延续护理模式对新诊断2型糖尿病出院患者自我管理行为的影响

Effect of continuous nursing model on self-management behavior of discharged patients with newly diagnosed type 2 diabetes mellitus

目的探讨延续护理模式对新诊断2型糖尿病出院患者自我管理行为的影响。方法选取2017年9月~2018年3月本院接收的新诊断2型糖尿病患者100例为研究对象,随机分为两组,每组50例,对照组行常规护理方案,研究组则接受延续护理模式,对比两组护理效果。结果研究组体重指数、糖化血红蛋白、空腹血糖、低血压、舒张压及低血糖发生率低于对照组,差异有统计学意义(P<0.05)。研究组的高低血糖预防及处理、饮食自我管理、足部护理、血糖监测、运动及用药等自我管理评分高于对照组,差异有统计学意义(P<0.05)。结论新诊断2型糖尿病患者出院后,实施延续护理模式有助于患者合理控制血糖、血压及体重指数,促进自我管理水平的提高,患者满意度得到提高,临床上值得进一步推广。

Objective To explore the effect of continuous nursing mode on self- management of newly diagnosed type 2 diabetes discharged patients. Methods 100 newly diagnosed patients with type 2 diabetes received in our hospital from September 2017 to March 2018 were randomly divided into two groups,50 cases in each group.The control group received routine nursing scheme,while the research group received continuing nursing mode,and the nursing effect of the two groups was compared. Results The incidence of body mass index,glycosylated hemoglobin,fasting blood glucose,hypotension,diastolic blood pressure and hypoglycemia in the study group was lower than that in the control group,and the difference was statistically significant (P < 0.05).The self- administration scores of prevention and treatment of high and low blood glucose,self-management of diet,foot care,blood glucose monitoring,exercise and medication were higher in the study group than in the control group,and the difference was statistically significant (P < 0.05). Conclusion After the new diagnosis of type 2 diabetes patients discharged from the hospital,the implementation of the continuous care mode helps patients to properly control blood sugar,blood pressure and body mass index,promote self-management level,improve patient satisfaction,which is worthy of further promotion in clinic.