首页|基于目标管理的精细化护理对改善糖尿病患者用药依从性及指标恢复情况的影响研究

基于目标管理的精细化护理对改善糖尿病患者用药依从性及指标恢复情况的影响研究

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目的:探讨基于目标管理的精细化护理干预对改善糖尿病患者用药依从性及指标恢复情况的影响,为临床护理提供依据.方法:本研究为前瞻性研究,选取2021年1月—2022年6月驻马店市中心医院收治的138例糖尿病患者作为研究对象,应用抽签法将患者分为对照组和观察组,每组各69例.对照组患者实施常规护理干预,观察组患者实施基于目标管理的精细化护理干预.比较两组患者干预前后的自我管理能力[糖尿病自我管理行为量表(SDSCA)评分]、服药依从性[服药依从性量表(MMAS-8)评分]、血糖[糖化血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2 h血糖(PBG)]和血脂[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)]指标恢复情况.结果:干预后1个月及干预后6个月,观察组患者SDSCA、MMAS-8评分均明显高于对照组,差异均有统计学意义(t=5.148、2.763、6.221、3.241,P<0.05).干预后,观察组患者HbA1c、FBG、PBG指标均明显低于对照组,差异均有统计学意义(t=1.399、3.134、3.928,P<0.05).干预后,观察组患者TC、TG、LDL-C指标均低于对照组,差异均有统计学意义(t=3.860、4.901、7.502,P<0.05).结论:基于目标管理的精细化护理干预可有效增强糖尿病患者的自我管理能力并提升服药依从性,促进患者血糖、血脂指标恢复正常.
Study on the Influence of Fine Nursing Based on Objective Management on Improving Drug Compliance and Index Recovery of Diabetes
Objective:To explore the effect of management by objectives intensive nursing intervention on the medication compliance and index recovery of diabetic patients,and to provide evidence for clinical nursing.Methods:A total of 138 diabetic patients admitted to Zhumadian Central Hospital from January 2021 to June 2022 were divided into control group and observation group by drawing lots,with 69 cases in each group.The control group received routine nursing intervention,while the observation group received management by objectives intensive nursing intervention.The self-management ability(SDSCA score),medication compliance(MMAS-8 score),blood glucose[Glycated hemoglobin blood glucose(HbA1c),fasting blood glucose(FBG),two-hour postprandial blood glucose(PBG)]and blood lipids[total cholesterol(TC),triglyceride(TG),Low-density lipoprotein(LDL-C)]were compared between the two groups before and after intervention.Results:The scores of SDSCA and MMAS-8 in the observation group were significantly higher than those in the control group 1 month and 6 months after intervention(t=5.148,2.763,6.221,3.241;P<0.05).After intervention,the levels of HbA1c,FBG and PBG in the observation group were significantly lower than those in the control group(t=1.399,3.134,3.928;P<0.05).After intervention,the levels of TC,TG and LDL-C in the observation group were significantly lower than those in the control group(t=3.860,4.901,7.502;P<0.05).Conclusion:The management by objectives intensive nursing intervention can effectively enhance the self-care ability and medication compliance of diabetic patients,and promote blood glucose and lipid levels to return to normal control standards.

DiabetesManagement by objectivesFine nursingDrug complianceIndex recovery

马燕、徐瑞新、冯文新

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驻马店市中心医院内分泌科,河南 驻马店 463000

糖尿病 目标管理 精细化护理 服药依从性 指标恢复情况

河南省医学教育研究项目

LHGJ20220321

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(14)