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目的:评价2型糖尿病患者社区护理干预措施及效果。方法:选取笔者所在社区90例2型糖尿病患者作为研究对象,随机分为研究组和对照组,研究组给予社区系统护理干预,对照组给予常规护理,比较两组护理干预后血糖、糖尿病知识知晓率、平均医疗费用支出等情况。结果:两组干预后空腹血糖(FPG)和餐后2 h血糖(2 h PG)、糖化血红蛋白(Hb Al C)等均较治疗前有所下降(P<0.05),且研究组下降幅度明显优于对照组(P<0.05)。两组护理干预后糖尿病知晓评分、平均医疗费用支出均发生明显改善(P<0.05),且研究组改善幅度大于对照组(P<0.05),差异有统计学意义。结论:社区系统性护理干预有助于实现对糖尿病患者针对性干预和系统性指导,进而纠正对糖尿病认知,提高自我防治依从性,达到控制和治疗的目的。
Aims: To evaluate community-based nursing interventions and outcomes in patients with type 2 diabetes. Methods: Ninety patients with type 2 diabetes mellitus were selected as study subjects and randomly divided into study group and control group. Community-based nursing intervention was given to the study group and routine care was given to the control group. Blood glucose and diabetes knowledge were compared between the two groups after nursing intervention Rate, average medical expenses and so on. Results: Fasting plasma glucose (FPG) and 2 h postprandial plasma glucose (HGH) and HbAc were decreased after treatment (P <0.05), and the decrease was significant in the study group Better than the control group (P <0.05). Diabetes awareness score and average medical expenses were obviously improved after nursing intervention in both groups (P <0.05), and the improvement rate of the study group was greater than that of the control group (P <0.05). The difference was statistically significant. Conclusion: Community-based systematic nursing intervention can help to achieve targeted intervention and systematic guidance for patients with diabetes, so as to correct the cognition of diabetes and improve the compliance of self-prevention so as to achieve the goal of control and treatment.