摘要
为了探讨延续护理对Ⅱ型糖尿病患者自我认知能力与遵医行为的影响。本研究选取157例Ⅱ型糖尿病患者随机分为对照组77例,实验组80例,对照组给予常规护理,实验组在常规护理基础上进行延续护理,通过比较两组患者的的自我认知和管理能力,遵医行为以及出院一年后的血糖变化,来评价两组患者的护理效果。研究发现实验组患者的自我认知能力总得分为22.6±0.6,显著高于对照组15.6±1.3,其中每项指标实验组也均显著高于对照组,差异均在0.9分以上。实验组患者的按时检查、饮食控制、药物疗法、自我检测以及运动疗法等遵医行为的执行率均显著高于对照组。而对比出院一年后的血糖水平,实验组患者血糖显著低于对照组,说明患者进行延续护理后,病情有明显改善。因此,延续性护理可提高患者对疾病的认知程度,改善其在术后治疗过程中的遵医行为,降低并发症的产生,提高患者的生活质量,值得临床广泛应用。
This research was aimed to investigate the effect of continuing nursing on typeⅡdiabetes patients that might improve self-cognition and compliance behavior.In this study,157 patients with typeⅡdiabetes were randomly divided into control group（77 cases）and experimental group（80 cases）.Patients in control group were only given usual care,patients in experimental group were also given continuing nursing based on the usual care.The nursing effects of two groups were evaluated through comparing self-cognition,management ability,and compliance behavior of patients as well as blood glucose change after one-year discharge.It was found that the total score of self-cognition in the experimental group was 22.6±0.6,which was significantly higher than that in the control group（15.6±1.3）,and each index in the experimental group was also significantly higher than that in the control group,the difference was 0.9 points or more.The rate of compliance behaviors conducted by patients in the experimental group was significantly higher than that of the control group,such as check on time,control diet,medication,self-monitoring and kinesitherapy.The blood glucose level in the experimental group was significantly lower than that of the control group after one-year discharge,which indicated that the patient＇s condition was obviously improved after continuous nursing.Therefore,continuous nursing could improve patients＇cognition of diseases,improve their compliance behaviors during postoperative treatment,reduce the occurrence of complications and improve their quality of life,which might be worthy of wide clinical application.
作者
靳丽
Jin Li(Medicine School of Hetao College, Bayannur, 01500)
出处
《基因组学与应用生物学》
CAS
CSCD
北大核心
2018年第2期563-569,共7页
Genomics and Applied Biology
基金
内蒙古巴彦淖尔市河套学院资助
关键词
Ⅱ型糖尿病
延续护理
自我认知能力
遵医行为
Type II diabetes, Continuing nursing, Self-cognition, Compliance behavior
