老年糖尿病患者出院后实施延续护理的效果分析

Effects of Continuing Nursing on Aging Patients with Diabetes after Discharge

目的:探讨延续护理干预对老年糖尿病患者出院后远期的防治效果。方法:将128例老年糖尿病出院患者随机分为观察组68例和对照组60例,观察组实施延续护理干预,对照组给予常规出院指导,干预6、12、18个月后分别比较两组治疗依从性、血糖、糖化血红蛋白及并发症发生率,评价干预效果。结果:延续护理组患者各期治疗依从性明显高于对照组(P<0.05或P<0.01);延续护理组患者12个月和18个月的空腹血糖、餐后2h血糖水平均明显低于对照组(P<0.01);延续护理组患者各期糖化血红蛋白明显低于对照组(P<0.05或P<0.01);18个月时,延续护理组患者并发症发生率明显低于对照组(P<0.05)。结论:延续护理可提高老年糖尿病出院后患者的治疗依从性,更加有效地控制血糖、糖化血红蛋白及并发症,达到远期康复效果。

Objective： To investigate long - term preventive effects of continuing nursing on aging patients with diabetes after discharge. Methods： 128 aging patients with diabetes were divided into observation group （ n = 68 ） and control group （n = 60） randomly. Continuing nursing was carried out in observation group while routine guid- ance was given to patients in control group. Results： The compliance rate in observation group in various periods were significantly higher than control group （P 〈0. 05 or P 〈0. 01 ） . Compared to control group, fasting blood glucose and 2 -hour postprandial blood glucose were obviously lower in observation group 12 months and 18 months after discharge （P 〈 0. 05 or P 〈 0. 01 ） . Glycosylated hemoglobin levels in various periods were lower in continuing nursing group （ P 〈 0. 05 ） . The prevalence of complication in observation group was significantly lower than control group （ P 〈 0.05 ） . Conclusions： Continuing nursing is a good measure to increase compliance rate in patients with diabetes which may results in eontrolling blood glucose, glycosylated hemoglobin and other complications effectively and better rehabilitation efficaey.