摘要
目的:探究基于PDCA的健康管理模式在老年糖尿病患者中的应用效果。方法:选取2022年2月—2023年4月佛山复星禅诚医院收治的120例老年糖尿病患者为研究对象。对照组实施常规干预,观察组实施基于PDCA的健康管理干预模式。比较两组干预前和干预6个月后血糖值、生活质量,知晓度及依从性。结果:干预6个月后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白均降低,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白均显著低于对照组,差异有统计学意义(P<0.05)。观察组发病原因、血糖异常危害、控制血糖方法和注意事项评分均显著高于对照组,差异有统计学意义(P<0.05)。观察组科学饮食、规律运动、监测血糖、遵医嘱用药评分均高于对照组,差异有统计学意义(P<0.05)。干预6个月后,两组生活质量(QOL)评分均高于干预前,观察组QOL评分高于对照组,差异有统计学意义(P<0.05)。结论:临床针对老年糖尿病患者实施基于PDCA的健康管理模式,在帮助患者控制血糖、改善生活质量方面效果显著,还可有效增强患者疾病认知程度,提升患者治疗依从性。
Objective:To explore the application effect of health management model based on PDCA in elderly diabetic patients.Method:A total of 120 elderly diabetic patients admitted to Foshan Fosun Chancheng Hospital from February 2022 to April 2023 were selected as the main study objects.The control group implemented routine intervention,and the observation group implemented health management model based on PDCA.Blood glucose,quality of life before intervention and after 6 months of intervention,awareness and compliance were compared between the two groups.Result:After 6 months of intervention,fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in both groups were decreased,and fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The cause of the disease,the harm of abnormal blood glucose,the methods of blood glucose control and the points for attention scores in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The scores of scientific diet,regular exercise,blood glucose monitoring and medication as prescribed in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After 6 months of intervention,quality of life(QOL)scores in both groups were higher than those before intervention,and QOL scores in observation group was higher than that in control group,the differences were statistically significant(P<0.05).Conclusion:Clinical implementation of the health management model based on PDCA for elderly diabetic patients has significant effects in helping patients control blood glucose and improve quality of life,and can also effectively enhance patients'disease cognition degree and improve patients'treatment compliance.
作者
郑洁玲
叶茵
彭春莉
ZHENG Jieling;YE Yin;PENG Chunli(Foshan Fosun Chancheng Hospital,Foshan 528000,China;不详)
出处
《中外医学研究》
2024年第10期95-98,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
PDCA
健康管理模式
老年糖尿病
血糖控制效果
依从性
生活质量
PDCA Health management model
Elderly diabetes mellitus
Blood glucose control effect
Compliance
Quality of life
