糖尿病社区护理效果浅析

Analysis on the Effect of Community Nursing on Diabetes Mellitus

目的分析社区进行2型糖尿病规范管理的糖尿病患者血糖控制情况和遵医行为改变情况,指导糖尿病社区管理,提高控制率和遵医行为。方法对2017年进行规范管理的260名糖尿病患者第1次随访和第4次随访血糖控制情况和遵医行为改变情况进行对比分析。结果血糖控制和遵医行为情况:260例患者第1次随访血糖控制满意93例,血糖控制满意率36%;遵医行为一般以上120例,46%。第4次随访血糖控制满意203例,血糖控制满意率78%;遵医行为一般以上231例,89%。不同因素血糖控制情况:第1次随访50岁以下控制率占38.5%,50岁以上控制率37.7%;男性患者控制率43.5%,女38.3%;初小以下文化程度患者控制率42.4%,中学文化程度患者控制率46.1%大专及以上文化程度患者控制率50.9%。第4次随访50岁以下控制率占68.5%,50岁以上控制率67.7%;男性患者控制率66.5%,女68.7%;初小以下文化程度患者控制率58.4%,中学文化程度患者控制率66.1%大专及以上文化程度患者控制率80.5%。结论血糖控制满意率和遵医行为改变率明显提高。血糖控制要综合防治,社区护理可以采取灵活的个体化防治措施,效果明显。

Objective To analyze the status of blood glucose control and behavior change of diabetic patients under the standardized management of type 2 diabetes mellitus in order to guide the community management of diabetes mellitus and improve the control rate and compliance behavior. Methods The blood glucose control and compliance behavior of 260 patients with diabetes mellitus in the first and fourth follow-up in 2017 were compared and analyzed. Results Blood glucose control and compliance behavior were observed in 93 of 260 patients followed up for the first time, the satisfactory rate of blood glucose control was 36%, and compliance behavior was more than 120 cases. Blood glucose control satisfaction during the fourth follow-up203 cases were satisfied with blood glucose control and 231 cases were above normal compliance. Different factors of blood glucose control： the control rate under 50 years old was 38.5% in the first follow-up, and 37.7% in the male patients, 38.3% in the female patients, 43.5% in the male patients, 38.3% in the female, 38.5% in the male and 38.3% in the female. The control rate of patients with primary and secondary education was 42.4%, and that of middle school students was 46.1%. The control rate of patients with junior college education or above was 50.9%. The control rate under the age of 50 was 67.5% in the fourth follow-up and 66.5% in the male patients.The control rate of patients with lower education level was 58.4%, and the control rate of patients with education level in middle school was 66.1%. The control rate of patients with college education and above was 80.5%. Conclusion The satisfactory rate of blood glucose control and the change rate of compliance behavior were significantly increased. Blood sugar control should be comprehensive prevention and treatment, community nursing can take flexible individual prevention and treatment measures, the effect is obvious.