社区干预对老年Ⅱ型糖尿病患者遵医行为及血糖的影响

The impact of the nursing intervention in the community clinics on obedience and blood sugar of elderly patients with type Ⅱ diabetes

目的:探讨社区门诊护理干预对老年Ⅱ型糖尿病患者遵医行为及血糖的影响。方法:将我社区门诊2010年6月～2011年6月诊治的80例糖尿病患者遵照知情同意原则随机分为干预组和对照组各40例。对照组采用常规护理方法,干预组在对照组的基础上加强个体化的社区护理干预,6个月后比较两组遵医行为及空腹血糖、餐后2h血糖。结果:干预组的遵医率明显高于对照组,空腹血糖、餐后2h血糖明显低于对照组。结论:社区的护理干预对糖尿病患者的遵医行为具有积极的影响,能够更好地控制血糖,降低血糖的波动度。

OBJECTIVE： Investigate the impact of the nursing intervention in the community clinics on obedience and blood sugar of elderly patients with type Ⅱ diabetes.METHOD： 80 diabetic patients in community clinics from June 2010 to June 2011 in accordance with the prin-ciple of informed consent were randomly divided into intervention and control groups,40 cases in each group.Control group use conventional methods of care,the intervention group use the individual＇s community nursing intervention on the basis of the control group,compare two groups of obedience,fasting blood glucose,2h postprandial blood sugar after 6 months.RESULT： obedience of the intervention group was sig-nificantly higher,fasting blood glucose,2h postprandial blood glucose was significantly lower than the control group.CONCLUSION： nursing intervention in the community clinics on the obedience of diabetic patients have a positive impact,and better able to control blood sugar,low-er blood sugar fluctuation