连续性护理干预对2型糖尿病患者自我管理行为和血糖控制影响.docVIP

连续性护理干预对2型糖尿病患者自我管理行为和血糖控制影响 　　【摘要】 目的：探讨连续性护理干预对2型糖尿病患者自我管理行为和血糖控制的影响。方法：选取广西玉林市某三级甲等综合性医院内分泌科住院的114例2型糖尿病患者为研究对象，采用随机数字表法将患者分为研究组（57例）和对照组（57例），两组均接受相应的常规护理，研究组在此基础上通过追踪随访，采用电话和家访的方式施以连续性护理干预，评价两组患者干预后自我管理行为和糖代谢指标的改善情况。结果：干预1年后研究组患者自我管理行为得分明显高于干预前，研究组总分、普通饮食、特殊饮食、运动、血糖监测及药物的得分与对照组比较，差异均有统计学意义（P0.05）。研究组57.89%的患者处于良好自我管理水平，而对照组只有10.53%。研究组糖代谢指标优于对照组，研究组空腹血糖、餐后2 h血糖及糖化血红蛋白（HbA1c）值与对照组比较，差异均有统计学意义（P0.05）。结论：连续性护理干预不仅有效地提高了2型糖尿病患者自我管理能力，改善2型糖尿病患者自我管理行为，明显地改善2型糖尿病患者的糖代谢水平，丰富护理工作的内涵。 　　【关键词】 2型糖尿病； 护理； 自我管理行为； 血糖控制 　　【Abstract】 Objective： To discuses the influence of continuous nursing intervention on the self-management behavior and the glycemic control of Type 2 Diabetes Millitus. Method： 117 diabetics were randomly divided into experiment group （57 cases） and control group （57 cases）， and all the patients were given routine nursing. The experiment group received continuous nursing by telephone and home visits. On the basic of this， we discussed the improvement of the self-management behavior and the glycemic control of the two groups after the intervention. Result： The score of experimental group on self-management behavior was significantly higher than that before intervention （P0.05）. The scores of gross， normal diet， special diets， sport， blood glucose monitoring， drug was higher than that of the control group （P0.05）. 57.89% of the experimental group was in good self-management， while there was only 10.53% in control group. The glycometabolism of experimental group was also better than that of control group （P0.05）. Conclusion： Continuous nursing not only can improve the self-management and the glycometabolism of Type 2 Diabetes Millitus， but also can promote the connotation of nursing work. 　　【Key words】 Type 2 diabetes mellitus； Nursing； Self-management behavior； Glycemic control 　　First-author’s address： The Third People’s Hospital of Yulin， Yulin 537001， China 　　doi：10.3969/j.issn.1674-4985.2015.25.027 　　糖尿病是一种高患病率的慢性终身性疾病。我国成年人糖尿病患病率为9.7%，糖尿病患者将近9240