基于Triangle模型的分层分级延续性护理在2型糖尿病病人中的应用研究

Applied study on hierarchical and continuous care based on Triangle model in patients with type 2 diabetes

目的:分析基于Triangle模型的分层分级延续护理在2型糖尿病(T2DM)病人中的应用效果。方法:纳入2021年11月—2022年11月在徐州医科大学附属宿迁医院接受治疗的120例T2DM病人,按随机数字表法分为观察组与对照组,各60例。对照组接受延续性护理,观察组接受基于Triangle模型的分层分级延续性护理。于干预前、干预3个月时、干预6个月时评定病人血糖控制状况、自我管理能力、生活质量;并记录病人干预期间再住院次数。结果:干预3个月、6个月时,两组病人空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)水平明显低于干预前,糖尿病自我管理行为量表(SDSCA)得分高于干预前,中国糖尿病病人生存质量特异性量表(DSQL)得分低于干预前,且观察组病人各项指标改善优于对照组(P<0.05);但两组病人干预6个月时的各项指标与干预3个月时比较,差异无统计学意义(P>0.05);观察组病人再住院次数少于对照组(P<0.05)。结论:基于Triangle模型的分层分级延续性护理可提高T2DM病人的血糖控制水平、自我管理能力及生活质量,并减少再住院次数。

Objective:To analyze the effect of triangle-based hierarchical continuation care in patients with type 2 diabetes mellitus(T2DM).Methods:A total of 120 T2DM patients treated in Affiliated Suqian Hospital of Xuzhou Medical University from November 2021 to November 2022 were included and divided into observation group and control group according to random number table method,with 60 cases in each group.The patients in control group received continuous care,and the patients in observation group received hierarchical continuous care based on Triangle model.Blood glucose control,self-management ability and quality of life were assessed before intervention,at 3 months and 6 months after intervention.The number of readmissions during the intervention period was also recorded.Results:After 3 months and 6 months of intervention,fasting blood glucose(FPG),postprandial 2 hours plasma glucose(2 h PG),and glycated hemoglobin(HbA1c)levels in both groups were significantly lower than those before intervention,the score of the Summary of Diabetes Self-Care Activities Questionnaire(SDSCA)was higher than that before intervention,and the score of Chinese Diabetes Specific Quality of Life Scale(DSQL)was lower than that before intervention.The improvement of all indexes in observation group was better than that in control group(P<0.05).However,there was no significant difference between the two groups at 6 months intervention and 3 months intervention(P>0.05).The number of re-hospitalization in observation group was less than that in control group(P<0.05).Conclusion:Triangle-based hierarchical continuous care can improve glycemic control,self-management ability and quality of life in T2DM patients,and reduce the number of re-hospitalizations.