集束化护理干预对糖尿病患者血糖和治疗依从性的影响

The effect of bundles care for blood glucose and compliance in diabetes patients

目的探讨集束化护理干预对糖尿病患者血糖和依从性的影响。方法选取120例糖尿病患者,随机分为试验组和对照组,各60例。对照组给予常规护理。试验组给予集束化护理干预。比较两组空腹血糖(FBG)、餐后2h血糖(PBG)、糖化血红蛋白(HbA1c)、治疗依从性及并发症。结果护理干预后,试验组FBG、PBG及HbA1c指标显著低于对照组,两组比较有显著性差异(P<0.05)。试验组依从性显著高于对照组,两组比较有显著性差异(P<0.05)。试验组并发症总发生率为10.0%,对照组并发症总发生率33.3%,两组比较有显著性差异(P<0.05)。结论集束化护理干预有利于提高糖尿病患者疗效和治疗依从性。

Objective To evaluate the effect of bundles care for blood glucose and compliance in diabetes patients. Meth- ods 120 patients with diabetes were randomly divided into two groups. Bundles care was used in intervention group and routine nursing was used in control group. The FBG, PEG, HbAlc, compliance and complication were compared between the two groups. Results After nursing, the FEG, PEG and HbAlc of treatment group were significantly lower than control group. The difference was statistically significant （t=3. 608,2. 789,3. 230, P=0. 023,0. 049,0. 032〈0. 05）. The compli- ance of treatment group were significantly better than control group. The difference was statistically significant （X2 =13. 297,P=0. 000〈0. 05）. The rate of complication was 10. 0% in treatment group, as compared with those of 33.3%in control group, showed significant differences between the two groups （X2=9. 624,P=0. 002〈0. 05）. Conclusion Using bundles care in patients with diabetes can enhance curative effect and compliance, worth clinical promotion.