摘要
目的分析探讨医院-社区-家庭护理干预模式对2型糖尿病患者饮食和血糖的控制效果,为临床护理2型糖尿病患者提供一定的参考。方法选取2014年2月至2015年12月我院收治的363例2型糖尿病患者,根据患者自主意愿分为试验组184例和对照组179例。对照组患者采用常规护理,试验组患者采用医院-社区-家庭护理干预模式。分析比较2组患者的饮食控制状况和治疗前后的生化指标、生活质量。结果试验组患者的谷物、蔬菜、豆类、禽肉类、鱼虾类、蛋类、乳类、油脂、盐类、总热量的达标率高于对照组,差异有统计学意义(P<0.05);干预后,2组患者的糖化血红蛋白(HbA1c)、血清总胆固醇(TC)、甘油三酯胆固醇(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)明显降低,试验组患者的HbA1c、TC、TG、LDL-C、HDL-C小于对照组,差异均有统计学意义(P<0.05);干预后,2组患者的躯体功能、躯体角色、机体疼痛、健康状况、生命力、情感角色、心理健康、社会功能评分明显升高,试验组患者的躯体功能、躯体角色、机体疼痛、健康状况、生命力、情感角色、心理健康、社会功能评分大于对照组,差异有统计学意义(P<0.05)。结论医院-社区-家庭护理干预模式对2型糖尿病患者的饮食控制效果显著,且对患者的血糖水平和生活质量均有较大的改善效果,值得推广使用。
Objective This study aimed to assess the benefits of hospital-community-family nursing intervention model for diet and glycemic control in patients with type 2diabetes and provide reference for clinical nursing for type 2diabetes.Methods From February 2014 to December 2015,363 patients with type 2diabetes treated at our hospital were included.They were divided into experimental group（n=184）and control group（n=179）based on their own intentions.Patients in the control group received conventional nursing procedures,and those in the experimental group received hospital-community-family nursing intervention.The effectiveness of these two nursing modes in diabetic diet control and the effects on biochemical indicators and life quality were compared.Results The compliance rates in the experimental group in the intake of grains,vegetables,beans,poultry meat,fish and pawn,eggs,milk,fat,salt and total calorie were significantly higher compared with the control group（P〈0.05）.After the nursing intervention,both two groups had a dramatic decrease in HbA1 c,TC,TG,LDL-C and HDL-C levels;moreover,these indicators were significantly lower in the experimental group compared with the control group（P〈0.05）.Patients in the experimental group scored significantly higher in somatic function,physical role,body pain,general health,vitality,emotional role,psychological health and social function（P〈0.05）.Conclusion The hospital-community-family nursing intervention provides considerable benefits for diet and glycemic control in patients with type 2diabetes.This integrated nursing procedure can greatly improve the patient＇s life quality and therefore is worthy of popularization
出处
《山西医药杂志》
CAS
2017年第7期757-760,共4页
Shanxi Medical Journal
关键词
护理
糖尿病
2型
饮食
血糖
Nursing care
Diabetes mellitus
type 2
Diet
Blood glucose
