5E康复护理模式在糖尿病患者延续性护理中的应用及对血糖水平、生命质量的影响

Application of 5E Rehabilitation Nursing Model in Continuous Nursing care of Diabetes Patients and Its Impact on Blood Glucose Level and Qual⁃ity of Life

目的分析在糖尿病患者延续性护理中实施5E康复护理模式的效果。方法选取2022年1月—2023年6月四川大学华西第四医院收治的100例糖尿病患者为研究对象,依据护理方法不同分为对照组(n=50,延续性护理)和观察组(n=50,延续性护理+5E康复护理模式)。比较两组血糖水平(空腹血糖、餐后2 h血糖、糖化血红蛋白)、生命质量评分(满意程度、影响程度、忧虑程度I、忧虑程度II)以及遵医行为评分(药物治疗、饮食治疗、运动治疗、自我监测、定期复查)。结果观察组患者各项血糖指标均低于对照组,差异有统计学意义(P均<0.05)。护理后,观察组各项生命质量评分均低于对照组,差异有统计学意义(P均<0.05)。观察组药物治疗、饮食治疗、运动治疗、自我监测、定期复查评分均高于对照组,差异有统计学意义(P均<0.05)。结论在对糖尿病患者实施延续性护理时,增加5E康复护理模式,能够改善患者血糖水平,提升遵医行为与生命质量,利于病症好转,效果较为理想。

Objective To analyze the effect of 5E rehabilitation nursing model in continuous care of patients with dia-betes.Methods A total of 100 diabetic patients admitted to West China Fourth Hospital of Sichuan University from January 2022 to June 2023 were selected as the research objects.According to different nursing methods,they were di-vided into control group(n=50,continuous nursing)and observation group(n=50,continuous nursing+5E rehabilita-tion nursing mode).The blood glucose levels(fasting blood glucose,2-hour postprandial blood glucose,glycosylated hemoglobin),quality of life scores(satisfaction,influence degree,anxiety degree I,anxiety degree II)and compliance behavior scores(drug therapy,diet therapy,exercise therapy,self-monitoring,regular review)were compared between the two groups.Results The blood glucose indexes of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).After nursing,the quality of life scores of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The scores of drug therapy,diet therapy,exercise therapy,self-monitoring and regular review in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Adding 5E rehabilitation nursing mode in the implementation of continuous care for diabetes patients can improve the blood sugar level of patients,improve the compliance behavior and quality of life,which is conducive to the improve-ment of disease,and the effect is ideal.