摘要
目的探析家庭社区综合护理对改善糖尿病患者血糖及生活质量的应用效果。方法将2018年4月—2019年8月在该院家庭病床科接受治疗的100例糖尿病患者作为主要对象,采用数字随机表法分组,各50例。对照组与观察组患者分别接受常规指导、家庭社区综合护理,对两组患者的血糖波动情况、生活质量和依从性评分进行对比分析。结果护理前两组患者的血糖值相比差异无统计学意义(P>0.05),护理后两组的血糖值较护理前均有明显下降,且观察组患者护理后的空腹血糖、餐后2 h血糖和糖化血红蛋白水平均显著低于对照组,两组对比差异有统计学意义(P<0.05);观察组患者在饮食控制、运动情况、血糖监测、用药依从以及足部护理方面的依从性评分均显著高于对照组,且生活质量评分显著高于对照组,差异有统计学意义(P<0.05)。结论对糖尿病患者实施家庭社区综合护理更有利于稳定患者的血糖值,同时可提升患者的自我管理意识与遵医行为,进而提升患者的生活质量,因此,具备临床应用和推广价值。
Objective To explore the effect of family community comprehensive nursing on improving blood glucose and quality of life of diabetic patients.Methods A total of 100 diabetic patients who were treated in the family bed department of the hospital from April 2018 to August 2019 were taken as the main subjects,and were divided into two groups with a number random table method,with 50 cases in each group.Patients in the control group and observation group received routine guidance and comprehensive family and community care respectively.The blood glucose fluctuations,quality of life and compliance scores of the two groups were compared and analyzed.Results There was no statistically significant difference in blood glucose between the two groups of patients before nursing(P>0.05).The blood glucose of the two groups after nursing was significantly lower than that before nursing,and the fasting blood glucose of patients in the observation group after nursing and 2 h after meal blood glucose and glycosylated hemoglobin levels were significantly lower than those of the control group,and the difference between the two groups was statistically significant(P<0.05);the observation group had a compliance score in diet control,exercise status,blood glucose monitoring,medication compliance,and foot care were significantly higher than the control group,and the quality of life score was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of family and community comprehensive care for diabetic patients is more conducive to stabilizing the patient’s blood glucose level,and at the same time can improve the patient’s self-management awareness and compliance behavior,thereby improving the patient’s quality of life.Therefore,it has clinical application and promotion value.
作者
邓少云
DENG Shao-yun(Department of Family Beds,People's Hospital of Chancheng District,Foshan,Guangdong Province,528000 China)
出处
《糖尿病新世界》
2021年第3期133-135,共3页
Diabetes New World Magazine
关键词
家庭社区综合护理
糖尿病
血糖
依从性
生活质量
Comprehensive family and community care
Diabetes
Blood glucose
Compliance
Quality of life
