医院-社区-家庭护理干预模式对2型糖尿病患者饮食控制的效果分析

Analysis of Effect of Hospital-community-family Nursing Intervention Model on the Dieting Control of Patients with Type 2 Diabetes

目的探讨医院-社区-家庭护理干预模式对2型糖尿病患者饮食控制的效果分析。方法回顾性分析2015年8月—2017年10月该院收治120例2型糖尿病患者情况,对照组实施常规化护理,如健康常识宣教、遵医嘱服降糖或降脂药物、定期电话随访等。观察组采取医院-社区-家庭护理干预模式,应用24 h膳食法,1年后对2组3 d饮食日均摄入量达标率及各项生化指标进行统计分析。结果两组相较而言,观察组3 d饮食日均摄入量达标率更优(P<0.01)。两组相较而言,随访时观察组各项生化指标更优(P<0.01)。结论对2型糖尿病患者实行医院-社区-家庭护理干预,可以有效优化患者饮食结构与行为,达到血糖、血脂及体质量等控制预期目标,从而改善患者生活质量。因此,在临床中能够大力实践、推广。

Objective To analyze the effect of hospital-community-family nursing intervention model on the dieting control of patients with type 2 diabetes. Methods 120 cases of patients with type 2 diabetes admitted and treated in our hospital from August 2015 to October 2017 were selected, the control group used the routine nursing, such as health common sense education, and regular telephone follow-up, while the observation group used the hospital-community-family nursing intervention model, and 24 h dieting method, and standards-reaching rate of 3d dieting intake and various biochemical indicators of the two groups after 1 year were statistically analyzed. Results The standards-reaching rate of 3d dieting intake in the observation group was better（P〈0.01）, and various biochemical indicators in the observation group at follow-up were better（P〈0.01）. Conclusion The hospital-community-family nursing intervention model in patients with type 2 diabetes can effectively optimize the dieting structure and behavior, and control the blood glucose, blood liquid and body mass, thus improving the quality of life, therefore, it can be greatly promoted and applied in clinic.