摘要
目的研究探讨居家糖尿病护理平台联合精准护理对糖尿病患者生活质量的影响。方法选取2017年3月—2019年3月本院门诊收治的112例糖尿病患者为研究对象,按随机数字表法分为观察组和对照组,各56例。对照组给予精准护理干预,观察组在对照组基础上联合居家糖尿病护理平台干预。连续护理干预3个月后,对2组患者的血糖指标、血糖波动指标、生活质量评分、低血糖发生率等进行统计对比。结果2组患者干预前血糖指标包括空腹血糖(FPG)、餐后血糖(PPG)、糖化血红蛋白(HbA1c)无统计学差异(P>0.05),治疗后2组血糖指标均有降低,且观察组均低于对照组(P<0.05)。干预前2组患者的血糖波动指标包括平均血糖(MBG)、日内血糖平均波动幅度(MAGE)、血糖水平标准差(SDBG)、日内血糖平均绝对差(MODD)比较无统计学差异(P>0.05),干预后2组患者的MBG、MAGE、SDBG、MODD均有降低,且观察组均低于对照组(P<0.05)。干预前2组患者的生活质量评分无统计学差异(P>0.05),干预后2组患者的生活质量包括生理功能、心理功能、日常活动、社会功能评分均有升高,且观察组高于对照组(P<0.05)。在护理干预3个月内,观察组低血糖发生率为8.93%(5/56),低于对照组的23.21%(13/56)(P<0.05)。结论居家糖尿病护理平台联合精准护理在糖尿病患者中的应用效果良好,能够降低患者的血糖水平,改善血糖波动情况,提高患者生活质量,减少低血糖的发生,为糖尿病患者出院后血糖管理提供了新的选择方案。
Objective To study the effect of home diabetes nursing platform combined with precise nursing on the quality of life of diabetic patients.Methods 112 diabetic patients admitted to our hospital from March 2017 to March 2019 were selected as the research objects.They were divided into observation group and control group according to random number table method,56 cases in each group.The control group was given precise nursing intervention,while the observation group was combined with home diabetes nursing platform intervention on the basis of the control group.After 3 months of continuous nursing intervention,the blood sugar index,blood sugar fluctuation index,quality of life score and incidence of hypoglycemia in the two groups were compared.Results There was no significant difference in fasting blood glucose(FPG),postprandial blood glucose(PPG)and glycosylated hemoglobin(HbAlc)between the two groups before intervention(P>0.05).After treatment,the blood glucose indexes of the two groups decreased,and those of the observation group were lower than those of the control group(P<0.05).There was no significant difference in the blood glucose fluctuation indexes including mean blood glucose(MBG),average fluctuation range of intraday blood glucose(MAGE),standard deviation of blood glucose level(SDBG)and mean absolute difference of intraday blood glucose(MODD)between the two groups before intervention(P>0.05).After intervention,MBG,MAGE,SDBG and MODD of the two groups decreased,and the observation group was lower than that of the control group(P<0.05).There was no significant difference in the scores of QOL between the two groups before intervention(P>0.05).After intervention,the scores of QOL including physiological function,psychological function,daily activity and social function in the two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).Within 3 months of nursing intervention,the incidence of hypoglycemia in the observation group was 8.93%(5/56),which was low
作者
李柳
曾谷清
LI Liu;ZENG Gu-qing
基金
长沙市科技局立项课题(Kq701057)。
关键词
糖尿病患者
精准护理
居家糖尿病护理平台
血糖水平
血糖波动指标
生活质量
低血糖发生率
Diabetic patients
Precise nursing
Home diabetes care platform
Blood sugar level
Blood sugar fluctuation index
Quality of life
Incidence of hypoglycemia
