高频规范血糖管理结合健康管理个体化在老年糖尿病患者中的应用

Application of High-frequency Standardized Blood Glucose Management Combined with Individualized Health Management in Elderly Diabetic Patients

目的:探讨高频规范血糖管理结合健康管理个体化在老年糖尿病患者中的应用效果。方法:选取2019年1月—2020年6月广东省中西医结合医院收治的80例老年糖尿病患者作为研究对象,按患者入住病房的奇偶数分为对照组与试验组,每组各40例。对照组采用糖尿病常规护理模式干预,试验组在常规护理基础上实施高频规范血糖管理结合健康管理个体化干预。比较两组患者干预后的自我管理知信行评分、血糖控制率、并发症发生率。结果:试验组患者干预后糖尿病自我管理知信行评分显著高于对照组,差异有统计学意义(t=22.455、9.166、19.418,P<0.05)。试验组患者干预后血糖控制率显著高于对照组,差异有统计学意义(χ^(2)=8.498,P<0.05)。试验组患者干预后并发症发生率显著低于对照组,差异有统计学意义(χ^(2)=4.588,P<0.05)。结论:对老年糖尿病患者实施高频规范血糖管理结合健康管理个体化干预,可显著提升糖尿病自我管理知信行水平,获得较好的血糖控制,降低并发症发生率。

Objective:To observe the application effect of high-frequency standardized blood glucose management combined with individualized health management in elderly diabetic patients.Methods:A total of 80 elderly diabetic patients admitted to the hospital from January 2019 to June 2020 were selected as the research objects,and divided into the control group and the experimental group according to the odd and even number of patients admitted to the ward,with 40 cases in each group.The control group was intervened with the routine nursing mode of diabetes mellitus,while the experimental group was implemented on the basis of routine nursing with high-frequency standardized blood glucose management combined with individualized intervention of health management.The scores of self-management knowledge,belief,behavior,blood sugar control rate,and complication rate were compared between the two groups after intervention.Results:After intervention,the diabetes self-management knowledge,belief,and behavior scores in the experimental group were significantly higher than those in the control group,and the difference was statistically significant(t=22.455,9.166,19.418,P<0.05).After intervention,the blood glucose control rate in the experimental group was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=8.498,P<0.05).The incidence of complications in the experimental group after intervention was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.588,P<0.05).Conclusion:The implementation of high-frequency and standardized blood sugar management combined with individualized health management intervention for elderly diabetic patients can significantly improve the level of knowledge,belief,and behavior in diabetes self-management,achieve better blood sugar control,and reduce the incidence of complications.