摘要
目的 分析基于三维质量评价模式的延续护理对糖尿病足患者血糖控制、治疗依从性及病耻感的影响。方法 选取2020年6月至2021年6月治疗的107例糖尿病足患者,按照随机数字表法分为观察组53例和对照组54例。对照组采用常规护理干预,观察组患者采用基于三维质量评价模式的延续护理护理干预。比较2组患者干预前后血糖控制情况[空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)]、治疗依从性、病耻感、生活质量评分。结果 干预前,2组患者FPG、2hPG、HbA1c比较差异无统计学意义(P>0.05);干预后3个月,2组患者FPG、2hPG、HbA1c均较干预前显著降低(P<0.05),观察组FPG、2hPG、HbA1c显著低于对照组(P<0.05)。干预前,2组患者治疗依从性比较差异无统计学意义(P>0.05);干预后1、3个月2组患者治疗依从性较干预前显著提高(P<0.05),干预3个月观察者组患者治疗依从性高于对照组(P<0.05)。干预前,2组病耻感评分比较差异无统计学意义(P>0.05);干预后1、3个月2组患者病耻感较干预前显著降低(P<0.05),观察组干预后3个月病耻感低于对照组(P<0.05)。干预前,2组患者生活质量评分差异无统计学意义(P>0.05);干预1、3个月2组生活质量评分均较干预前明显升高(P<0.05),干预后3个月观察组生活质量评分明显高于对照组(P<0.05)。结论 基于三维质量评价模式的延续护理护理干预能有效改善糖尿病足患者血糖控制情况,提高患者治疗依从性,降低患者病耻感,改善患者生活质量,值得临床推广。
Objective To explore the effect of continuous nursing based on three-dimensional quality evaluation model on blood glucose control,treatment compliance and stigma of patients with diabetic foot.Methods A total of 107 patients with diabetic foot treated in our hospital from June 2020 to June 2021 were randomly divided into observation group(53 cases)and control group(54 cases).Routine nursing intervention was performed in the control group,and continuous nursing intervention based on three-dimensional quality evaluation model was adopted in the observation group.The general data of the two groups were collected,and the blood glucose control,treatment compliance,stigma and quality of life scores were observed and recorded before and after the intervention.Results There were no significant differences in fasting plasma glucose(FPG),2-hour plasma glucose(2hPG)and glycosylated hemoglobin(HbA1c)between the two groups before the intervention(P>0.05).FPG,2hPG and HbA1c at 3 months of interventions were significantly reduced in both groups(P<0.05),which were significantly lower in the observation group than those of the control group(P<0.05).There was no significant difference in the treatment compliance between the two groups before the intervention(P>0.05).After the intervention,the treatment compliance at 1 month and 3 months of interventions in both groups was significantly higher than that before the intervention(P<0.05).The treatment compliance at 3 months of interventions in the observation group was significantly higher than that of the control group(P<0.05).There was no significant difference in the stigma score between the two groups before the intervention(P>0.05).After the intervention,the stigma at 1 month and 3 months of interventions in both groups was significantly lower than that before the intervention(P<0.05).The stigma at 3 months of interventions was significantly lower in the observation group than that of the control group(P<0.05).There was no significant difference in the score of quality of life b
作者
刘荣霞
朱晓玲
张雁青
张元元
LIU Rongxia;ZHU Xiaoling;ZHANG Yanqing(Department of Endocrinology,the Second People’s Hospital of Lianyungang,Jiangsu,Lianyungang 222000,China)
出处
《河北医药》
CAS
2024年第13期2069-2072,共4页
Hebei Medical Journal
关键词
三维质量评价模式
延续护理
糖尿病足
血糖控制
治疗依从性
three-dimensional quality evaluation model
continuous nursing
diabetic foot
blood glucose control
treatment compliance
