基于诉求溯源定制护理方案对糖尿病患者血糖水平与并发症的影响

Eff ect of customized care regimens based on appeals traceability on blood glucose levels and complications on diabetic patients

目的探讨基于诉求溯源定制护理方案对糖尿病患者血糖水平、自我管理能力水平、并发症发生率以及生活质量的影响。方法选择2020年10月—2022年9月就治于医院的2型糖尿病患者100例为研究对象,按照组间基本特征匹配的原则分为观察组和对照组,每组50例。对照组患者遵循2型糖尿病常规护理方法实施干预,观察组患者采用基于诉求溯源定制护理方案实施干预,比较两组患者干预前后空腹血糖、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)水平、自我管理能力评分、并发症发生率、糖尿病特异性生存质量量表(DSQL)评分。结果两组患者护理干预前血糖水平的比较,差异均无统计学意义(P>0.05);观察组患者实施基于诉求溯源定制的护理方案后,各项血糖水平低于对照组,差异均有统计学意义(P<0.05)。两组患者护理干预前自我管理能力评分比较,差异无统计学意义(P>0.05);观察组患者实施基于诉求溯源定制的护理方案后自我管理能力评分高于对照组,经比较差异具有统计学意义(P<0.05)。观察组患者实施基于诉求溯源定制的护理方案后糖尿病视网膜病变、糖尿病足、糖尿病高渗昏迷等并发症总发生率低于对照组,经比较有统计学意义(P<0.05)。两组患者护理干预前糖尿病特异性生存质量量表中生理功能、心理健康、社会关系、治疗情况比较,差异无统计学意义(P>0.05);观察组患者实施基于诉求溯源定制的护理方案后糖尿病特异性生存质量量表中各维度评分均低于对照组,经比较差异具有统计学意义(P<0.05)。结论诉求溯源定制护理方案应用于糖尿病患者,有利于患者控制其血糖水平,提高其自我管理能力和生活质量,降低并发症的发生率。

Objective To explore the impact of customized nursing programs based on appeals traceability on blood glucose levels,self-management ability levels,complication rates,and quality of life in diabetic patients.Methods 100 patients with type 2 diabetes who were treated in hospital from October 2020 to September 2022 were selected as the study subjects,they were divided into an observation group and a control group according to the principle of matched of basic characteristics between groups,with 50 cases in each group.The patients in the control group followed the routine care method for type 2 diabetes.The patients in the observation group adopted a customized care plan based on appeals traceability to implement the intervention.The fasting blood glucose,postprandial 2 h blood glucose(2hPG),glycosylated hemoglobin(HbA1C)level,self-management ability score,complication incidence,and Diabetes-Specific Quality of Life(DSQL)score were compared between the two groups before and after the intervention.Results Comparison of blood glucose levels before nursing intervention in the two groups was not statistically significant(P>0.05).After the implementation of the customised nursing programme based on the traceability of claims in the patients of the observation group,all blood glucose levels were lower than those of the control group,and the differences were statistically significant(P<0.05).Comparison of the self-management ability scores of patients in the two groups before nursing intervention,the difference was not statistically significant(P>0.05),the self-management ability scores of patients in the observation group after the implementation of the customised nursing programme based on the traceability of claims were higher than those of the control group,and the difference was statistically significant(P<0.05).The total incidence of diabetic retinopathy,diabetic foot,diabetic hypertonic coma and other complications in the observation group was lower than that in the control group after the implementation of the customised care programme based on the traceability of claims,and the difference was statistically significant when compared(P<0.05).Comparison of physiological function,mental health,social relations,and treatment in the diabetes-specifi c quality of life scale before nursing intervention between the two groups of patients was not statistically significant(P>0.05);the scores of the dimensions in the diabetes-specifi c quality of life scale of the patients in the observation group were lower than those in the control group after the implementation of the care programme based on the traceability of the complaint,and the difference was statistically significant by comparison(P<0.05).Conclusion The intervention of customized nursing programs based on appeals traceability is conducive to patients to control their blood glucose levels,improve their self-management ability and quality of life,and reduce the incidence of complications.