实施个性化健康教育及护理干预对糖尿病患者的应用效果分析
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摘要
目的探讨实施个性化健康教育及护理干预对糖尿病患者的临床效果。方法选取2017年1月-2017年12月新疆医科大学第一附属医院内科2型糖尿病患者200例,根据就诊顺序进行分组,编码数字为奇数的100例患者作为对照组,编码数字为偶数的100例患者作为研究组。对照组患者实施常规护理,研究组在对照组护理基础上,重点对患者制定和实施个性化的健康教育。结果研究组与对照组平均年龄、性别、病程比较未见明显差异(P>0.05)。2组患者护理前,经检测空腹血糖水平,发现护理前的血糖水平无差异(P>0.05)。经实施个性化护理后,对2组的空腹血糖进行再一次的检测,发现研究组的空腹血糖与对照组比较明显降低,并且经统计学处理后,发现2组之间的空腹血糖差异有统计学意义(P<0.05)。经实施个性化护理后,研究组空腹血糖水平[(6.19±0.31)mmol/L]低于对照组[(7.83±1.77)mmol/L],研究组糖化血红蛋白的水平[(6.66±0.19)%]低于对照组[(8.61±1.33)%],研究组糖化血红蛋白水平[(6.66±0.19)%]明显低于对照组[(8.61±1.33)%],差异有统计学意义(P<0.05)。结论在基础护理的基础上,对新疆医科大学第一附属医院内科2型糖尿病患者实施个性化的健康教育及护理可控制血糖。
Objective To explore the clinical effects of individualized health education and nursing intervention on diabetic patients. Methods 200 patients with type 2 diabetes were enrolled in the Department of Internal Medicine of the first affiliated Hospital of Xinjiang Medical University from January 2017 to December 2017. The patients were grouped according to the order of visiting. 100 patients with odd coding number served as the control group and 100 patients with even coding number served as the research group. The patients in the control group were given routine nursing, and the patients in the study group were given individualized health education on the basis of the nursing in the control group. Results The average age, sex and duration of the study group were compared with those of the control group. There was no significant difference between two groups before nursing(P>0.05). There was no significant difference in fasting blood glucose level before nursing between the two groups(P>0.05). After individualized nursing, the fasting blood glucose of the two groups was measured again. It showed that the fasting blood glucose of the study group was significantly lower than that of the control group(P<0.05). Fasting blood glucose levels in two groups:(6.19±0.31) mmol/L for the study group and(7.83±1.77) mmol/L for the control group. After individualized nursing, the level of glycosylated hemoglobin in the study group(6.66±0.19)% was significantly lower than that in the control group(8.61±1.33)%(P<0.05). Conclusion On the basis of basic nursing, individualized health education and nursing can control blood glucose in patients with type 2 diabetes in the first affiliated Hospital of Xinjiang Medical University.
Objective To explore the clinical effects of individualized health education and nursing intervention on diabetic patients. Methods 200 patients with type 2 diabetes were enrolled in the Department of Internal Medicine of the first affiliated Hospital of Xinjiang Medical University from January 2017 to December 2017. The patients were grouped according to the order of visiting. 100 patients with odd coding number served as the control group and 100 patients with even coding number served as the research group. The patients in the control group were given routine nursing, and the patients in the study group were given individualized health education on the basis of the nursing in the control group. Results The average age, sex and duration of the study group were compared with those of the control group. There was no significant difference between two groups before nursing(P>0.05). There was no significant difference in fasting blood glucose level before nursing between the two groups(P>0.05). After individualized nursing, the fasting blood glucose of the two groups was measured again. It showed that the fasting blood glucose of the study group was significantly lower than that of the control group(P<0.05). Fasting blood glucose levels in two groups:(6.19±0.31) mmol/L for the study group and(7.83±1.77) mmol/L for the control group. After individualized nursing, the level of glycosylated hemoglobin in the study group(6.66±0.19)% was significantly lower than that in the control group(8.61±1.33)%(P<0.05). Conclusion On the basis of basic nursing, individualized health education and nursing can control blood glucose in patients with type 2 diabetes in the first affiliated Hospital of Xinjiang Medical University.
引文
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[9] 涂湘玲.血糖仪在老年糖尿病护理中的应用及健康教育研究进展[J].中国医药指南,2017,15(21):24-25.
[10] 中华医学会糖尿病学分会.中国 2 型糖尿病防治指南(2013 年版)[J].中国糖尿病杂志,2014,22(8):2-42.
[11] 张凌云,赵海红.全程健康教育模式在糖尿病护理管理中的作用[J].糖尿病新世界,2015,7:189.
[12] 皮巧红.中西医结合整体护理模式对住院2型糖尿病患者的干预效果评价[J].中国医药,2017,12(2):294-297.
[13] 马静.全程健康教育模式在糖尿病护理管理中的作用[J].护士进修杂志,2012,27(23):2169-2171.
[14] SMITH P M,SMITH B T,MUSTARD C A,et al.Estimating the direct and indirect pathways between education and diabetes incidence among Canadian men and women :A mediation analysis[J].Ann Epidemiol,2013,23:143-149.
[2] 刘春英.糖尿病护理管理中全程健康教育模式的应用研究[J].医药前沿,2015,5:91-92.
[3] 林卫.自我管理在老年糖尿病中的应用现状[J].蚌埠医学学院,2016,41(10):1400-1401.
[4] 胡旭,陶然,俞力.尿微量白蛋白及促甲状腺激素与2型糖尿病合并非乙醇性脂肪性肝病的相关性[J].江苏大学学报(医学版),2017,27(3):264-267.
[5] 徐阿红,介勇,罗碧明,等.精神分裂症伴2型糖尿病抗氧化酶与空腹血糖的分析[J].中国健康心理学杂志,2015,23(10):1441-1444.
[6] 王媛,李荣,张会敏,等.积极心理干预对2型糖尿病患者主观幸福感的影响[J].中国健康心理学杂志,2016,24(9):1284-1287.
[7] 管晓波,陆峥.帕罗西汀治疗2型糖尿病伴发抑郁焦虑的进展[J].中华全科医师杂志,2017,16(2):156-158.
[8] 耿凤琴 ,王光亚 ,许金秀,等.健康指导及心理护理对老年糖尿病合并抑郁症患者的疗效[J].国际精神病学杂志 ,2017,44(1):139-142.
[9] 涂湘玲.血糖仪在老年糖尿病护理中的应用及健康教育研究进展[J].中国医药指南,2017,15(21):24-25.
[10] 中华医学会糖尿病学分会.中国 2 型糖尿病防治指南(2013 年版)[J].中国糖尿病杂志,2014,22(8):2-42.
[11] 张凌云,赵海红.全程健康教育模式在糖尿病护理管理中的作用[J].糖尿病新世界,2015,7:189.
[12] 皮巧红.中西医结合整体护理模式对住院2型糖尿病患者的干预效果评价[J].中国医药,2017,12(2):294-297.
[13] 马静.全程健康教育模式在糖尿病护理管理中的作用[J].护士进修杂志,2012,27(23):2169-2171.
[14] SMITH P M,SMITH B T,MUSTARD C A,et al.Estimating the direct and indirect pathways between education and diabetes incidence among Canadian men and women :A mediation analysis[J].Ann Epidemiol,2013,23:143-149.