摘要
目的:探讨早期个体化家庭访视对糖尿病患者的影响。方法:将91例糖尿病患者随机分为家庭访视组(实验组)47例及对照组44例。对实验组进行为期1年共12次家庭访视,对照组行常规出院指导及随访。并对两组患者出院后血糖,治疗、服药依从性,足部自我护理及并发症的情况进行比较。结果:出院后1个月、6个月、12个月实验组血糖低于对照组(P<0.01)。出院后6个月、12个月实验组服药依从性、足部自我护理情况与对照组比较有极显著性差异(P<0.01)。结论:对糖尿病患者实施早期个体化家庭访视,可促进患者血糖达标,提高服药依从性及足部自我护理行为。
Objective： To study the impact of early individual family visit on diabetic. Methods： Ninety one patients were randomly divided into family visit group （ n = 47 ） and control group （n = 44）. Family visit were carried out for 12 times within one year in family visit group and routine instruction for the discharged patients and follow - up were applied in control group. The comparison was made in blood glucose, compliance with medication, care for feet and incidence of complication between the two groups. Results ： The patients ＇ blood glucose tested in the first month, the sixth month and twelfth month after being discharged from hospital was lower in family visit group than that in control group （ P 〈 0. 01 ） ; there were significant differences in the comparison of patients ＇ compliance with medication and care for feet between the two groups （P〈0. 01）. Conclusion： Early individual family visit can help patients with control of blood glucose and improve their compliance with medication and behavior in self- care.
