提高2型糖尿病患者治疗依从性、糖代谢指标及生活质量的护理体会.docVIP

提高2型糖尿病患者治疗依从性、糖代谢指标及生活质量的护理体会 　　[摘要] 目的 探讨提高2型糖尿病患者治疗依从性、糖代谢指标及生活质量的护理方法。 方法 86例2型糖尿病患者随机分为护理干预组和常规护理组。两组均在药物控制血糖的基础上，分别予以综合性护理和常规护理，干预12周。结果 干预12周后，护理干预组总依从率明显高于常规护理组（χ2=4.91，P0.05）；两组FBG、2hPG和HbA1C均有不同程度下降（P0.05或P0.01），且护理干预组下降值明显大于常规护理组（P0.05）；两组躯体功能、心理情感、社会功能和物质生活等4个维度生活质量评分均不同程度升高（P0.05或P0.01），且护理干预组升高值明显大于常规护理组（P0.05）。 结论 护理干预用于2型糖尿病具有较好的效果，可提高患者治疗依从性，有利于血糖及糖化血红蛋白的控制，提高患者的生活质量。 　　[关键词] 2型糖尿病；治疗依从性；糖代谢指标；生活质量 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2015）01-0096-03 　　Nursing experience to increase the treatment compliance， sugar metabolism and life quality of patients with type 2 diabetes mellitus 　　CHEN Aihong 　　Department of Medicine， Xiaoshan Traditional Chinese Medicine Hospital of Hangzhou City in Zhejiang Province， Hangzhou 311200， China 　　[Abstract] Objective To discuss nursing experience to increase treatment compliance， sugar metabolism and life quality of patients with Type 2 diabetes mellitus. Methods 86 cases of patients with type 2 diabetes were divided into nursing intervention group and routine nursing group. The patients in two groups were given drugs to control the blood sugar. The patients in routine nursing group and nursing intervention group were given routine nursing and comprehensive nursing respectively for 12 weeks. Results After 12 weeks?interventionh， the treatment rate of compliance in nursing intervention group was much higher than that in routine nursing group （χ2=4.91， P0.05）. The FBG， 2hPG and HbA1C of patients in two groups were declined than before at different degrees （P0.05 or P0.01）， and the declining rate in nursing intervention group was much higher than that in routine nursing group （P0.05）. The 4 dimensions life quality scores of body function， psychological emotion， social function and material life of patients in two groups were increased than before at different degrees （P0.05 or P0.01）， and the increasing rate of patients in nursing intervention group was much higher than that in routine nursing group（