家庭健康教育护理责任制对社区糖尿病患者血糖控制及生活质量的影响

Effect of family health education and nursing responsibility system on the control of blood glucose and the quality of life of the patients with diabetes in community

目的探讨家庭健康教育护理责任制对社区糖尿病患者血糖控制及生活质量的影响。方法选取2011年6月～2014年6月本社区的90例糖尿病患者作为研究对象,按照随机数字表法分为两组,各45例。对照组给予常规护理干预,研究组在对照组的基础上实施家庭健康教育护理责任制模式。比较两组的血糖控制情况及生活质量。结果干预8周后,研究组的空腹血糖及2 h餐后血糖水平显著低于干预前及对照组干预后,差异有统计学意义（P〈0.05）。研究组的生活质量总评分高于对照组,差异有统计学意义（P〈0.05）。研究组在躯体功能、情绪功能、角色功能3个维度的评分高于对照组,差异有统计学意义（P〈0.05）。结论在社区糖尿病患者的护理工作中实行家庭健康教育护理责任制,有利于患者的血糖控制及生活质量改善,值得临床推广应用。

Objective To explore effect of family health education and nursing responsibility system on the control of blood glucose and the quality of life of the patients with diabetes in community. Methods 90 cases with diabetes from June 2011 to June 2014 in our community were selected and divided into two groups according to random number table method,45 cases in each group.The control group was given routine nursing intervention,the study group was given the family health education responsibility nursing mode in the conventional nursing intervention process on the base of the control group.The situation of blood sugar control and the quality of life in two groups was compared respectively. Results After 8 weeks of intervention,the level of fasting blood glucose and 2 h postprandial blood glucose in study group was lower than that before intervention and in the control group after intervention,with significant difference（P〈0.05）.The total score of the quality of life was higher than that in the control group,with significant difference（P〈0.05）.The three dimension score of physical function,emotional function,role function was higher than that in the control group,with significant difference（P〈0.05）. Conclusion The family health education nursing responsibility system given to diabetic patients in community is helpful for the improvement of the patient′s blood sugar control and quality of life,it is worthy of clinical promotion and application.