糖尿病联络护士个体化出院随访在非内分泌科糖尿病患者中的应用效果

The effect of individualized follow-up by diabetes liaison nurse for patients complicated with diabetes mellitus

目的探讨糖尿病联络护士(diabetes liaison nurse,DLN)个体化出院随访在改善非内分泌科糖尿病患者自我管理行为及提高患者糖尿病相关知识、态度及自我管理行为的效果。方法将纳入的74例非内分泌科住院的2型糖尿病患者随机分为实验组和对照组,每组各37例,对照组出院后接受病区随访护士提供的3个月常规出院随访,实验组出院后接受DLN提供的3个月个体化出院随访。比较2组干预前及干预6个月后糖尿病相关知识、态度、自我管理行为及糖化血红蛋白的改善效果。结果干预后2组糖尿病相关知识、态度、自我管理行为在时间效应和交互效应上差异有统计学意义,糖化血红蛋白水平在主效应及时间效应上差异有统计学意义。结论糖尿病联络护士个体化出院随访能显著提高非内分泌科糖尿病患者的糖尿病相关知识、态度、自我管理行为,降低非内分泌科糖尿病患者的糖化血红蛋白水平。

Objectives To study the effect of individualized follow-up by diabetes liaison nurses(DLN) in improving the diabetes knowledge, attitude and self-care activities for patient having comorbidity with diabetes mellitus(DM). Methods Seventy-four DM inpatients not treated in the department of endocrinology was randomly divided into an experimental group and a control group, each of 37. After discharge, the control group was followed up for 3 months in the conventional way, while the experimental group was followed up for the same time by DLN. The knowledge about and attitude to diabetes, self-care behavior and glycosylated hemoglobin(HbA1 c) were compared between the two group before and 6 th months after the intervention. Results After the intervention, the two groups had significant differences in the time and interaction effect in the knowledge about and attitude to diabetes, and self management. The HbA1 c of the experimental group was significantly lower than that of the control group after the intervention(P<0.05). Conclusion Individualized follow-up by diabetes liaison nurses can significantly promote the DM related knowledge, attitude and self-care behavior of the non-endocrine ward’s DM patients, and lower their HbA1 c.