专科护士主导的糖尿病健康管理模式研究
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摘要
目的探索专科护士主导的糖尿病健康管理对糖尿病患者的影响。方法将1 353例2型糖尿病住院患者按时间顺序分为干预组695例、对照组658例,对照组按常规糖尿病进行健康教育及随访;干预组在常规健康教育基础上,由专科护士主导,进行系统化糖尿病教育及长期追踪管理,包括使用手机App进行管理及参加糖尿病教育及活动体验日等。干预后1年评价效果。结果干预后,干预组空腹血糖、糖化血红蛋白、总胆固醇、低密度脂蛋白值显著优于对照组(均P <0. 01)。结论专科护士主导的糖尿病健康管理对患者的代谢指标具有改善作用。
Objective To investigate the effect of a nurse specialist led diabetes management program on diabetes patients. Methods Totally,1 353 patients with type 2 diabetes were divided into an intervention group of 695 and a control group of 658 according to the order of admission time. The control group was subjected to routine education and follow-ups. The intervention group was assigned to a nurse specialist led diabetes management program and received systematic education and long term follow-ups,with measures including using an App for disease management,and joining a one-day diabetes education & activities subprogram. The effect of the intervention was evaluated after one year. Results The intervention group had more favorable results of fasting plasma glucose,glycated hemoglobin,total cholesterol,and low density lipoprotein than the controls ( P < 0. 01 for all). Conclusion The nurse specialist led diabetes management program could have positive impact on diabetes patients' metabolic indexes.
Objective To investigate the effect of a nurse specialist led diabetes management program on diabetes patients. Methods Totally,1 353 patients with type 2 diabetes were divided into an intervention group of 695 and a control group of 658 according to the order of admission time. The control group was subjected to routine education and follow-ups. The intervention group was assigned to a nurse specialist led diabetes management program and received systematic education and long term follow-ups,with measures including using an App for disease management,and joining a one-day diabetes education & activities subprogram. The effect of the intervention was evaluated after one year. Results The intervention group had more favorable results of fasting plasma glucose,glycated hemoglobin,total cholesterol,and low density lipoprotein than the controls ( P < 0. 01 for all). Conclusion The nurse specialist led diabetes management program could have positive impact on diabetes patients' metabolic indexes.
引文
[1]冯正仪.内科学护理[M].上海:上海科学技术出版社,2001:227.
[2]张启新.糖尿病健康教育研究进展[J].继续医学教育,2012,26(3):59-62.
[3]牟利宁.授权教育在糖尿病健康教育中的研究进展[J].中华护理杂志,2010,45(4):372-374.
[4]郭晓蕙,孙子林,楼青青,等.糖尿病教育管理“二重认证”模式在中国的实践探索---糖尿病教育管理单位认证项目实施的意义和价值[J].中国糖尿病杂志,2015,23(7):660-671.
[5]Yuan C,Lai C W,Chan L W,et al.The effect of diabetes self-management education on body weight,glycemic control,and other metabolic markers in patients with type 2 diabetes mellitus[J].J Diabetes Res,2014,22(7):789-898.
[6]崔轶男,孟朝琳,王媛媛,等.糖尿病专科护士主导的住院糖尿病患者系统化健康教育[J].护理学杂志,2015,30(15):89-91.
[7]宋冬红.非药物因素在中老年Ⅱ型糖尿病治疗中的作用[J].医学与社会,2012,25(6):17-19.
[8]杨玲凤,刘芳,黄金,赵丽萍,等.糖尿病多学科教育团队的建立与培训[J].护理学杂志,2014,29(9):54-56.
[9]Diabetes U K,TREND-UK,Royal College of Nursing.Position statement.Diabetes specialist nurses:improving patient outcomes and reducing costs[EB/OL].(2014-02)[2018-06-29].https://www.diabetes.org.uk/resourcess3/2017-11/diabetes-specialist-nurses_improving-patientoutcomes-and-reducing-costs-position-statement-fe bruary2014.pdf.
[10]Riordan F,McHugh S M,Murphy K,et al.The role of nurse specialists in the delivery of integrated diabetes care:a cross-sectional survey of diabetes nurse specialist services[J].BMJ Open,2017,7(8):e015049.
[11]Vrijhoef H J M,Diederiks J P M,Spreeuwenberg C,et al.The nurse specialist as main care-provider for patients with type 2 diabetes in a primary care setting:effects on patient outcomes[J].Int J Nurs Stud,2002,39(4):441-451.
[2]张启新.糖尿病健康教育研究进展[J].继续医学教育,2012,26(3):59-62.
[3]牟利宁.授权教育在糖尿病健康教育中的研究进展[J].中华护理杂志,2010,45(4):372-374.
[4]郭晓蕙,孙子林,楼青青,等.糖尿病教育管理“二重认证”模式在中国的实践探索---糖尿病教育管理单位认证项目实施的意义和价值[J].中国糖尿病杂志,2015,23(7):660-671.
[5]Yuan C,Lai C W,Chan L W,et al.The effect of diabetes self-management education on body weight,glycemic control,and other metabolic markers in patients with type 2 diabetes mellitus[J].J Diabetes Res,2014,22(7):789-898.
[6]崔轶男,孟朝琳,王媛媛,等.糖尿病专科护士主导的住院糖尿病患者系统化健康教育[J].护理学杂志,2015,30(15):89-91.
[7]宋冬红.非药物因素在中老年Ⅱ型糖尿病治疗中的作用[J].医学与社会,2012,25(6):17-19.
[8]杨玲凤,刘芳,黄金,赵丽萍,等.糖尿病多学科教育团队的建立与培训[J].护理学杂志,2014,29(9):54-56.
[9]Diabetes U K,TREND-UK,Royal College of Nursing.Position statement.Diabetes specialist nurses:improving patient outcomes and reducing costs[EB/OL].(2014-02)[2018-06-29].https://www.diabetes.org.uk/resourcess3/2017-11/diabetes-specialist-nurses_improving-patientoutcomes-and-reducing-costs-position-statement-fe bruary2014.pdf.
[10]Riordan F,McHugh S M,Murphy K,et al.The role of nurse specialists in the delivery of integrated diabetes care:a cross-sectional survey of diabetes nurse specialist services[J].BMJ Open,2017,7(8):e015049.
[11]Vrijhoef H J M,Diederiks J P M,Spreeuwenberg C,et al.The nurse specialist as main care-provider for patients with type 2 diabetes in a primary care setting:effects on patient outcomes[J].Int J Nurs Stud,2002,39(4):441-451.