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目的探讨延续性护理对社区2型糖尿病(T2DM)患者血糖、血脂及依从性影响。方法 220例T2DM患者,随机分为观察组及对照组,各110例。对照组给予常规性护理,观察组在对照组基础上给予延续性护理,对比分析两组患者治疗依从性及干预前后血糖、血脂水平的变化。结果观察组干预后空腹血糖(FBG)餐后2 h血糖(2 h FPG)、总胆固醇(TC)、三酰甘油(TG)、低密度蛋白(LDL-C)水平显著低于对照组,而高密度蛋白(HDL-C)水平则高于对照组,差异有统计学意义(P<0.05)。观察组遵医用药、运动锻炼、自我监测、饮食控制的依从性均高于对照组,差异有统计学意义(P<0.05)。结论延续性护理干预措施能有效提高社区T2DM患者治疗依从性,改善患者血脂、血糖水平,有利于控制及稳定患者病情。
Objective To investigate the effect of continuous nursing on blood glucose, blood lipid and compliance in patients with type 2 diabetes mellitus (T2DM) in community. Methods 220 patients with T2DM were randomly divided into observation group and control group, with 110 cases in each. The control group was given routine nursing. The observation group was given continuous nursing care based on the control group. The compliance of treatment and the changes of blood glucose and blood lipid level before and after the intervention were compared between the two groups. Results After 2 h FPG, total cholesterol (TC), triglyceride (TG) and low density protein (LDL-C) levels of fasting blood glucose (FBG) in observation group were significantly lower than those in control group The level of HDL-C was higher than that of the control group (P <0.05). Compliance in the observation group with medication, exercise, self-monitoring and diet control were higher than those in the control group (P <0.05). Conclusion Continuous nursing interventions can effectively improve the treatment adherence of community T2DM patients, improve the level of blood lipid and blood glucose in patients, and control and stabilize the patients’ condition.