糖尿病患者应用联动式健康教育联合居家自我护理效果
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摘要
目的研究分析联动式健康教育联合居家自我护理在糖尿病患者中的应用及对血糖指标控制效果的影响。方法选取本院接受诊治的120例糖尿病患者作为研究对象,根据随机数表法分为研究组和对照组,每组各60例。对照组患者实施常规护理干预,研究组患者采用联动式健康教育联合居家自我护理。观察并对比2组患者护理前后生活质量、血糖指标及病情控制情况。结果实施前,2组生活质量评分差异无统计学意义(P>0.05);护理后,2组患者生活质量SF-36评分均高于护理前,且研究组高于对照组,差异均有统计学意义(P<0.05)。出院后6个月,对照组患者空腹血糖、餐后2 h血糖均高于出院时,差异有统计学意义(P<0.05),而研究组低于出院时及对照组(P<0.05);研究组患者的病情控制有效率为98.3%,高于对照组的73.3%,差异有统计学意义(P<0.05)。结论联动式健康教育联合居家自我护理能有效控制血糖水平和病情发展,提高患者生活质量,值得临床推广。
Objective To study application of linkage health education combined with home self-care in patients with chronic diabetes and its effect on blood glucose control. Methods A total of 120 patients with chronic diabetes mellitus treated in our hospital were divided into study group and control group according to random number table method,with 60 cases in each group,given linkage health education combined with home self-care,and routine nursing intervention. respectively. The quality of life,blood glucose and disease control were observed and compared between the two groups before and after nursing. Results There was no significant difference in the quality of life between the two groups before nursing( P > 0. 05). The quality of life after nursing of two groups was higher than nursing before,and the study group was higher than the control group( P < 0. 05). At 6 months after discharge,the fasting blood glucose and the 2 h postprandial blood glucose were significantly higher in the control group when compared to the nursing before( P < 0. 05),and the study group was lower than nursing before and the control group( P < 0. 05). The effective rate was higher in the study group than the control group( 98. 3% vs. 73. 3%,P < 0. 05). Conclusion Linkage health education joint home self-care can effectively control blood glucose levels and disease development,and improve patients' quality of life,so it is worthy of clinical promotion.
Objective To study application of linkage health education combined with home self-care in patients with chronic diabetes and its effect on blood glucose control. Methods A total of 120 patients with chronic diabetes mellitus treated in our hospital were divided into study group and control group according to random number table method,with 60 cases in each group,given linkage health education combined with home self-care,and routine nursing intervention. respectively. The quality of life,blood glucose and disease control were observed and compared between the two groups before and after nursing. Results There was no significant difference in the quality of life between the two groups before nursing( P > 0. 05). The quality of life after nursing of two groups was higher than nursing before,and the study group was higher than the control group( P < 0. 05). At 6 months after discharge,the fasting blood glucose and the 2 h postprandial blood glucose were significantly higher in the control group when compared to the nursing before( P < 0. 05),and the study group was lower than nursing before and the control group( P < 0. 05). The effective rate was higher in the study group than the control group( 98. 3% vs. 73. 3%,P < 0. 05). Conclusion Linkage health education joint home self-care can effectively control blood glucose levels and disease development,and improve patients' quality of life,so it is worthy of clinical promotion.
引文
[1]陈冯梅,陆虹宏,郭志荣,等.老年高血压合并糖尿病患者血压血糖水平与脂肪肝患病的相关性[J].中国老年学杂志,2016,36(09):2116-2117.
[2]毛晓润,杜文娟,徐月贞,等.综合护理干预预防社区老年高血压或糖尿病患者跌倒的效果评价[J].中国全科医学,2013,16(05):575-578.
[3]宋佳怡,傅蕾,王娟,等.中医本科生社区糖尿病健康教育实践探索[J].中国中医药现代远程教育,2015,13(10):73-75.
[4]reeman R,Durso-Decruz E,Emir B.Efficacy,safety,and tolerability of pregabalin treatment for painful diabetic peripheral neuropathy:findings from seven randomized,controlled trials across a range of doses[J].Diabetes Care,2015,31(11):1448-1454.
[5]陈长香,冯丽娜,郝习君,等.河北省居家老年人慢性疾病患病状况及对家庭功能的影响[J].现代预防医学,2014,41(12):2199-2201,2214.
[6]李建荣,樊锦春,杨韵歆.36例妊娠期糖尿病合并高血压患者剖宫产围术期临床观察与护理[J].实用临床医药杂志,2015,19(14):106-109.
[7]高燕.综合护理干预对2型糖尿病患者遵医行为及血糖控制的影响[J].实用临床医药杂志,2016,20(18):58-60.
[8]黄洪欣.中国糖尿病健康教育模式的发展研究分析[J].糖尿病新世界,2016,19(17):195-196.
[9]王晓霞,鲜彤章,贾晓凡,等.2型糖尿病患者的心脑血管疾病影响因素的Nomogram分析[J].中国心血管杂志,2017,22(1):43-48.
[10]叶海波,胡春慧.延续性护理干预对老年2型糖尿病合并高血压患者生活质量的影响[J].现代中西医结合杂志,2016,25(17):1922-1924.
[11]张玲,木亚斯沙尔,蓓里·加帕尔,等.2型糖尿病血糖控制水平及其相关因素与维族老年人认知功能障碍的关系[J].中华老年心脑血管病杂志,2017,19(4):353-357.
[12]梁雪,陈康,王安平,等.胰岛素泵治疗糖尿病患者血糖控制及影响因素分析[J].中国医药导报,2016,13(15):72-76.
[13]陈冯梅,陆虹宏,郭志荣,等.老年高血压合并糖尿病患者血压血糖水平与脂肪肝患病的相关性[J].中国老年学杂志,2016,36(9):2116-2117.
[14]景良洪,曾艳丽,宋凤平.综合护理干预对2型糖尿病患者血糖血脂水平及心脑血管事件的影响[J].检验医学与临床,2016,13(12):1712-1714.
[15]Lise Brantster,Margaretha Haugen,Sven Ove Samuelsen.A Dietary pattern characterized by high intake of vegetables,fruits,and vegetable oils is associated with reduced risk of preeclampsia in nulliparous pregnant Norwegian Women[J].J Nutr,2015,139(11):1162-1168.
[16]梁倩雯,申敏,刘晓红.社区护理干预对老年高血压伴糖尿病患者的影响[J].现代临床护理,2013,12(12):69-72.
[17]王吉平,吴慧芳,姚仙凤,等.同伴教育对乡镇社区糖尿病和高血压患者自我管理行为的影响[J].护理学杂志,2016,31(13):4-7.
[18]刘晓宇.系统护理干预对2型糖尿病合并高血压病患者的影响[J].中西医结合心血管病杂志,2015,3(30):144-145.
[2]毛晓润,杜文娟,徐月贞,等.综合护理干预预防社区老年高血压或糖尿病患者跌倒的效果评价[J].中国全科医学,2013,16(05):575-578.
[3]宋佳怡,傅蕾,王娟,等.中医本科生社区糖尿病健康教育实践探索[J].中国中医药现代远程教育,2015,13(10):73-75.
[4]reeman R,Durso-Decruz E,Emir B.Efficacy,safety,and tolerability of pregabalin treatment for painful diabetic peripheral neuropathy:findings from seven randomized,controlled trials across a range of doses[J].Diabetes Care,2015,31(11):1448-1454.
[5]陈长香,冯丽娜,郝习君,等.河北省居家老年人慢性疾病患病状况及对家庭功能的影响[J].现代预防医学,2014,41(12):2199-2201,2214.
[6]李建荣,樊锦春,杨韵歆.36例妊娠期糖尿病合并高血压患者剖宫产围术期临床观察与护理[J].实用临床医药杂志,2015,19(14):106-109.
[7]高燕.综合护理干预对2型糖尿病患者遵医行为及血糖控制的影响[J].实用临床医药杂志,2016,20(18):58-60.
[8]黄洪欣.中国糖尿病健康教育模式的发展研究分析[J].糖尿病新世界,2016,19(17):195-196.
[9]王晓霞,鲜彤章,贾晓凡,等.2型糖尿病患者的心脑血管疾病影响因素的Nomogram分析[J].中国心血管杂志,2017,22(1):43-48.
[10]叶海波,胡春慧.延续性护理干预对老年2型糖尿病合并高血压患者生活质量的影响[J].现代中西医结合杂志,2016,25(17):1922-1924.
[11]张玲,木亚斯沙尔,蓓里·加帕尔,等.2型糖尿病血糖控制水平及其相关因素与维族老年人认知功能障碍的关系[J].中华老年心脑血管病杂志,2017,19(4):353-357.
[12]梁雪,陈康,王安平,等.胰岛素泵治疗糖尿病患者血糖控制及影响因素分析[J].中国医药导报,2016,13(15):72-76.
[13]陈冯梅,陆虹宏,郭志荣,等.老年高血压合并糖尿病患者血压血糖水平与脂肪肝患病的相关性[J].中国老年学杂志,2016,36(9):2116-2117.
[14]景良洪,曾艳丽,宋凤平.综合护理干预对2型糖尿病患者血糖血脂水平及心脑血管事件的影响[J].检验医学与临床,2016,13(12):1712-1714.
[15]Lise Brantster,Margaretha Haugen,Sven Ove Samuelsen.A Dietary pattern characterized by high intake of vegetables,fruits,and vegetable oils is associated with reduced risk of preeclampsia in nulliparous pregnant Norwegian Women[J].J Nutr,2015,139(11):1162-1168.
[16]梁倩雯,申敏,刘晓红.社区护理干预对老年高血压伴糖尿病患者的影响[J].现代临床护理,2013,12(12):69-72.
[17]王吉平,吴慧芳,姚仙凤,等.同伴教育对乡镇社区糖尿病和高血压患者自我管理行为的影响[J].护理学杂志,2016,31(13):4-7.
[18]刘晓宇.系统护理干预对2型糖尿病合并高血压病患者的影响[J].中西医结合心血管病杂志,2015,3(30):144-145.