目标护理对Ⅱ型糖尿病患者自我管理及预后的影响

Effect of targeted nursing on self-management and prognosis of type Ⅱ diabetes mellitus patients

目的探寻提高Ⅱ型糖尿病患者自我管理能力和预后效果的护理干预策略。方法将178例Ⅱ型糖尿病患者按其入院治疗的时间先后顺序,随机分为观察组和对照组各89例。两组患者均给予常规治疗和护理,观察组在此基础上实施目标护理。对两组患者干预后自我管理能力、应对方式、生存质量及血糖进行评价,并将患者低血糖发生率、治疗满意度进行统计比较。结果目标护理干预后,观察组患者自我管理能力、应对方式、生存质量的各项指标评分和空腹血糖、糖化血红蛋白、餐后2h血糖、体重指数评价均明显优于对照组(P<0.05);观察组患者低血糖发生率明显低于对照组(P<0.05);观察组患者对自身血糖控制情况满意率明显高于对照组(P<0.05)。结论Ⅱ型糖尿病患者实施目标护理,可提高患者自我管理能力,改善应对方式和生活质量,保持患者血糖稳定、减少低血糖发生率和提高治疗满意度。

Objective To explore the nursing intervention strategy to improve the selfmanagement ability and prognosis of patients with type Ⅱ diabetes mellitus. Methods 178 patients with type Ⅱ diabetes were randomly divided into observation group and control group according to their time of hospitalization. The patients were given routine treatment and care. The observation group was treated targeted care on the basis of the implementation. The selfmanagement ability, coping style, quality of life and blood glucose of the two groups were evaluated. The incidence of hypoglycemia and the satisfaction of treatment were statistically compared. Results After the intervention of the target nursing, the scores of selfmanagement ability, coping style and quality of life of the observation group were significantly higher than those of the control group （P〈0.05）. The fasting blood glucose, glycosylated hemoglobin, 2h postprandial blood glucose and body mass index and the incidence of hypoglycemia of observation group were significantly lower than that of the control group （P〈0.05）. The satisfaction rate of the patients in the observation group was significantly higher than that in the control group （P〈0.05）. Conclusion Patients with Type Ⅱ diabetes can improve their selfmanagement ability, their coping style and quality of life, keep blood sugar stable, reduce the incidence of hypoglycemia and improve the treatment satisfaction.