院外跟踪护理对肺结核合并糖尿病患者自我管理水平的影响研究

Study on out-hospital follow-up nursing on self-care theory of pulmonary tuberculosis with diabetic patients

目的:探讨院外跟踪护理对肺结核合并糖尿病患者自我管理水平的影响。方法:将79例门诊肺结核合并糖尿病患者随机分为实验组39例和对照组40例,实验组进行院外跟踪护理,对照组予常规护理。观察两组患者自我管理水平,同时采用焦虑、抑郁量表(SAS、SDS)、一般自我效能量表(GSES)对两组患者进行心理状况和自我效能的比较。结果:干预3个月后,观察组在自护行为、自我效能、空腹血糖(FBG)、餐后2h血糖(PBG)、糖化血红蛋白(HbA1C)、痰菌阴转率、症状消失或明显改善时间等方面均显著优于对照组(P<0.05),SAS、SDS小于对照组(P<0.05)。结论:院外跟踪护理有利于患者自护意识的形成,提高自我管理水平,从而达到提高治疗效果的目的。

Objective： To study the effects of out - hospital follow - up nursing on self - care theory of pulmonary tuberculosis with diabetic patients. Methods： 79 patients of pulmonary tuberculosis with diabetic were divided into the observation group （39cases） and the control group （40cases）. The follow-up nursing was used in the observation group while the routine nursing cares was used in the control group. Using the SAS and the SDS scale, and the GSES scale to evaluated the mental condition and self efficacy of the patients in the two groups. Results： The indexes which can indicate the selfcare, self efficacy, FBG, PBG and the HbA1C, sputum conversion rate and the time of symptoms disappearance or significant improvement in the observation group were better than those of in the control group after three months of intervention, P 〈 0.05. Conclusion： Follow - up nursing can effective improve the self - con- trol of pulmonary tuberculosis with diabetic patients and then improve their quality of life.