基于目标导向的护理措施在老年2型糖尿病患者中的应用效果分析

Analysis of the Application Effect of Goal-Oriented Nursing Measures in Elderly Patients with Type 2 Diabetes Mellitus

目的探析基于目标导向护理干预在2型糖尿病患者中的应用价值。方法选取2022年1月至2024年4月期间在郑州人民医院收治62例老年2型糖尿病患者,将患者随机分为实验组和对照组,每组各31例。对照组采用常规护理模式,实验组则采用基于目标导向的护理措施。比较两组患者干预前后血糖及糖化血红蛋白水平、健康知识掌握情况、自我管理能力评分、生活质量改善情况。结果干预前,两组患者血糖水平及糖化血红蛋白水平对比差异无统计学意义(P>0.05);干预后,实验组空腹、餐后血糖及糖化血红蛋白水平均低于对照组,差异均有统计学意义(P<0.05)。干预前,两组患者健康知识掌握评分对比差异无统计学意义(P>0.05);干预后,实验组健康知识掌握评分高于对照组,差异具有统计学意义(P<0.05)。干预前,两组老年人自我管理能力评分对比差异无统计学意义(P>0.05);干预后,实验组自我管理能力评分高于对照组,差异具有统计学意义(P<0.05)。干预前,两组生活质量评分对比差异无统计学意义(P>0.05)。干预后,实验组生活质量评分高于对照组,差异具有统计学意义(P<0.05)。结论基于目标导向的护理措施能够有效改善老年2型糖尿病患者的血糖控制水平,提高患者的健康知识水平和自我管理能力,显著提升其生活质量。因此,目标导向护理在老年2型糖尿病患者中的应用具有重要的临床价值和推广前景。

Objective To explore the value of goal-oriented nursing intervention in elderly patients with type 2 diabetes mellitus.Methods From January 2022 to April 2024,62 elderly patients with type 2 diabetes mellitus admitted to Zhengzhou People's Hospital were randomly divided into an experimental group and a control group,with 31 patients in each group.The control group received conventional nursing care,while the experimental group received goal-oriented nursing measures.Blood glucose levels,glycosylated hemoglobin levels,health knowledge scores,self-management ability scores,and quality of life improvements were compared between the two groups before and after the intervention.Results Before the intervention,there were no significant differences in blood glucose and glycosylated hemoglobin levels between the two groups(P>0.05).After the intervention,fasting,postprandial blood glucose,and glycosylated hemoglobin levels were lower in the experimental group compared to the control group(P<0.05).Before the intervention,there were no significant differences in health knowledge scores between the two groups(P>0.05).After the intervention,health knowledge scores in the experimental group were higher than in the control group(P<0.05).Before the intervention,there were no significant differences in self-management ability scores between the two groups(P>0.05).After the intervention,self-management ability scores in the experimental group were higher than in the control group(P<0.05).Before the intervention,there were no significant differences in quality of life scores between the two groups(P>0.05).After the intervention,quality of life scores in the experimental group were higher than in the control group(P<0.05).Conclusion Goal-oriented nursing measures can effectively improve blood glucose control,health knowledge levels,and self-management abilities in elderly patients with type 2 diabetes mellitus,significantly enhancing their quality of life.Therefore,the application of goal-oriented nursing in elderly patients with type 2 diabetes has important clinical value and promotion prospects.