精准代谢管理在糖尿病延续护理中的效果及影响

The Effects and Influences of Precision Metabolic Management in the Continuing Care of Diabetes Mellitus

目的探究精准化代谢管理方案在糖尿病患者延续护理中的应用及其对患者自我管理能力与血糖控制的影响。方法选取2021年11月-2023年11月郑州大学第一附属医院收治的148例糖尿病患者,按入院时间均分为研究组与对照组。对照组采用常规护理模式,研究组采用精准化代谢管理方案联合延续护理方法;比较两组患者的血糖控制情况、自我管理能力(SDSCA)、生活质量(CDSQL)及护理满意度的差异。结果护理后研究组糖化血红蛋白(HbAlc)、空腹血糖(FPG)、餐后2 h血糖(2hPG)均明显低于对照组(P<0.05),研究组SDSCA、CDSQL各项评分均显著高于对照组(P<0.01);研究组患者满意度明显高于对照组(χ^(2)=7.889,P<0.05)。结论精准化代谢管理方案能够显著提升患者的自我管理能力,提高患者的生活质量与护理满意度。

Objective to investigate the application of precise metabolic management programme in the extended care of diabetic patients and its effect on patients’self-management ability and blood glucose control.Methods A total of 148 patients with diabetes mellitus in the First Affiliated Hospital of Zhengzhou University from November 2021 to November 2023 were selected and evenly divided into the study group and the control group according to the admission time.The control group was given the conventional nursing mode.The study group was adopted with the precision metabolic management program combined with the continuing care method.The differences in blood glucose control,self-management ability(SDSCA),quality of life(DSQL)and nursing satisfaction between the two groups were compared.Results The time point,between-group,and interaction effects of HbAlc,FPG,and 2hPG indexes of the patients in the two groups were compared(P<0.05).After nursing,the levels of HbAlc,FPG,and 2hPG in the study group were significantly lower than those in the control group(P<0.05).Each score of SDSCA and DSQL in the study group was significantly higher than that in the control group(P<0.01).The patient satisfaction in the study group was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=7.889,P<0.05).Conclusion The application of precise metabolic management programme in the extended care of diabetes mellitus patients can significantly improve the self-management ability of patients,thus achieving better glycemic control and improving the quality of life and nursing satisfaction of patients.