全程健康教育护理模式在内分泌科糖尿病护理工作中的效果及应用价值

The Effect and Application Value of the Whole-course Health Education Nursing Model in Diabetes Nursing Work in the Endocrinology Department

目的分析全程健康教育护理模式在内分泌科糖尿病护理工作中的效果及应用价值。方法选取该院2018年10月—2020年4月内分泌科收治的76例糖尿病患者,随机分为两组,对照组(38例)接受常规糖尿病宣教,全程组(38例)在对照组基础上接受全程健康教育护理模式。对比两组患者对健康知识掌握程度、护理前后自我效能(DSES)、自护行为(DSCS),随访6个月,对比两组不良情况(慢性并发症、低血糖、急性并发症)发生率、空腹血糖(FPG)、餐后2 h血糖(2 hPG)。结果与对照组护理后对糖尿病知识了解程度、DSES评分、DSCS评分对比,全程组均较高,差异有统计学意义(P<0.05);与对照组不良情况发生率21.05%(8/38)对比,全程组5.26%(2/38)较低,差异有统计学意义(P<0.05);与对照组护理后FPG、2 hPG水平及稳定性对比,全程组均较优,差异有统计学意义(P<0.05)。结论全程健康教育护理模式应用于内分泌科糖尿病护理工作中可提高糖尿病知识普及程度,改进患者自我效能及自护能力,改善远期血糖控制情况,有助于降低不良情况发生率。

Objective To analyze the effect and application value of the whole-course health education nursing model in the endocrinology diabetes nursing work.Methods 76 diabetic patients were selected from the admissions of the endocrinology department of the hospital from October 2018 to April 2020,and divided into two groups.The control group(38 cases)received conventional diabetes education,the whole group(38 cases)received the whole process health education and nursing model on the basis of the control group.Comparing the two groups of patients'knowledge of health,self-efficacy before and after nursing(DSES),self-care behavior(DSCS),follow up for 6 months,and compared the incidence of adverse conditions(chronic complications,hypoglycemia,acute complications),fasting blood glucose(FPG),2 hpostprandial blood glucose(2 hPG).Results Compared with the control group's health diabetes knowledge level,DSES score and DSCS score after nursing,the whole group was higher,and the difference was statistically significant(P<0.05);compared with the control group,the incidence of adverse events was 21.05%(8/38),the whole group was 5.26%(2/38)was lower,and the difference was statistically significant(P<0.05);compared with the control group after nursing,FPG,2 hPG level and stability,the whole group was better,and the difference was statistically significant(P<0.05).Conclusion The application of the whole-course health education nursing model in the diabetes nursing work of the Department of Endocrinology can increase the popularity of diabetes knowledge,improve patients'self-efficacy and self-care ability,improve long-term blood glucose control,and help reduce the incidence of adverse events.