护理干预对糖尿病患者院外治疗依从性的临床研究

Study on nursing intervention on the treatment compliance of diabetic patients outside hospital

目的:探讨护理干预对糖尿病患者院外治疗依从性的临床效果。方法:将378例已出院糖尿病患者随机分为对照组和干预组各189例,对照组在出院时由医生给出治疗方案,护理人员给予常规健康教育;干预组在医生给出治疗方案的基础上,护理工作人员给予心理、饮食、药物、运动等具体的指导,将个性化护理、综合干预结合起来,进行全面系统的干预和指导。观察两组患者的认知行为、生活、运动方式改变情况、血糖控制效果等并进行效果评价。结果:干预组与对照组比较,各项评分明显高于对照组(P<0.01)。结论:护理干预能明显提高糖尿病患者对疾病的认知水平,改变其不良生活方式,使血糖控制在理想范围内,预防和减少并发症的发生。

Objective ： To investigate the clinical effects of nursing intervention on the treatment compliance of diabetic pa- tients outside hospital. Methods： 378 diabetic patients who had been discharged from hospital were randomly divided into control and intervention groups （ 189 cases for each group ）. In control group, Rx and common health education were given to the pa- tients when they were discharged from hospital; in intervention group the guidance on mentality, diet, medication, exercise was given to the patients in detail based on doctor＇s Rx. Then the observation was made on the changes of patients＇cognitive - behav- ior, life, exercise and the control of blood glucose, and the effect was evaluated. Results： The scores of all items were signifi- cantly higher in intervention group than that in control group （ P 〈 0.01 ）. Conclusion ： Nursing intervention can significantly im- prove the cognitive level of diabetic patients and change their unhealthy lifestyle so that their blood glucose can be controlled and the incidence of complications be reduced.