个性化护理指导对糖尿病周围神经病变患者的应用效果
|
摘要
目的探讨个性化护理指导对糖尿病周围神经病变患者遵医行为,空腹、餐后2h及睡前血糖,护理服务满意度的影响。方法选取2017年7月~2018年7月我院收治的DPN患者82例,随机分为研究组和对照组,每组41例,对照组采用常规护理模式,研究组在常规护理基础上根据患者病情的特点、饮食、运动习惯、文化层次等实施个性化的护理指导,包括访谈式的心理疏导,个性化的饮食、运动、睡眠指导、足部护理、血糖监测,比较两者的遵医行为,空腹和餐后2h及睡前血糖,护理服务满意度。结果研究组的遵医行为及血糖控制明显优于对照组,护理服务满意度明显提高。结论个性化护理指导可以提高患者的遵医行为,明显降低患者的空腹和餐后2h及睡前血糖,提高护理服务满意度。
Objective To explore the effect of individualized nursing guidance on compliance behavior,fasting,2 hours postprandial and pre-sleep blood glucose,and satisfaction of nursing service of patients with diabetic peripheral neuropathy. Methods 82 DPN patients in our hospital from July 2017 to July 2018 were selected and randomly divided into study group and control group,each group had 41 cases.The control group was given routine nursing model.On the basis of routine nursing,the study group was given individualized nursing guidance according to the patient's disease characteristics,diet,exercise habits and cultural level,etc.Individualized nursing guidance included interview psychological counseling,personalized diet,exercise,sleep guidance,foot care,blood glucose monitoring.The compliance behavior,fasting and 2 hours postprandial and pre-sleep blood glucose,and nursing service satisfaction were compared between the two groups. Results Compliance behavior and blood glucose control in the study group were significantly better than the control group,and nursing service satisfaction was significantly improved. Conclusion Individualized nursing guidance can improve patients' compliance behavior,significantly reduce patients' fasting and 2 hours postprandial and pre-sleep blood glucose,and improve nursing service satisfaction.
Objective To explore the effect of individualized nursing guidance on compliance behavior,fasting,2 hours postprandial and pre-sleep blood glucose,and satisfaction of nursing service of patients with diabetic peripheral neuropathy. Methods 82 DPN patients in our hospital from July 2017 to July 2018 were selected and randomly divided into study group and control group,each group had 41 cases.The control group was given routine nursing model.On the basis of routine nursing,the study group was given individualized nursing guidance according to the patient's disease characteristics,diet,exercise habits and cultural level,etc.Individualized nursing guidance included interview psychological counseling,personalized diet,exercise,sleep guidance,foot care,blood glucose monitoring.The compliance behavior,fasting and 2 hours postprandial and pre-sleep blood glucose,and nursing service satisfaction were compared between the two groups. Results Compliance behavior and blood glucose control in the study group were significantly better than the control group,and nursing service satisfaction was significantly improved. Conclusion Individualized nursing guidance can improve patients' compliance behavior,significantly reduce patients' fasting and 2 hours postprandial and pre-sleep blood glucose,and improve nursing service satisfaction.
引文
[1]幸代英.2型糖尿病周围神经病变的治疗及护理[J].内蒙古医药,2013,32(34):148-149.
[2]潘冰雪,糖尿病周围神经病变患者的中医护理干预[J].护理实践与研究,2013,10(16):151-152.
[3]Robinson CC,Barreto RP,Sbruzzi G.The effects of whole body vibration in patients with type 2diabetes:a systematic review and meta-analysis of randomized controlled trials[J].Braz JPhys Ther,2016,20(1):4-14.
[4]Sadosky A,Mardekian J,Parsons B,et al.Healthcare utilization and costs in diabetes relative to the clinical spectrum of painful diabeticperipheral neuropathy[J].JDiabetes Complications,2015,29(2):212-217.
[5]尤黎明,吴瑛.内科护理学[M].第5版.北京:人民卫生出版社,2015:586.
[6]华珊珊,李闺臣.运动疗法对糖尿病周围神经病变影响的研究进展[J].中华护理杂志,2017,52(10):1252-1256.
[7]于世林,袁梅英,耿亚辉,等.有氧运动治疗老年2型糖尿病周围神经病变疗效观察[J].实用老年医学,2016,30(6):465-467,471.
[8]BaroneMT,Menna-Barreto L.Diabetes and sleep:a complex cause-and-effect relationship[J].Diabetes Res Clin Pract,2011,91(2):129-137.
[9]Spiegel K,Knutson K,Leproult R,et al.Sleep loss:a novel risk factor for insulin resistance and type 2 diabetes[J].JAppl Physiol,2005,99(5):2008-2019.
[10]Dixit S,Maiya A,Shastry BA.Effect of moderate-intensity aerobic exercise on glycosylated haemoglobin among elderly patients with type 2diabetes&peripheral neuropathy[J].Indian J Med Res,2017,145(1):129-132.
[11]戴秀菊,杨金娟,方群,等.健康教育在老年糖尿病患者生活方式及血糖控制中的应用[J].中国实用护理杂志,2011,27(17):58-59.
[12]韦香葵.糖尿病周围神经病变患者护理研究进展[J].内科,2014,10(5):607-609.
[13]王霞.慢性心功能不全合并糖尿病40例的护理[J].广东医学,2013,34(9):1475-1476.
[14]徐素华.糖尿病合并周围神经病变患者治疗期间护理干预效果分析[J].国际护理学杂志,2014,33(9):2391-2393.
[15]凌丽萍,缪从庆.个性化护理对糖尿病周围神经病变患者实施效果评价[J].实用糖尿病杂志,2016,12(2):32-33.
[16]秦秀宝,丁淑贞,崔丽艳.糖尿病周围神经病变的危险因素及护理研究进展[J].全科护理,2016,14(21):2176-2179.
[17]Cuaderes E,Lamb WL,Alger A.The older adult with diabetes:peripheral neuropathy and walking for health[J].Nurs Clin North Am,2014,49(2):171-181.
[2]潘冰雪,糖尿病周围神经病变患者的中医护理干预[J].护理实践与研究,2013,10(16):151-152.
[3]Robinson CC,Barreto RP,Sbruzzi G.The effects of whole body vibration in patients with type 2diabetes:a systematic review and meta-analysis of randomized controlled trials[J].Braz JPhys Ther,2016,20(1):4-14.
[4]Sadosky A,Mardekian J,Parsons B,et al.Healthcare utilization and costs in diabetes relative to the clinical spectrum of painful diabeticperipheral neuropathy[J].JDiabetes Complications,2015,29(2):212-217.
[5]尤黎明,吴瑛.内科护理学[M].第5版.北京:人民卫生出版社,2015:586.
[6]华珊珊,李闺臣.运动疗法对糖尿病周围神经病变影响的研究进展[J].中华护理杂志,2017,52(10):1252-1256.
[7]于世林,袁梅英,耿亚辉,等.有氧运动治疗老年2型糖尿病周围神经病变疗效观察[J].实用老年医学,2016,30(6):465-467,471.
[8]BaroneMT,Menna-Barreto L.Diabetes and sleep:a complex cause-and-effect relationship[J].Diabetes Res Clin Pract,2011,91(2):129-137.
[9]Spiegel K,Knutson K,Leproult R,et al.Sleep loss:a novel risk factor for insulin resistance and type 2 diabetes[J].JAppl Physiol,2005,99(5):2008-2019.
[10]Dixit S,Maiya A,Shastry BA.Effect of moderate-intensity aerobic exercise on glycosylated haemoglobin among elderly patients with type 2diabetes&peripheral neuropathy[J].Indian J Med Res,2017,145(1):129-132.
[11]戴秀菊,杨金娟,方群,等.健康教育在老年糖尿病患者生活方式及血糖控制中的应用[J].中国实用护理杂志,2011,27(17):58-59.
[12]韦香葵.糖尿病周围神经病变患者护理研究进展[J].内科,2014,10(5):607-609.
[13]王霞.慢性心功能不全合并糖尿病40例的护理[J].广东医学,2013,34(9):1475-1476.
[14]徐素华.糖尿病合并周围神经病变患者治疗期间护理干预效果分析[J].国际护理学杂志,2014,33(9):2391-2393.
[15]凌丽萍,缪从庆.个性化护理对糖尿病周围神经病变患者实施效果评价[J].实用糖尿病杂志,2016,12(2):32-33.
[16]秦秀宝,丁淑贞,崔丽艳.糖尿病周围神经病变的危险因素及护理研究进展[J].全科护理,2016,14(21):2176-2179.
[17]Cuaderes E,Lamb WL,Alger A.The older adult with diabetes:peripheral neuropathy and walking for health[J].Nurs Clin North Am,2014,49(2):171-181.