基于整体护理干预配合下的糖尿病患者血糖和用药依从性结果探索

Exploring the Results of Blood Glucose and Medication Compliance of Diabetic Patients Based on Holistic Nursing Intervention

目的探讨整体护理干预对糖尿病患者血糖水平和用药依从性的影响。方法选取2018年3月—2019年6月来该院诊治的糖尿病患者90例。按随机平均分组的方式将患者分为观察组和对照组进行研究。对照组对患者进行普通干预,观察组对患者在对照组的基础上给予整体护理干预。两组患者持续治疗时间均为3个月。观察两组患者的血糖指标及用药依从性。结果观察组患者空腹血糖(6.2±1.10)mmol/L、餐后2 h血糖(7.4±0.80)mmol/L、糖化血红蛋白(4.5±0.80)%均明显分别低于对照组的空腹血糖(10.6±0.90)mmol/L、餐后2 h血糖(13.2±1.30)mmol/L、糖化血红蛋白(6.2±1.40)%,差异有统计学意义(t=20.768、25.489、7.072,P<0.05);观察组患者用药、运动、饮食、自我管理、血糖监测的依从性均明显高于对照组,差异有统计学意义(P<0.05);对照组患者对普通干预的满意度为71.11%,观察组患者对整体护理干预的满意度为88.89%,观察组的满意度明显高于对照组,差异有统计学意义(χ^(2)=4.444,P=0.035)。结论整体护理干预可降低糖尿病患者的血糖水平,提高患者的用药依从性,得到患者的高度认可。

Objective To explore the effect of holistic nursing intervention on the blood glucose level and medication compliance of diabetic patients.Methods A total of 90 diabetic patients who came to the hospital for diagnosis and treatment from March 2018 to June 2019 were selected.The patients were divided into observation group and control group according to random average grouping for research.The control group was given general intervention to the patients,and the observation group was given holistic nursing intervention on the basis of the control group.The duration of treatment in both groups was 3 months.Observed the blood glucose indicators and medication compliance of the two groups of patients.Results The fasting blood glucose(6.2±1.10)mmol/L,2 h postprandial blood glucose(7.4±0.80)mmol/L,and glycosylated hemoglobin(4.5±0.80)%of the observation group were significantly lower than those of the control group(10.6±0.90)mmol/L,2 h postprandial blood glucose(13.2±1.30)mmol/L,glycosylated hemoglobin(6.2±1.40)%,the difference was statistically significant(t=20.768,25.489,7.072,P<0.05);observation group of the compliance of patients with medication,exercise,diet,self-management,and blood glucose monitoring was significantly higher than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction of the control group with ordinary intervention was 71.11%,and the observation group of the satisfaction of overall nursing intervention was 88.89%,and the satisfaction of the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ^(2)=4.444,P=0.035).Conclusion Holistic nursing intervention can reduce the blood glucose level of diabetic patients and improve the medication compliance of patients,which is highly recognized by patients.