协同护理应用于2型糖尿病患者的效果

Effect of collaborative care model on patients with type 2 diabetes

目的研究协同护理模式应用于2型糖尿病患者的护理效果。方法将2014年6月~2015年1月解放军第303医院老年病科118例2型糖尿病患者随机分为实验组（59例）与对照组（59例）。实验组采用协同护理模式,对照组运用常规护理模式。护理前后对两组患者进行症状自评量表（SCL-90量表）和健康状况调查问卷（SF-36量表）调查;比较两组患者空腹血糖（FPG）、餐后2 h血糖（2h PG）和糖化血红蛋白（Hb A1c）水平。结果 1护理后,实验组的SCL-9量表评分中的躯体化、抑郁、焦虑、恐怖、阳性症状数与对照组比较,差异均有统计学意义（P〈0.05）;2护理后,实验组FPG、2h PG和Hb A1c均低于对照组,差异均有统计学意义（P〈0.05）;3护理后,实验组SF-36量表中总体健康、生理功能、生理职能、躯体疼痛、情感职能、精力、社会功能及精神健康评分比较,差异均有统计学意义（P〈0.05）。结论协同护理对于患者的心理健康、血糖控制和生活质量具有积极意义。

Objective To investigate the effect of taking collaborative care model in patients with type 2 diabetes.Methods A total of 118 patients with type 2 diabetes who were cared in Department of Geriatrics of NO.303 Hospital of Chinese People＇s Liberation Army from June 2014 to January 2015 were randomly divided into experimental group（59 cases） and control group（59 cases）. The experimental group was carried into collaborative care model, while the control group was carried into regular care model. Patients of the two groups were examined by SCL-90, SF-36 before and after caring, and fasting blood glucose（FPG）, postprandial blood glucose after 2 hours（2h PG） and glycosylated hemoglobin（Hb A1c） of two groups were compared before and after caring. Results 1After caring, some scores of SCF-90, including somatization, depression, anxiety, phobia, positive items, and the life quality of the experimental group were different from those of the control group, and the differences were statistically significant（P〈0.05）; 2After caring, FPG, 2h PG and Hb A1 cof the experimental group were lower than those of the control group, and the differences were statistically significant（P〈0.05）. 3After nursing, the general health, physiological function, physiological function, the body pain, emotional functions, energy, social function and mental health scores of the SF-36 scale of the experimental group were different from those of the control group, and the differences were statistically significant（P〈0.05）. Conclusion Collaborative care has positive significance for adjusting psychological state, controlling blood glucose and improving the quality of life of patients with type 2 diabetes.