基于奥马哈问题分类系统的早期2型糖尿病患者护理干预效果研究-护理学专业论文.docxVIP

万方数据 万方数据 The effects of a nursing intervention based on the Omaha system in Outpatient with the early stage type 2 diabetes mellitus Objective： Abstract We created the whole-ranged nursing management model of newly diagnosed and the early stage type 2 diabetes mellitus patients based on“ standardization management of diabetes clinic based on the Omaha system-- diabetes mellitus disease management - -patients post-discharge self management” to explore the effect on blood glucose, the quality of life and the levels of knowledge of type 2 diabetes mellitus patients. Methods: 80 T2DM patients were assigned into two groups. In experimental group , patients received routine outpatient care plus the management guided by whole-ranged nursing management model;In control group, patients were given routine outpatient care only. Patients’blood glucose, quality of life and the levels of knowledge were assessed before the intervention and 6 months after the follow-up. Results: After the intervention for 6 months, Patients’blood glucose, quality of life and the levels of knowledge in experimental group were obviously better than those in control group（P?0.01）,they were statistically significant different in the two groups. In the follow-up visit after 6 months, fasting blood glucose in the intervention group was（7.792±0.922）mmol/L， postprandial 2h blood glucose in the intervention group was（9.980±1.441）， fasting blood glucose in the control group was（9.042±1.557）mmol/L， postprandial 2h blood glucose in the control group was（12.275±2.113）.The indices in the intervention group were significantly better those in the control group , P＜0.01. Conclusions: Omaha system can promote nursing assessment and the implementation of integrated care. The system has clinical significance in nursing work of patients with chronic diseases. Apply the whole-ranged nursing management model to manage patients can improve their blood glucose level, improve patients quality of life and the levels of kno