问题导引-目标链接式护理干预对糖尿病患者低血糖发生率的影响

Effect of Problem-oriented and Target-linked Nursing Intervention on the Incidence of Hypoglycemia in Diabetic Mellitus Patients

目的:探究问题导引-目标链接式护理干预对糖尿病患者低血糖发生率的影响。方法:选择2022年2月—2023年1月泰州市第三人民医院收治的86例糖尿病患者为研究对象,采用计算机法以01~086对患者进行编号,设置01~043患者为对照组(n=43),实施常规护理,设置044~086患者为观察组(n=43),实施问题导引-目标链接式护理干预。比较两组血糖水平、糖尿病自我管理行为及低血糖发生率。结果:护理前,两组血糖水平比较,差异无统计学意义(P>0.05);护理后,两组空腹血糖(FBG)、餐后2 h血糖(2 h PBG)及糖化血红蛋白(HbA1c)水平均下降,观察组低于对照组,差异有统计学意义(P<0.05)。护理前,两组糖尿病患者自我管理行为量表(SDSCA)评分比较,差异无统计学意义(P>0.05);护理14 d后,两组SDSCA评分升高,观察组高于对照组,差异有统计学意义(P<0.05);观察组低血糖发生率低于对照组,差异有统计学意义(P<0.05)。结论:在糖尿病患者的护理中采用问题导引-目标链接式护理干预,能有效控制血糖水平,提升患者自护能力,降低低血糖发生率。

Objective:To explore the effect of problem-oriented and target-linked nursing intervention on the incidence hypoglycemia in diabetic mellitus patients.Method:A total of 86 diabetic patients admitted to Taizhou Third People's Hospital February 2022 to January 2023 were selected as the study objects.The patients were numbered from 01 to 086 by computer method,patients from 01 to 043 were set as the control group(n=43),routine nursing was implemented,and patients from 044 to 086 were set as the observation group(n=43),problem-oriented and target-linked nursing intervention was implemented.Blood glucose level,diabetes self-management behavior and incidence of hypoglycemia were compared between the two groups.Result:Before nursing,there were no significant differences in blood glucose level between the two groups(P>0.05).After nursing,the levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PBG)and glycated hemoglobin(HbA1c)were decreased in both groups,and the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in Summary of Diabetes Self Care Activities(SDSCA)scores between the two groups(P>0.05).After 14 d of nursing,SDSCA scores increased in both groups,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The incidence of hypoglycemia in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:In the nursing of diabetes mellitus patients,the problem guide-target linked nursing intervention can effectively control the blood glucose level,improve the patient's self-care ability,and reduce the incidence of hypoglycemia.