探讨胰岛素治疗糖尿病患者家庭回访.docVIP

探讨胰岛素治疗糖尿病患者家庭回访 　　【摘要】目的 探讨糖尿病患者回家后用胰岛素自我治疗、遵医行为、对糖尿病的认知、并发症预防及复诊率的影响。方法 将曾住院治疗的糖尿病患者86人分为指导组46例和对照组40例。指导组定期进行家庭回访及护理指导,对照组只实施常规性的健康教育。结果 4个月后,指导组患者的遵医行为及对糖尿病认知都要好于对照组,这些差异具有统计学(P0.01)的意义;指导组患者血糖控制要好于对照组,复诊率也高于对照组(P0.01)。结论 对糖尿病患者出院后用胰岛素自行治疗进行家庭回访,能帮助患者的遵医行为、提高对糖尿病认知及能有效控制血糖和提高复诊率。 　　【关键词】糖尿病;家庭回访;遵医行为;疾病认知 　　 　　The Discussion about Family Visit to Diabetic Patients with Insulin-relied Therapy.YANG Xiu-fang.No.5 People’s Hospital of Chengdu, Chengdu 611130,Sichuan,China. 　　【Abstract】Objective To explore the effect of family visit to diabetic patients with insulinrelied therapy on their disease cognition,comphance behavior,complications prevention,and the rate of further consuItation.Methods A total of 86 diabetic patients with insulin-relied therapy once in hospital were divided into the guiding group(n=46)and the control group(n=40).The patients in the contro1 group were given routine health education.The guiding group were given periodica1 family visit and nursing instruction in addition to routine health education.Results After four months of follow―up,the disease cognition and compliance behaviors of the guiding group were superior to that of the control group.The disparity has statistica1 significance(P0.01).The level of blood sugar in guiding group was superior to that of control group.And the rate of further consultation of guiding group was higher than those of the contro1 group(P0.01).Conclusion Fami1yvisit to diabetic patients with insulin-relied therapy cou1d help to improve the disease cognitive level and compliance behavior of patients,control the blood sugar effectively and increase the rate of further consultation. 　　【Key words】Diabetes;family visit;Compliance behavior;Disease cognition 　　【中图分类号】R587.1 　　【文献标识码】A 　　【文章编号】1814-8824(2009)-11-0012-03 　　 　　糖尿病为终身疾病,目前尚不能根治[1],良好的健康教育和充分调动病人的主观能动性,使其积极配合治疗,利于疾病控制达标,防止各种并发症的发生,坚持长期综合性治疗才能维持糖尿病患者的健康水平,因而患者出院后家人配合治疗非常重要。为了寻求有效的护理干预,提高糖尿病患者及家人对疾病的认知水平及遵医率,2008年1月10日至2008年11月10日,本科室对86例糖尿病胰岛素治疗患者进