护理干预对2型糖尿病患者血糖控制临床应用效果及影响因素分析

Analysis on the Effect of Nursing Intervention on Blood Glucose Control in Patients with Type 2 Diabetes Mellitus and Its Influencing Factors

目的探讨护理干预对2型糖尿病患者血糖控制及影响因素。方法选取平凉市第二人民医院院内分泌科150例35岁以上2型糖尿病患者作为研究对象,随机分为两组各75例,对照组采用常规药物治疗及护理,观察组在对照组的基础上实施护理干预,比较两组患者干预前后调查问卷得分;监测空腹血糖、糖化血红蛋白值;饮食控制、运动治疗效果以及血糖满意度等率的变化,并对两组干预后病情改善总疗效比较。结果干预后患者问卷调查得分提高;糖化血红蛋白和空腹血糖监测值明显下降;饮食控制率、运动治疗率和血糖满意度率均有所提高,比较具有统计学意义(P<0.05)。两组护理干预后总疗效比较,观察组总有效率为92.00%,明显高于对照组的61.33%。结论对2型糖尿病患者实施护理干预,可以提高患者对糖尿病知识的知晓率,改善患者的生活方式,有效的控制血糖,消除疾病发生和发展的危险因素,降低糖尿病的发生和发展,护理干预具有在2型糖尿病患者中广泛应用的价值。

OBJECTIVE To explore the effect of nursing intervention on patients with type 2 diabetes blood sugar control factors and effects. METHODS Taking 150 cases over 35 years old patients with type 2 diabetes in the hospital department of Endocrinology as the research object, it randomly divided into two groups with 75 cases in each group, the control group with routine drug treatment and nursing, observation group in the control group based on the the implementation of nursing intervention, the questionnaire scores were compared between the two groups; the monitoring of fasting blood glucose, glycosylated hemoglobin value; diet control, exercise therapy, changes of blood glucose and the satisfaction rate of the two groups after intervention to improve the condition of the total curative effect comparison. RESULTS It improved patient questionnaire scores after intervention; glycosylated hemoglobin and fasting blood glucose monitoring value decreased; diet control rate, exercise treatment rate, satisfaction rate of blood glucose increased, compared with statistical significance（P〈0.05）, suggesting that the observation group was better than the observation group. The comparison of the total effect of two groups after nursing intervention, the total effective rate was 92% in the observation group. CONCLUSION The implementation of nursing intervention on patients with type 2 diabetes, patients could improve the rate of knowledge about diabetes, improve the lifestyle of patients, effectively control blood glucose and eliminate the risk factors of occurrence and development of disease, reduce the occurrence and development of diabetes mellitus and nursing intervention, which was wide used in patients with type 2 diabetes mellitus