“1+N”延伸护理模式对2型糖尿病患者用药依从性及自我管理能力的影响

Effects of"1+N"extended nursing on medication compliance and self-management ability among type 2 diabetes patients

目的探讨"1+N"延伸护理模式对出院2型糖尿病患者用药依从性、自我管理能力及各项代谢指标的影响.方法选取2017年10—12月陕西省人民医院内分泌科出院的300例2型糖尿病患者为研究对象,应用随机数字表分为干预组和对照组,每组各150例.对照组患者出院后采用电话回访;干预组患者在常规电话回访基础上,采用"1+N"延伸护理模式.比较两组患者随访6个月后空腹血糖(FBG)、二磷酸甘油酸(BPG)、糖化血红蛋白(HbA1c)、BMI,服药依从性问卷、2型糖尿病自我管理行为量表得分率情况.结果干预后,干预组患者FBG、BPG、BMI指数均低于对照组,两组比较差异有统计学意义(P<0.05);干预组患者服药依从性问卷高依从性人数多于对照组,两组比较差异有统计学意义(P<0.05);干预组患者自我管理行为量表各维度得分率均高于对照组,两组得分率比较差异有统计学意义.结论?"1+N"延伸护理模式可以促进2型糖尿病患者代谢指标的控制,提高其用药依从性及自我管理能力.

ObjectiveTo explore the effects of"1+N"extended nursing on medication compliance,self-management ability and metabolic indicators among discharged type 2 diabetes patients.MethodsFrom October to December 2017,we selected 300 discharged type 2 diabetes patients from Department of Endocrinology from Shaanxi Provincial People's Hospital as subjects.All of the patients were divided into intervention group and control group with the method of random number table,150 cases in each group.Control group carried out telephone follow-up post discharge.On the basis of telephone follow-up,intervention group implemented"1+N"extended nursing.We compared the fasting blood glucose(FBG),bisphosphoglyceric acid(BPG),glycosylated hemoglobin(HbA1c),body mass index(BMI),scores of 8-item Morisky Medication Adherence Scale(MMAS-8)and the scoring rate of Diabetes Self-care Scale(2-DSCS)of patients between two groups 6 months after follow-up.ResultsAfter intervention,the FBG,BPG and BMI of intervention group were lower than those of control group with statistical differences(P<0.05).The number of patients with the high level of compliance of MMAS-8 in intervention group was more than that in control group with a statistical difference(P<0.05).The item scoring rate of 2-DSCS of patients in intervention group were higher than those in control group with statistical differences.Conclusions"1+N"extended nursing can improve metabolic indicators,medication compliance and self-management ability among type 2 diabetes patients.