基于NNN-链接的护理模式对2型糖尿病患者健康知识和行为及血糖的影响

Effect of NNN-link-based care model on health knowledge and behavior and blood glucose in patients with type 2 diabetes

目的探讨NNN-链接在2型糖尿病(T2DM)患者护理中的应用效果,旨在为临床护理提供理论参考。方法选择2023年1—8月在绍兴市人民医院内分泌代谢科诊疗的T2DM患者94例,采用随机数字表法将患者分为2组,对照组(47例)开展常规护理,观察组(47例)开展NNN-链接护理,比较2组健康知识和行为水平、血糖情况及皮肤和黏膜组织完整性、下肢灌注及焦虑自我控制情况。结果观察组护理后糖尿病管理知识评分为(89.11±7.21)分,高于对照组的(74.22±6.12)分(P<0.05),健康管理行为除“规律运动”项外其余均优于对照组(P<0.05);观察组空腹血糖[FPG,(7.20±1.42)mmol/L]、糖化血红蛋白[HbA1c,(6.99±1.17)%]、餐后2 h血糖[2hPG,(9.68±2.12)mmol/L]均低于对照组的(8.54±2.16)mmol/L、(8.10±2.13)%、(11.77±2.04)mmol/L(P<0.05);皮肤和黏膜组织完整性、下肢灌注和焦虑自我控制评分均高于对照组(P<0.05)。结论给予T2DM患者NNN-链接的护理模式有利于提高患者健康知识和行为水平,控制血糖,保持皮肤和黏膜组织完整性,改善下肢灌注,减轻焦虑。

Objective To explore the application of NNN-linking in the nursing care of patients with type 2 diabetes mellitus(T2DM),aiming to provide theoretical reference for clinical nursing.Methods A total of 94 T2DM patients diagnosed and treated in the Department of Endocrinology and Metabolism of Shaoxing People's Hospital from January to August 2023 were selected.The patients were divided into 2 groups by random number table method.The control group(47 cases)received routine care,and the observation group(47 cases)received NNN-linked care.The levels of health knowledge and behavior,blood glucose,skin and mucous tissue integrity,lower limb perfusion and anxiety self-control were compared between the two groups.Results The score of post-nursing diabetes management knowledge in the observation group was(89.11±7.21)points,which was higher than that in the control group[(74.22±6.12)points,P<0.05].Additionally,the health management behavior in the observation group was better than that in the control group except for"regular exercise"(P<0.05).Fasting plasma glucose[FPG,(7.20±1.42)mmol/L],glycated hemoglobin A1c[HbA1c,(6.99±1.17)%],2 h postprandial glucose[2hPG,(9.68±2.12)mmol/L]was lower than that of control group[(8.54±2.16)mmol/L,(8.10±2.13)%,(11.77±2.04)mmol/L,P<0.05].Furthermore,the scores of skin and mucosal tissue integrity,lower limb perfusion and anxiety self-control were higher in the observation group compared to those of control group(P<0.05).Conclusion NNN-linked nursing mode in T2DM patients can improve the health knowledge and behavior level of patients,control blood glucose,maintain the integrity of skin and mucous tissue,improve lower limb perfusion,and alleviate anxiety.