine nursing group, and the differences were statistically significant （P 〈 0.05）. The self-nursing score of continuing nursing group was much higher than that of routine nursing group after discharge. The differences were statistically significant （P 〈 0.05）. Conclusion The continuing nursing towards the patients with type 2 diabetes is effective, improves the patients＇ ability of self-nursing, improves the blood glucose level with high satisfaction and is worthy of promotion and application.
出处
《中国实用乡村医生杂志》
2017年第1期37-39,共3页
Chinese Practical Journal of Rural Doctor
关键词
2型糖尿病
延续护理
可行性
Type 2 Diabetes Mellitus
Continuing Nursing
Feasibility
