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目的探讨医护一体化模式对2型糖尿病(T2DM)患者血糖血脂及护理知识与行为的影响。方法选取2014年6月—2016年6月该院内分泌科收治的120例T2DM患者,根据患者入院时间将其分为对照组(2014年6月—2015年6月)及观察组(2015年7月—2016年6月),每组各60例。对照组接受糖尿病常规性护理,观察组于常规性护理基础上行医护一体化护理,通过成立T2DM专科护理团队,进行团队考核及培训,使得护理人员能更好地掌握糖尿病技能及知识。分别于患者入院时及出院后1个月测量二组患者血糖血脂水平,并采用自行设计的《疾病认知与行为量表》对二组患者疾病知识及健康行为进行评价。结果观察组出院后1个月空腹血糖(FBG)、餐后2h血糖(2hFPG)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL-C)水平较对照组低,而高密度脂蛋白(HDL-C)水平较对照组高(P<0.05)。观察组干预后在饮食管理、生活管理、运动管理、情绪管理、遵医用药等方面评分显著高于对照组(P<0.05)。结论医护一体化模式能有效提高T2DM患者对疾病的认识,有利于患者改善不良的行为习惯及饮食方式,有利于改善患者血糖及血脂水平,从而有利于控制及稳定患者病情。
Objective To explore the effect of integrated mode of health care on blood glucose, blood lipid, nursing knowledge and behavior in type 2 diabetes mellitus (T2DM). Methods A total of 120 T2DM patients admitted to Department of Endocrinology between June 2014 and June 2016 were divided into control group (June 2014-June 2015) and observation group (2015 7 Month - June 2016), 60 cases in each group. The control group received routine care of diabetes. The observation group underwent routine nursing care based on routine nursing care. Through the establishment of a T2DM nursing team, team evaluation and training provided the nursing staff a better understanding of diabetes skills and knowledge. Blood glucose and lipid levels were measured at the time of hospital admission and 1 month after discharge, and the disease knowledge and health behaviors of the two groups were evaluated by self-designed “Disease Cognition and Behavior Scale”. Results The level of fasting blood glucose (FBG), 2h postprandial blood glucose (2hFPG), total cholesterol (TC), triglyceride (TG) and low density lipoprotein (LDL-C) The level of HDL-C was higher than that of the control group (P <0.05). After intervention, the score of observation group was significantly higher than that of control group (P <0.05) in aspects of diet management, life management, sports management, emotion management and compliance with medical treatment. Conclusion The mode of integrated medical care can effectively improve the understanding of T2DM patients ’diseases, which is beneficial to patients to improve their bad habits and diet, improve blood sugar and blood lipid levels, and thus help to control and stabilize the patients’ condition.