社区糖尿病肾病患者程序式居家护理的研究

Reseach of systemic home care services for patients with diabetic nephropathy in community

目的探讨程序式居家护理对社区糖尿病肾病患者血糖、血压、尿蛋白定量控制及依从性的影响。方法以性别、年龄、血糖、血压、尿蛋白定量等级为配对条件,筛选33对满足配对条件的社区糖尿病肾病患者,将其随机分为程序式居家护理组(居家组)和常规社区护理组(常规组)。居家组33例给予程序式居家护理;常规组给予常规性社区护理,共干预12个月。结果干预6个月、12个月后,居家组血糖、血压、尿蛋白定量控制效果均好于干预前及常规组。居家组各项依从性也好于干预前。结论程序式居家护理可提高社区糖尿病肾病患者的依从性,有利于血糖、血压、尿蛋白定量的控制,提高患者的生存质量。

Objective To evaluate the effectiveness of systemic home care services on the control of blood glucose, blood pressure, amount of urine protein and compliance with treatment in patients with diabetic nephropathy. Methods 66 patients with diabetic nephropathy were recruited and randomly divided into routine community care group （n=33） and systemic home care service group （n=33） according to the similar sexual distinction, age, blood glucose, blood pressure and amount of urine protein. The two groups had been cared for 12 months. Results At six mouths and twelve months after the intervention, blood glucose, blood pressure and amount of urine protein in systemic home care service group were significantly better than routine community care group, and the compliance in systemic home care service group were higher than that before the intervention . Conclusion Systemic home care services can enhance the compliance of patients, promote the control of blood glucose, blood pressure, amount of urine protein. It can improve the quality of life for patients.