社区护理干预对提高糖尿病治疗依从性临床剖析.docVIP

社区护理干预对提高糖尿病治疗依从性临床剖析 　　【摘要】 目的 探讨社区护理干预对提高糖尿病治疗依从性的效果。方法 240例糖尿病患者， 按照随机数字表法分为对照组和观察组， 各120例。两组住院期间均给予系统的对症治疗、健康教育和并发症护理等， 对照组出院前给予出院指导， 观察组出院前给予出院指导， 出院后进行社区护理， 对比两组患者6个月后血糖水平、血压水平、遵医行为各项指标。结果 干预6个月后观察组空腹血糖 （FBG）（5.14±2.58）mmol/L、餐后2 h血糖（2 h PBG）为（7.65±2.74）mmol/L均低于对照组的（7.12±3.26）、（9.05±3.84）mmol/L， 差异具有统计学意义（P0.05）；观察组患者血压、药物依从性、合理饮食、定期运动均优于对照组， 差异均有统计学意义（P0.05）。结论 个性化、人性化的社区护理干预可显著提高糖尿病患者治疗依从性。 　　【关键词】 社区护理；糖尿病；临床疗效；依从性 　　DOI：10.14163/j.cnki.11-5547/r.2016.33.084 　　Clinical analysis of community nursing intervention in improving diabetes mellitus treatment compliance CAI Hong. Guangzhou City Tianhe District Chebei Community Health Service Center， Guangzhou 510660， China 　　【Abstract】 Objective To investigate effect by community nursing intervention in improving diabetes mellitus treatment compliance. Methods A total of 240 patients with diabetes mellitus were divided by random number table into control group and observation group， with 120 cases in each group. Both groups received systematic symptomatic treatment， health education and complications nursing during hospitalization. The control received discharge guidance， and the observation group received discharge guidance and community nursing. Comparison was made on blood glucose level， blood pressure level， and compliance index between the two groups after 6 months. Results After 6-month intervention， the observation group had all lower fasting blood glucose （FBG） as （5.14±2.58） mmol/L， 2 h postprandial blood glucose （2 h PBG） as （7.65±2.74） mmol/L than （7.12±3.26） and （9.05±3.84） mmol/L in the control group， and the difference had statistical significance （P0.05）. The observation group had all better blood pressure， drug compliance， rational diet， and regular exercise than the control group， and their differences all had statistical significance （P0.05）. Conclusion Individualized and humanistic community nursing intervention can remarkably improve treatment compliance in diabetes mellitus patients.