摘要
目的:观察协同护理联合健康指导在2型糖尿病合并骨质疏松症患者中的应用效果。方法:选取2019年5月至2021年5月该院收治的84例2型糖尿病合并骨质疏松症患者进行前瞻性研究,采用随机数字表法将患者分为对照组和观察组,各42例。对照组采用健康指导,观察组在对照组基础上联合协同护理。比较两组干预前后血糖指标[空腹血糖(FBG)、餐后2 h血糖(2hBG)、糖化血红蛋白(HbA1c)]水平、骨密度和自我护理能力[自我护理能力量表(ESCA)]评分。结果:干预后,两组FBG、2hBG、HbA1c水平均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组L_(2~4)、Wards三角区、股骨颈及大转子区骨密度均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组自我概念、自护责任感、自我护理技能和健康知识水平等ESCA评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:协同护理联合健康指导应用于2型糖尿病合并骨质疏松症患者可降低血糖指标水平,提高骨密度和自我护理能力评分,效果优于单纯健康指导。
Objective:To observe application effects of collaborative care combined with health guidance in patients with type 2 diabetes mellitus complicated with osteoporosis.Methods:A prospective study was performed on 84 patients with type 2 diabetes mellitus complicated with osteoporosis admitted to this hospital from May 2019 to May 2021.These patients were divided into control group and observation group by random number table method,42 cases in each group.The control group was given health guidance,while the observation group was given collaborative care on the basis of that of the control group.The levels of blood glucose indicators[fasting blood glucose(FBG),2-h postprandial blood glucose(2hBG),glycated hemoglobin(HbA1c)],the bone mineral density,and the self-care ability[exercise of self-care agency scale(ESCA)]score were compared between the two groups before and after the intervention.Results:After the intervention,the levels of FBG,2hBG and HbA1c in the two groups were lower than those before the intervention,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The bone mineral density levels of L_(2-4),Wards triangle,femoral neck and greater trochanter in both groups were higher than those before the intervention,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the scores of self-care ability such as self-concept,self-care responsibility,self-care skills and health knowledge level in both groups were higher than those before the intervention,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:The collaborative care and health guidance for the patients with type 2 diabetes mellitus complicated with osteoporosis can reduce the levels of blood glucose indicators,and improve the bone mineral density and the selfcare ability scores.Moreover,it is superi
作者
朱丽平
ZHU Liping(st Department of Endocrinology of Anyang People’s Hospital,Anyang 455000 Henan,China)
出处
《中国民康医学》
2022年第18期174-176,共3页
Medical Journal of Chinese People’s Health
关键词
协同护理
健康指导
2型糖尿病
骨质疏松症
血糖
骨密度
自我护理能力
Collaborative care
Health guidance
Type 2 diabetes mellitus
Osteoporosis
Blood glucose
Bone mineral density
Self-care ability
