延续性护理对糖尿病患者的干预效果研究

Study on the effect of continuous nursing intervention on patients with diabetes mellitus

目的观察借助于互联网工具的延续性护理对糖尿病患者的干预效果,为临床糖尿病患者的出院后护理提供参考。方法选取2018年9月—2019年9月天津医科大学朱宪彝纪念医院收治并确诊为糖尿病的患者196例,随机分为研究组和对照组各98例,其中对照组给予糖尿病患者常规护理,研究组在对照组基础上给予应用互联网工具的延续性护理。比较两组患者护理后血糖控制情况、护理前后自我管理能力评分和生活质量评分。结果护理后,研究组FBG为(5.65±2.34)mmol/L,2hPBG为(8.73±2.51)mmol/L,HbA1c为(5.65±1.21)%,均低于对照组的(7.83±2.63)mmol/L、(11.89±3.12)mmol/L、(7.67±1.73)%;研究组药物依从性、饮食控制、运动锻炼、血糖监测、足部护理及总分均高于对照组;研究组生理职能、生理功能、健康状况、躯体疼痛、社会功能、精力、精神健康、情感职能评分均高于对照组,差异均有统计学意义(P<0.05)。结论借助于互联网工具的延续性护理可有效改善糖尿病患者的血糖控制水平,提升患者自我管理能力和生活质量,值得临床推广应用。

Objective To observe the intervention effect of continuous nursing with the help of Internet tools on patients with diabetes mellitus,so as to provide reference for post discharge nursing of clinical patients with diabetes mellitus.Methods A total of 196 patients with diabetes mellitus admitted and diagnosed in Tianjin Medical University Chu Hsien-I Memorial Hospital from September 2018 to September 2019 were selected and randomly divided into the study group and the control group with 98 cases in each group.The control group was given routine nursing and the study group was given continuous nursing using Internet tools on the basis of the control group.The blood glucose control condition after nursing,self-management ability score and quality of life score before and after nursing were compared between the two groups.Results After nursing,the FBG,2hPBG and HbA1c of the study group were(5.65±2.34)mmol/L,(8.73±2.51)mmol/L and(5.65±1.21)%respectively,which were lower than those of the control group with(7.83±2.63)mmol/L,(11.89±3.12)mmol/L and(7.67±1.73)%;the drug compliance,diet control,exercise,blood glucose monitoring,foot care and total scores of the study group were higher than those of the control group;the scores of role-physical,physical function,health status,bodily pain,social function,vitality,mental health and role emotional in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Continuous nursing with the help of Internet tools could effectively improve the blood glulcose control level of patients with diabetes mellitus,enhance their self-management ability and quality of life,which was worthy of clinical promotion and application.