首页|社区护士微信随访在2型糖尿病患者自我管理能力中的应用效果评价

社区护士微信随访在2型糖尿病患者自我管理能力中的应用效果评价

Evaluation of application effect of WeChat follow-up of community nurses on self-management ability of patients with type 2 diabetes mellitus

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目的:评价社区护士微信随访对 2 型糖尿病患者自我管理能力的应用效果.方法:选取华泾镇社区建档的100 例糖尿病患者为研究对象,将研究对象分为观察组及对照组各50 例,观察组中男性 28 例,女性 22 例,平均年龄(55.6±3.2)岁;对照组中男性 27 例,女性 23 例,平均年龄(55.2±3.3)岁.对对照组患者实施常规护理管理,对观察组患者实施微信群糖尿病护理管理,比较两组患者的血糖水平和自我管理评分.结果:干预前两组血糖指标的差异均无统计学意义(均P>0.05);干预后,观察组空腹血糖、餐后 2h血糖和糖化血红蛋白值均低于对照组,差异均有统计学意义(均P<0.05).干预后,观察组在饮食管理、运动管理、足部护理以及依从性(血糖监测、用药管理、吸烟)评分等方面均优于对照组,差异均具统计学差异(均P<0.05).结论:社区护士通过微信建群和随访的方式信息沟通,可帮助患者按时按量服用降糖的药物,保持必要的运动量和合理的饮食,加强血糖自我监测,积极地控制好血糖.
Objective:To evaluate the application effect of WeChat follow-up of community nurses on self-management ability of patients with type 2 diabetes.Methods:One hundred cases of diabetic patients whose files were established in this community were selected as the research objects,and divided into an observation group and a control group with 50 cases each and in the observation group there were 28 males and 22 females and the average age was(55.6±3.2)years;in the control group there were 27 males and 23 females,and the average age was(55.2±3.3)years.The control group implemented the routine nursing care and the observation group implemented WeChat group diabetes nursing care management,and blood sugar level and the self-management scores of the patients in two groups were compared.Results:Before nursing management,the differences in blood glucose indicators were not statistically significant between the two groups(P>0.05);after the intervention,the fasting blood glucose,postprandial blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group,and the differences were statistically significant(P>0.05).After intervention,the observation group was superior to the control group in diet management,exercise management,foot care and compliance(blood sugar monitoring,medication management,smoking)scores,and the differences were statistically significant(P<0.05).Conclusion:Through communicating information with WeChat group building and follow-up,the community nurses can help patients take hypoglycemic drugs on time and in quantity,keep necessary exercise,eat rationally,strengthen self-monitoring,and actively control their blood sugar level.

type 2 diabetescommunity WeChat follow-upblood sugarself-management ability

张遥

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上海市徐汇区华泾镇社区卫生服务中心护理部,上海 200231

2型糖尿病 社区微信随访 血糖 自我管理能力

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(8)