【摘要】 目的:探讨延续性护理对2型糖尿病患者自我管理的影响,为2型糖尿病患者从医院到家庭过渡期护理模式的建立提供科学依据。方法:将102例患者随机分为观察组、对照组各51例,观察组给予延续性护理模式,对照组实施常规健康教育。比较2组患者干预后空腹及餐后血糖监测情况。并使用自我管理行为量表进行自我管理评分。结果:同组治疗前后糖化血红蛋白、空腹血糖、餐后2小时血糖比较,差异有统计学意义(P<0.05);治疗后组间比较,差异也有统计学意义(P<0.05)。干预后饮食、运动锻炼、遵医嘱服药、自我血糖监测、足部护理等各因子及总评分观察组均高于对照组,差异有统计学意义(P<0.05)。自我管理评分分级观察组优于对照组,2组比较差异有统计学意义(P<0.05)。结论:延续性护理模式,能更好的提高2型糖尿病患者自我管理能力,有利于提高治疗依从性,确保治疗效果。更多还原

【Abstract】 Objective:To provide scientific reference for establishing the nursing model in the transition period from hospital to family for the patients with type two diabetes mellitus(T2DM) by discussing the effects of continuous care on self-management of T2DM patients. Methods:All 102 patients were randomized into the observation group and the control group, 51 cases each group, the observation group were given the model of continuous care, the control group carried out routine health education. The conditions of fasting and postprandial blood sugar monitoring of the patients were compared after the intervention, and self-management was scored by using self-management behavior scale. Results:The difference had statistical meaning in the comparisons of glycosylated hemoglobin, fasting blood sugar and two hours postprandial blood glucose between before and after treating within the same group(P<0.05);the difference was statistically significant in the comparisons between both groups after treating(P <0.05). The observation group was higher than the control group in total scales and different factors containing diet, exercise,medication according to the doctor′s advice, self-monitor blood sugar, foot care and others, and there was a significant difference(P<0.05). The observation group was superior to the control group in the scores of self-management,and the difference showed statistical meaning(P<0.05). Conclusion:The model of continuous care could improve self-management ability of T2DM patients better, it′s helpful to raise therapeutic compliance and ensure therapeutic effects.更多还原