摘要
目的:观察社区双轨道互动护理在老年2型糖尿病患者中的应用效果。方法:选取2018年9月至2021年7月该院收治的96例老年2型糖尿病患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各48例。对照组采用常规护理,观察组在对照组基础上采用社区双轨道互动护理,比较两组服药依从性、生命质量[简明健康状况调查表(SF-36)]评分、血糖指标[糖化血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2 h血糖(2hPG)]水平和护理满意度。结果:观察组服药依从率为93.75%,高于对照组的66.67%,差异有统计学意义(P<0.05);护理后,两组SF-36各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组FBG、2hPG、HbA1c水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为100.00%,高于对照组的87.50%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用社区双轨道互动护理可提高老年2型糖尿病患者服药依从性性、生命质量评分和护理满意度,以及降低血糖指标水平,优于常规护理效果。
Objective: To observe application effects of community dual-track interactive nursing in elderly patients with type 2 diabetes mellitus. Methods: 96 elderly patients with type 2 diabetes who were admitted to our hospital from September 2018 to July 2021 were selected as the research objects for the prospective study, and were divided into control group and observation group according to the random number table method,48 cases in each group. The control group received routine nursing, while the observation group was given the community dual-track interactive nursing on the basis of that of the control group. The medication adherence rate, the quality of life [short form health status survey(SF-36)] score,the blood glucose index levels [glycated hemoglobin(HbA1c), fasting blood glucose(FBG), 2-h postprandial blood glucose(2hPG)], and the nursing satisfaction were compared between the two groups. Results: The medication adherence rate of the observation group was 93.75%, which was higher than the control group of 66.67%, and the difference was statistically significant(P<0.05). After the nursing, the scores of SF-36 dimensions in the two groups were higher than those before the nursing, those of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05). After the nursing, the levels of FBG, 2hPG, and HbA1c in the two groups were lower than those before the nursing, those of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). Further,the nursing satisfaction of the observation group was 100.00%, which was higher than 87.50% of the control group, and the difference was statistically significant(P<0.05). Conclusions: On the basis of the routine nursing, the community dual-track interactive nursing can improve the medication adherence rate, the quality of life scores and the nursing satisfaction, and reduce blood glucose index levels in the elderly patients with type 2 diabetes me
作者
刘文
LIU Wen(Department of Endocrinology of Henan Provincial People’s Hospital,Zhengzhou 450003 Henan,China)
出处
《中国民康医学》
2022年第13期170-172,共3页
Medical Journal of Chinese People’s Health
关键词
社区双轨道互动护理
2型糖尿病
老年
服药依从率
生命质量
护理满意度
血糖
Community dual-track interactive nursing
Type 2 diabetes mellitus
Elderly
Medication adherence rate
Quality of life
Nursing satisfaction
Blood glucose
