对糖尿病患者应用个性化出院指导的效果分析

Effect analysis on the individual guideline of hospital discharge for the diabetes patients

目的探讨个体化出院指导方式对糖尿病患者的依从性和发生再住院率的影响。方法对60例住院的糖尿病患者随机分为2组,对照组对患者进行常规出院指导,实验组对患者实施有针对性的个体化出院指导,分别于出院3个月和6个月时对患者依从性和再次住院率进行评定。结果出院后3个月和6个月实验组依从性显著优于对照组（P〈0.05）。实验组无再次住院,对照组3个月有1例再次住院,6个月有2例再次住院。结论对糖尿病患者进行有针对性的个体化出院指导是提高患者依从性和再次住院的有效方法,并且能够延缓急慢性并发症,保持和谐的护患关系。

Objective To investigate the effect of the individual guideline of hospital discharge on the compliance and the ratio of re-hospitalization for the diabetes patients. Methods 60 diabetes inpatients were divided into two groups at random. In the control group, the patients received the regular guideline of hospital discharge. In the test group, the patients received the individual guideline of hospital discharge. Then the differences of the patients＇ compliance and re-hospitalization ratio three months and six months after discharge were compared in the two groups. Results The test group was better than the control group in the compliance （P 〈 0.05）. The test group had no case re-admitted to hospi tal, and the control group had one case re-admitted three months （3%） and two cases re-admitted six months after leaving hospital Conclusions The individual guideline of hospital discharge is an effective method for improving the compliance and decreasing the ratio of re-hospitalization. In addition, it can postpone the acute and chronic complications, and keep the harmonious relationship between doctors and patients.