摘要
目的探讨行为转变护理模式对糖尿病患者血糖水平及服药依从性的影响。方法选择2019年1月至2020年12月我社区服务中心随访的糖尿病患者280例,随机分为对照组及观察组,每组140例。对照组采用常规护理,治疗组在对照组的基础上采用行为转变护理模式。比较两组患者实施护理前后血糖水平及服药依从性。结果护理后,对照组和观察组空腹血糖和餐后2 h血糖比较,差异均有统计学意义(P<0.05)。护理后,对照组和观察组服药依从性评分比较,差异有统计学意义(t=14.985,P<0.001)。护理后,对照组服药依从性为85.00%,观察组服药依从性为98.57%,差异有统计学意义(Z=5.874,P<0.05)。结论在社区中采用行为转变护理措施管理慢性病患者,尤其是糖尿病患者,可提高患者对疾病的认知度和服药依从性,改善疾病症状和预后。
Objective To explore the effect of behavior change nursing mode on blood glucose level and medication adherence in diabetic patients.Methods A total of 280 diabetic patients who were followed up by our community service center from Jan.2019 to Dec.2020 were randomly divided into the control group and the observation group,140 cases in each group.The control group adopted routine nursing,and the treatment group adopted behavior change nursing mode on the basis of the control group.The blood glucose level and medication compliance of the two groups were compared before and after nursing.Results There were significant differences for fasting blood glucose and 2h postprandial blood glucose between the control group and the observation group after nursing(P<0.05).The difference of the control group and the observation group after nursing was statistically significant(t=14.985,P<0.001).The difference of the medication compliance of the control group was 85.00%,and that of the observation group was 98.57%,the medication compliance of the two groups was statistically significant(Z=5.874,P<0.05).Conclusion The adoption of behavior change nursing measures in the community can improve the cognition and medication compliance of patients with chronic diseases,especially diabetes mellitus,and improve the symptoms and prognosis of disease.
作者
蔡秋香
黄建华
CAI Qiuxiang;HUANG Jianhua(Zhonghua Street Community Health Service Center,Silu District,Xiamen 361000,China)
出处
《中国医药指南》
2021年第27期40-42,共3页
Guide of China Medicine
关键词
糖尿病
血糖
行为转变护理模式
服药依从性
Diabetes
Blood glucose
Behavior change nursing model
Medication compliance
