延续性护理干预对2型糖尿病患者生活质量影响效果观察.docVIP

延续性护理干预对2型糖尿病患者生活质量影响效果观察 　　[摘要]目的 探讨延续性护理干预对于提高2型糖尿病患者生活质量的作用。方法 选取2016年1月～2017年1月在我院就诊被确诊为2型糖尿病的患者162例为研究对象，随机分为观察组与对照组，各81例。对照组患者出院后给予常规的出院随访、指导，观察组患者出院后给予延续性护理干预，比较两组患者的生活质量、自我护理能力、健康认知水平及遵医行为依从性。结果 观察组患者护理3个月时SF-36量表的生理职能、总体健康、活力、精神健康、情感职能、社会功能评分均高于对照组患者，且ESCA评分高于对照组患者，健康认知水平高于对照组，遵医行为依从性高于对照组，差异有统计学意义（P0.05）。结论 延续性护理干预应用于2型糖尿病患者出院后有助于促进患者生活质量的提高，提高患者的自我护理能力和依从性，进一步更好稳定血糖水平，提高生活质量。 　　[关键词]延续性护理干预；2型糖尿病；生活质量；依从性 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2017）09（b）-0187-03 　　Efficacy of continuous care intervention on the quality of life in patients with type 2 diabetics 　　DAI Guo-zhu CAI Wei-liang CAI Chun-hua 　　Department of Endocrinology，the People′s Hospital of Dianbai District in Guangdong Province，Maoming 525400，China 　　[Abstract]Objective To explore the role of continuous nursing intervention in improving the quality of life in patients with type 2 diabetes.Methods 162 patients with type 2 diabetes mellitus in our hospital from January 2016 to January 2017 were selected and were randomly divided into the observation group and the control group，with 81 cases in each group.The patients in the control group were given routine discharge follow-up and guidance after discharge while the patients in the observation group were given persistent nursing intervention after discharge.The quality of life scores，self-care ability，healthy cognition level and compliance behavior of the two groups were compared.Results After 3 months′nursing，the physiological functions，general health，vitality，mental health，emotional function and social function scores in SF-36 scale were higher than those in the control group，ESCA score，healthy cognition level and compliance behavior were higher than that in the control group，and the differences were statistically significant （P0.05）.Conclusion Continuation nursing intervention can be used to improve the quality of life of patients with type 2 diabetes mellitus，improve the self-care ability and compliance of patients，and further