摘要
目的:观察基于确定-定义-产生-应用-计算-跟踪(IMPACT)模式的延续性护理在老年2型糖尿病合并冠心病患者中的应用效果。方法:选取2020年8月至2022年8月该院收治的94例老年2型糖尿病合并冠心病患者进行前瞻性研究,采用随机数字表法将其分为观察组与对照组各47例。对照组采取常规护理,观察组采取基于IMPACT模式的延续性护理。比较两组护理前后血糖指标[餐后2 h血糖(2hPG)、空腹血糖(FBG)、糖化血红蛋白(HbA1c)]水平、心功能指标[左心室射血分数(LVEF)、左心室短轴缩短率(FS)、左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)]水平、健康行为[健康促进生活方式量表Ⅱ(HPLP-Ⅱ)]评分、生命质量[2型糖尿病患者生存质量量表(DMQLS)]评分和护理满意度。结果:护理后,两组2hPG、FBG、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);两组LVEF、FS水平均高于护理前,且观察组高于对照组,两组LVEDD、LVESD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);两组压力管理、健康责任感、人际关系、营养、体育运动和精神成长等HPLP-Ⅱ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);两组疾病、生理、心理、社会、满意度等DMQLS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);观察组护理满意度为95.74%(45/47),高于对照组的82.98%(39/47),差异有统计学意义(P<0.05)。结论:基于IMPACT模式的延续性护理应用于老年2型糖尿病合并冠心病患者中可降低血糖指标水平,改善心功能指标水平,提高健康行为评分、生命质量评分和护理满意度,其效果优于常规护理。
Objective:To observe application effects of continuous nursing based on IMPACT model in elderly patients with type 2 diabetes mellitus complicated with coronary heart disease.Methods:A prospective study was conducted on 94 elderly patients with type 2 diabetes mellitus complicated with coronary heart disease admitted to the hospital from August 2020 to August 2022.They were divided into observation group and control group by using the random number table method,47 cases in each group.The control group received routine nursing,while the observation group received the continuous nursing based on IMPACT model.The levels of blood glucose indexes[2 h postprandial blood glucose(2hPG),fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c)],cardiac function indexes[left ventricular ejection fraction(LVEF),left ventricular short axis shortening rate(FS),left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)],health behavior[health-promoting lifestyle profile II(HPLP-II)]score,quality of life[type 2 diabetes mellitus quality of life scale(DMQLS)]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the levels of 2hPG,FBG and HbA1c in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of LVEF and FS in the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;the levels of LVEDD and LVESD in the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).The HPLP-II scores of stress management,health responsibility,interpersonal relationship,nutrition,sports and mental growth in the two groups were higher than those before the nursing,those in the observation gro
作者
贾海燕
张红瑾
JIA Haiyan;ZHANG Hongjin(Department of Endocrinology of Nanyang Central Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2024年第12期161-164,共4页
Medical Journal of Chinese People’s Health
关键词
2型糖尿病
冠心病
确定-定义-产生-应用-计算-跟踪
护理
血糖
心功能
健康行为
Type 2 diabetes mellitus
Coronary heart disease
Identifying-Defining-Producing-Applying-Computing-Tracking
Nursing
Blood glucose
Cardiac function
Health behavior
