时效性激励模式下的延续性护理在2型糖尿病患者中的应用效果

Application effects of continuous nursing under timeliness incentive mode in patients with type 2 diabetes mellitus

目的:观察时效性激励模式下的延续性护理在2型糖尿病患者中的应用效果。方法:回顾性分析2018年12月至2020年12月该院收治的274例2型糖尿病患者的临床资料,按照护理方法不同将其分为对照组和观察组各137例。对照组实施常规延续性护理,观察组在对照组基础上实施时效性激励模式下的延续性护理,两组均护理2个月。比较两组护理前后血糖指标[空腹血糖(FPG)、餐后2 h血糖(2hPG)]水平、自我效能[慢性病自我效能感量表(SECD-6)]评分、依从性、生命质量[健康状况调查简表(SF-36)]评分和护理满意度。结果:护理后,观察组FPG、2hPG水平均低于对照组,差异有统计学意义(P<0.05);观察组SECD-6评分高于对照组,差异有统计学意义(P<0.05);观察组依从率为97.08%(133/137),高于对照组的88.32%(121/137),差异有统计学意义(P<0.05);观察组生理职能、生理功能、社会功能、情感职能、精神健康、躯体疼痛、精力、一般健康状态等SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为98.54%(135/137),高于对照组的89.78%(123/137),差异有统计学意义(P<0.05)。结论:时效性激励模式下的延续性护理应用于2型糖尿病患者可降低血糖水平,提高自我效能感、依从性、生命质量和护理满意度,效果优于常规延续性护理。

Objective:To observe application effects of continuous nursing under timeliness incentive mode in patients with type 2 diabetes mellitus.Methods:The clinical data of 274 patients with type 2 diabetes mellitus admitted to the hospital from December 2018 to December 2020 were retrospectively analyzed.They were divided into control group and observation group according to different nursing methods,137 cases in each.The control group was given routine continuous nursing,while the observation group was given continuous nursing under timeliness incentive mode on the basis of that of the control group.Both groups were treated for 2 months.The blood glucose index levels[fasting blood glucose(FPG),2 h postprandial blood glucose(2hPG)],the self-efficacy[chronic disease self-efficacy scale(SECD-6)]score,the compliance,the quality of life[short form health survey(SF-36)]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the levels of FPG and 2hPG in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The SECD-6 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The compliance rate of the observation group was 97.08%(133/137),which was higher than 88.32%(121/137)of the control group,and the difference was statistically significant(P<0.05).The scores of SF-36 dimensions such as physiological function,physiological function,social function,emotional function,mental health,physical pain,vitality and general health status in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 98.54%(135/137),which was higher than 89.78%(123/137)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The continuous nursing under timeliness incentive mode in the patients with type 2 diabetes mellitus can reduce the blood glucose levels and improve the self-efficacy,the compliance,the quality of life and the nursing satisfaction.Moreover,it is superior to the routine continuous nursing.