首页|医院-社区-家庭一体化护理对2型糖尿病患者自我管理效能、血糖控制效果的影响研究

医院-社区-家庭一体化护理对2型糖尿病患者自我管理效能、血糖控制效果的影响研究

扫码查看
目的 研究医院-社区-家庭一体化护理对2型糖尿病患者自我管理效能、血糖控制的效果影响.方法 简单随机选取2019年11月—2021年11月三明市第二医院收治的150例2型糖尿病患者作为研究对象,根据不同的护理方法分为两组,对照组(n=75)实施常规护理,观察组(n=75)实施医院-社区-家庭一体化护理.比较两组患者的自我管理能力、血糖控制水平、心理状态及护理满意度.结果 观察组护理1个月、护理3个月后的自我管理效能均高于对照组,差异有统计学意义(P均<0.05).护理干预前,两组患者的空腹血糖、糖化血红蛋白对比,差异无统计学意义(P均>0.05),观察组护理3个月后的空腹血糖、糖化血红蛋白指标均低于对照组,差异有统计学意义(P均<0.05).护理后,两组患者的焦虑自评量表评分及抑郁自评量表评分均有所降低,且观察组低于对照组,差异有统计学意义(P均<0.05).观察组总满意度为98.67%,高于对照组的89.33%,差异有统计学意义(χ2=4.255,P<0.05).结论 采用"医院-社区-家庭"一体化护理模式对2型糖尿病患者进行护理干预,能够有效提高患者的自我管理能力和血糖水平,缓解其不良情绪,改善护理满意度.
Effects of Hospital-community-family Integrated Nursing on Self-management Efficacy and Blood Glucose Control in Patients with Type 2 Diabetes
Objective To study the effects of hospital-community-family integrated nursing on self-management effi-cacy and blood glucose control in patients with type 2 diabetes.Methods A total of 150 patients with type 2 diabetes admitted to the Second Hospital of Sanming City from November 2019 to November 2021 were simplely randomly se-lected as the study objects and were divided into two groups according to different nursing methods.The control group(n=75)received routine nursing,and the observation group(n=75)received hospital-community-family integrated nursing.The self-management ability,blood glucose control level,psychological state and nursing satisfaction were compared between the two groups.Results The self-management efficacy of the observation group was higher than that of the control group 1 month and 3 months after nursing,and the differences were statistically significant(both P<0.05).Before nursing intervention,there was no statistical significance difference in fasting blood glucose and HBA1c between the two groups(both P>0.05).After 3 months of nursing,the fasting blood glucose and HBA1c indexes of the observation group were lower than those of the control group,and the differences were statistically significant(both P<0.05).After nursing,the Self-Rating Anxiety Scale(SAS)score and Self-Rating Depression Scale(SDS)score of both groups were decreased,and the observation group was lower than the control group,and the differences were statisti-cally significant(all P<0.05).The total satisfaction of the observation group was 98.67%,higher than 89.33%of the control group,and the difference was statistically significant(χ2=4.255,P<0.05).Conclusion The use of"hospital-community-family"integrated nursing model for nursing intervention in type 2 diabetes patients can effectively im-prove the self-management ability and blood glucose level of patients,alleviate their bad emotions,and improve nurs-ing satisfaction.

Hospital-community-familyIntegrated nursingBlood glucose levelsType 2 diabetesSelf-management

陈金梅、李晓静、雷永红

展开 >

三明市第二医院内分泌科,福建三明 366000

医院-社区-家庭 一体化护理 血糖水平 2型糖尿 自我管理

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(5)
  • 18