社区针对性健康教育在糖尿病患者护理中的效果观察

Application Effect of Community Targeted Health Education in Nursing of Diabetic Patients

目的研究观察在糖尿病患者的护理干预中社区针对性健康教育的应用效果。方法研究对象选自2022年1月至2022年12月我社区卫生服务中心门诊就诊的糖尿病患者52例,其中将予以常规护理模式干预的26例糖尿病患者作为常规组,将在常规护理基础上接受社区针对性健康教育的26例糖尿病患者作为干预组,观察分析两组患者在护理前后的血糖指标水平,干预后,患者对糖尿病的健康教育效果,自我护理能力以及护理满意度情况。结果干预组患者的空腹血糖、餐后2 h血糖以及糖化血红蛋白的水平明显降低,且低于常规组患者,比较统计值P<0.05。干预组患者的血糖监测、糖尿病认知、运动健康、饮食健康、用药方式各维度评分均比常规组患者更高,差异有统计学意义,P<0.05。自我护理能力量表(ESCA)评分对比,干预组患者的自我概念、自护责任感、自我护理技能以及健康知识水平各评分比常规组的更高,比较统计值差异显著P<0.05。干预组患者的护理满意度评分高于常规组患者,护理满意人数多于常规组,护理满意率高于常规组,P<0.05。结论在常规护理模式基础上加以社区针对性健康教育护理模式干预糖尿病患者的护理服务能够较好的控制患者的血糖水平,提高了患者对疾病的认知,维持了良好的生活习惯,促使患者满意。

Objective To study and observe the application effect of community targeted health education in nursing intervention of patients with diabetes.Method Fifty-two cases of diabetic patients were selected from the outpatient department of our community health service center from January 2022 to December 2022.Among them,26 cases of diabetic patients receiving routine nursing mode intervention were selected as the conventional group,and 26 cases of diabetic patients receiving targeted community health education on the basis of routine nursing were selected as the intervention group.The blood glucose index levels of the two groups of patients before and after nursing were observed and analyzed.After intervention,the effect of health education on diabetes,self-care ability and nursing satisfaction of the patients were observed.Results The levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the intervention group were significantly decreased,and lower than those in the conventional group,the comparative statistical value P<0.05.The scores of blood glucose monitoring,diabetes cognition,exercise health,diet health and medication methods in the intervention group were higher than those in the conventional group,with statistical significance(P<0.05).Compared with the Scores of Self-care Ability Scale(ESCA),the scores of self-concept,self-care responsibility,self-care skills and health knowledge level of patients in the intervention group were higher than those in the conventional group,and the statistical difference was significant P<0.05.The nursing satisfaction score of the intervention group was higher than that of the conventional group,the number of nursing satisfaction was higher than that of the conventional group,and the nursing satisfaction rate was higher than that of the conventional group,P<0.05.Conclusion On the basis of conventional nursing mode,community targeted health education and nursing mode intervention in the nursing service of diabetic patients can better control the blood sugar level of patients,improve patients'cognition of the disease,maintain good living habits,and promote patients'satisfaction.