开设糖尿病专科护理门诊对糖尿病患者血糖控制的影响.docxVIP

开设糖尿病专科护理门诊对糖尿病患者血糖控制的影响 表1 两组干预前后血糖值比较 X ±$ 组别 空腹血糖浓度/餐后2 h血糖浓度 糖化血红 (mmol/L) / (mmol/L) 蛋白/% 试验组(N=46) 干预前 8.39 + 2.12 13.28 ±3.65 934 + 2.16 干预后 6.34 ±1.57^ 9.14±2.31ab 6.45 ±2.12吨 对照组(N=46) 干预前 28±2.24 12.76±2.26 9.26±1.96 干预后 7.62±2?3少 10.46 土 3.2V 7.81±2.54a 注:与干预前比*P 0.05,与对照组比bP 0.05 摘要目的：探讨护理专科门诊在糖尿病患者血糖 控制中的应用效果。方法：收集2016年1月一12月 就诊的2型糖尿病患者96例，随机分为对照组和试验 组各46例，对照组进行常规门诊健康宣教，试验组进 行专科门诊护理，开展一对一的健康教育和干预措施。 6个月后比较两组血糖控制情况。结果：试验组护理 后的空腹血糖浓度［(6. 34 + 1.57) mmol/L］、餐后2 h 血糖浓度［(9. 14±2. 31) rnmol/L］和糖化血红蛋白 (6.45%±2. 12%)均显著低于对照组［分别为 (8. 39 + 2. 12) mmol/L、(13. 28 + 3. 65) mmol/L 和 (9. 34%±2. 16%) , P0. 05)。结论：专科护理门診 的形式有利于“个体化”的护理指导，提高糖尿病患 者健康教育水平，可帮助糖尿病患者建立良好的生活 方式，提高患者满意度和血糖控制水平，是值得推广 的健康教育方式。 关键词糖尿病；专科护理门诊；血糖控制 中图分类号：R587. 1文献标志码：A文章编号： 1006-1533 (2018) 02-0025-03 Influenee of diabetic specialized nursing clinic on glycemic control in patients with diabetes mellitus ZHAO Jie, HE Yuhong (Fenglin Community Hea1th Service Center of Xuhui District, Shanghai 200030, China) ABSTRACT Objective： To explore the effect of specialized nursing clinic on glycemic control in patients with diabetes mellitus. Methods： Ninety—two patients with diabetes mellitus treated from January to December 2016 were selected and randomly divided into a control group and an experimental group with 46 cases in each group? The control group was given routine outpatient hea1th education， and the experimentai group received specialized outpatient nursing, and the hea 1th education and intervention measures were carried out by one to one? The glycemic control was compared between the two groups over a period of 6 months. ResuIts： The fas ting blood glucose [ (6. 34± 1. 57 ) mmol/L]、 postprandial 2 h blood glucose [ (9.14±2.31) mmol/L] and glycosylated hemoglobin (6.45%+ 2.12%) in the experimental group were significantly lower than those in the control group[ (8. 39±2. 12) mmol/L, (13. 28±3. 65) mmol/L and (9. 34%±2. 16%) , respectively, P0. 05)]. Conclusion： The form of specialized nursing cl