连续护理干预在糖尿病患者中的应用和效果评价

Application and assessment of continuity of care on diabetes

目的探讨对糖尿病(DM)患者实施连续护理干预的方法及效果。方法 100例DM患者随机分为干预组48例和对照组52例,对照组实施糖尿病常规护理,干预组在常规护理的基础上实施连续护理干预,并对实施干预后DM相关知识掌握程度、自我管理能力以及干预前后的空腹血糖、餐后2h血糖、体质指数进行统计分析。结果干预组在连续护理干预后相关知识掌握程度及自我管理能力较对照组明显提高,干预前后糖代谢指标、体质指数明显改善,差异有统计学意义(P<0.05)。结论通过实施连续护理干预,能帮助DM患者提高自我护理、自我管理能力,调整生活方式,寻求广泛的社会支持,显著改善糖代谢指标,降低体质指数,延缓各种并发症的发生发展,提高生活质量,值得推广和应用。

Objective To explore the method of continuity of care in diabetic patients and its effects. Methods 100 dia- betic patients were randomly divided into intervention group （n---48 ） and control group （n = 52）. Control group received routine nursing procedures, while intervention group received continuity of care in addition. Both groups were analyzed sta- tistically for the mastery of DM knowledge, self management after intervention, as well as fasting blood glucose （ FBG）, 2h postprandial blood glucose and body mass index （BMI） before and after intervention. Results Intervention group improved remarkably on mastery of DM knowledge and serf- management ability. The indicators of glucose metabolism and BMI were also improved significantly in intervention group, and the difference was statistically significant （ P 〈 0.05 ） . Conclusions The continuity of care intervention can help diabetic patients to improve their self - care and self - management ability, change their lifestyles, seek out social support, improve the indicators of glucose metabolism, lower BMI, delay the oc- curence of various complications, improve the quality of life. Therefore, it is worthy of clinical promotion and application.