护理干预对2型糖尿病患者生活方式及血糖控制的影响

Influence of nursing intervention on the life style and blood glucose controlling of the patients with type 2 DM

目的探讨护理干预对2型糖尿病患者生活方式及血糖控制的影响。方法将126例2型糖尿病患者随机分为护理组和对照组，采用自行设计的调查表调查患者生活方式及测定糖化血红蛋白，入院时对两组患者均进行护理评估，护理组患者住院期间根据护理评估进行有针对性的心理护理，健康指导等护理干预；对照组患者不进行相关护理干预。6个月后再次调查患者生活方式并测定糖化血红蛋白。结果两组患者6个月后患者各种不良生活方式均显著改善，超重率及糖化血红蛋白水平均显著低于6月前；护理组患者各种不良生活习惯的比例及糖化血红蛋白值显著低于对照组，而两组超重的比例无显著性差异。结论护理干预可显著改善糖尿病患者生活方式及维持血糖稳定。

Objective To explore the influence of nursing intervention on llfe style and blood glucose controlling of the patients with type 2 diabetes mellitus. Methods Totaled of 126 patients were divided into nursing group and control group randomly. Questionaires were applied to investigate patients＇life style, the level of glycosylated hemoglobin was detected. The two group patients were applied with nursing evaluation. The nursing group was applied with nursing intervention including psychic care, healthy education, and so on. Six months later, the patients＇life styles were investigated and the level of glycosylated hemoglobin was measured again. Results Six months later, the life style of the two groups was improved significantly. The rate of overweight and the level of glycosylated hemoglobin were lower than 6 months before. The rate of bad life style and the level of glycosylated hemoglobin of nursing group were lower than those of control group. There was no significant difference of the rate of overweight between the two groups. Conclusions Nursing intervention can improve the life style of the patients with type 2 DM significantly and keep the level of blood glucose stable.