开设糖尿病专科护理门诊对糖尿病患者血糖控制的影响

Influence of diabetic specialized nursing clinic on glycemic control in patients with diabetes mellitus

目的 :探讨护理专科门诊在糖尿病患者血糖控制中的应用效果。方法 :收集2016年1月—12月就诊的2型糖尿病患者96例,随机分为对照组和试验组各46例,对照组进行常规门诊健康宣教,试验组进行专科门诊护理,开展一对一的健康教育和干预措施。6个月后比较两组血糖控制情况。结果:试验组护理后的空腹血糖浓度[(6.34±1.57)mmol/L]、餐后2 h血糖浓度[(9.14±2.31)mmol/L]和糖化血红蛋白(6.45%±2.12%)均显著低于对照组[分别为(8.39±2.12)mmol/L、(13.28±3.65)mmol/L和(9.34%±2.16%),P<0.05)。结论 :专科护理门诊的形式有利于"个体化"的护理指导,提高糖尿病患者健康教育水平,可帮助糖尿病患者建立良好的生活方式,提高患者满意度和血糖控制水平,是值得推广的健康教育方式。

Objective： To explore the efect of specialized nursing clinic on glycemic control in patients with diabetes mellitus. Methods： Ninety-two patients with diabetes mellitus treated from January to December 2016 were selected and randomly divided into a control group and an experimental group with 46 cases in each group. The control group was given routine outpatient health education, and the experimental group received specialized outpatient nursing, and the health education and intervention measures were carried out by one to one. The glycemic control was compared between the two groups over a period of 6 months. Results： The fasting blood glucose[（6.34±1.57）mmol/L]、 postprandial 2 h blood glucose [（9.14±2.31）mmol/L] and glycosylated hemoglobin （6.45%±2.12%）in the experimental group were signi？cantly lower than those in the control group[（8.39±2.12）mmol/L,（13.28±3.65）mmol/L and （9.34%±2.16%）, respectively, P〈0.05）]. Conclusion： The form of specialized nursing clinic is conducive to individualized nursing guidance to improve the health education level of patients with diabetes mellitus, and it can help diabetic patients to establish a good lifestyle and improve the patients, satisfaction and blood sugar control level. It is a kind of health education mode which is worthy of popularization