社区护理干预对糖尿病患者遵医行为的影响分析

Impact analysis of community nursing intervention on the compliance behavior of patients with diabetes

目的探讨社区护理干预在糖尿病患者中的应用效果,并观察其对患者遵医行为的影响。方法选取2013年5月~2014年10月我院收治的80例糖尿病患者,将其随机分为研究组与对照组,每组40例。对照组采取常规降糖药物治疗,研究组在常规治疗基础上加以社区护理干预,观察两组的遵医行为及血糖控制情况。结果研究组患者在适量运动、饮食控制、定期复查、用药依从及自我监测5个方面的遵医行为明显优于对照组（P〈0.05）。干预前,两组空腹血糖以及餐后2 h血糖差异无统计学意义（P〉0.05）;干预后,研究组空腹血糖以及餐后2 h血糖低于对照组,差异有统计学意义（P〈0.05）。结论在常规治疗基础上,对糖尿病患者采取社区护理干预,可有效提高其治疗效果及遵医行为,改善其生活质量,值得临床推广应用。

Objective To probe the application effect of community nursing intervention in patients with diabetes and to observe the effect of the patient′s compliance behavior.Methods 80 patients with diabetes in our hospital from May2013 to October 2014 were selected and randomly divided into the control group and the study group,with 40 cases in each group.The control group was treated with routine hypoglycemic agents,the study group was treated with the community nursing intervention on the basis of conventional treatment.The compliance behavior and the blood glucose control in two groups were observed.Results The exercise,diet control,regular review,medication compliance and self monitoring and other 5 aspects of compliance behavior in study group was significantly better than the control group（P0.05）.Before the intervention,there was no significant difference between the two groups of fasting blood glucose and postprandial 2 hours blood glucose（P 0.05）.After the intervention,the fasting blood glucose and postprandial 2 hours blood glucose in study group were lower than the control group,the difference was significant（P0.05）.Conclusion On the basis of routine treatment,the community nursing intervention can effectively improve the clinical treatment effect and compliance behavior in the patients with diabetic,and can improve quality of life of patients.It is worthy of clinical popularization and Application.