糖尿病社区护理对患者生活质量的影响.docVIP

糖尿病社区护理对患者生活质量的影响 　　doi：10.3969/j.issn.1007-614x.2014.14.88 　　摘 要 目的：观察社区护理对糖尿病患者生活质量的影响。方法：2012年11月-2013年11月收治糖尿病患者100例，作为研究对象，随机分为试验组和对照组。对照组均采用常规的药物治疗，如胰岛素、磺酰脲类、双胍类、噻唑烷酮类等；试验组在此基础上还配合饮食、运动、用药、健康教育等社区护理。比较两组患者在治疗3个月后的遵医行为、健康理念和血糖控制等方面的差异。结果：两组患者经治疗后，血糖浓度都得到了有效的控制，但是试验组中92%患者有健康理念和对照组的32%比较，差异具有统计学意义（P0.05）。结论：有效的社区护理能促进患者的遵医行为和健康行为，使血糖浓度更好地得到控制，对提高患者的生活质量有积极的作用，并能减少并发症的发生。 　　关键词 糖尿病 社区护理 生活质量 　　Influence of community nursing on quality of life in patients with diabetes 　　Chen Liqing 　　The community health service centre in Jianqiao Town，Jianggan District，Hangzhou City，Zhejiang Province，310021 　　Abstract Objective：To observe the influence of community nursing on quality of life in patients with diabetes.Methods：100 cases of patients with diabetes were admitted from November 2012 to November 2013.They were as the object of study and randomly divided into experimental group and control group.Two groups were treated with conventional drug therapy，such as insulin，sulfonylurea，biguanides，thiazolidinedione.The experimental group on this basis were given community nursing such as the diet，activity，drug use，health education.Compare the difference of treatment compliance，health concept and blood sugar control of two groups after 3 months of treatment.Results：The blood sugar concentration of two groups had been effectively controlled after treatment，but 92% patients had health concept in the experimental group，and the control group was 32%.The difference was statistically significant（P0.05）.Conclusion：Effective community nursing can improve the treatment compliance and healthy behavior.Better controlling of the blood glucose has a positive effect on improving the quality of life of patients，and it can reduce the incidence of complications. 　　Key words Diabetes；Community nursing；Quality of life 　　糖尿病是一种以高血糖为特征的代谢性疾病，分为胰岛素依赖性糖尿病（1型）和非胰岛素依赖性糖尿病（2型），在数量急剧增加的糖尿病患者中，2型至少占患者总数的90%以上。当机体胰岛素分泌不足时会导致1型糖尿病；当胰岛素分泌正常，而其与相应受体的亲和力降低时会产生2型糖尿病。糖尿病是一种慢性非传染性疾病，其临床症状为“三多一少”，即多饮、多尿、