社区护理在糖尿病患者中的应用效果分析

Analysis of the application effect of community nursing in patients with diabetes mellitus

目的探讨社区护理干预在糖尿病患者中的应用效果。方法 80例糖尿病患者,随机分为观察组和对照组,每组40例。对照组采用常规护理,观察组在常规护理基础上采用社区护理干预。比较两组患者血糖控制情况和遵医行为。结果随访3个月后,观察组患者糖化血红蛋白、餐后2 h血糖和空腹血糖(FBG)水平均低于出院时,差异有统计学意义(P<0.05);对照组患者糖化血红蛋白、餐后2 h血糖均低于出院时,差异具有统计学意义(P<0.05),但空腹血糖与出院时比较,差异无统计学意义(P>0.05)。随访3个月后,观察组患者糖化血红蛋白、餐后2 h血糖和空腹血糖水平均明显低于对照组,差异具有统计学意义(P<0.05)。观察组患者服药、自我监测、运动、饮食遵医率分别为92.5%、90.0%、77.5%、67.5%,均高于对照组患者的75.0%、47.5%、40.0%、45.0%,差异有统计学意义(P<0.05)。结论社区护理有利于糖尿病患者的血糖控制,提高遵医率,值得更多临床推广应用。

Objective To explore the application effect of community nursing in patients with diabetes mellitus. Methods A total of 80 patients with diabetes mellitus were randomly divided into the observation group and the control group, 40 cases in each group. The control group was given routine nursing measures, the observation group was given community nursing intervention on the basis of routine nursing. The blood glucose control and compliance behavior between the two groups were compared. Results After 3 months of follow-up, the glycosylated hemoglobin, postprandial 2 h blood glucose and fasting blood glucose （FBG） levels of the observation group were significantly lower than those at discharge, the differences were statistical significant （P〈0.05）. The glycosylated hemoglobin, postprandial 2 h blood glucose of the control group were significantly lower than those at discharge, the differences were statistical significant （P〈0.05）, but FBG compared with discharge, there Was no statistically significant difference （P〉0.05）. After 3 months of follow-up, the glycosylated hemoglobin, postprandial 2 h blood glucose and FBG levels of the observation group were significantly lower than those of the control group, the differences were statistical significant （P〈0.05）. The compliance rate of medication, self-monitoring, exercise and dietary in the observation group reached 92.5%, 90.0%, 77.5% and 67.5% respectively, which were significantly higher than 75.0%, 47.5%, 40.0%, 45.0% of the control group, the differences were statistically significant （P〈0.05）. Conclusion Community nursing is beneficial to the blood glucose control of diabetics, it can improve the compliance rate and is worthy of clinical application.