摘要
目的 探讨NNN-链接在2型糖尿病(T2DM)患者护理中的应用效果,旨在为临床护理提供理论参考.方法 选择2023年1-8月在绍兴市人民医院内分泌代谢科诊疗的T2DM患者94例,采用随机数字表法将患者分为2组,对照组(47例)开展常规护理,观察组(47例)开展NNN-链接护理,比较2组健康知识和行为水平、血糖情况及皮肤和黏膜组织完整性、下肢灌注及焦虑自我控制情况.结果 观察组护理后糖尿病管理知识评分为(89.11±7.21)分,高于对照组的(74.22±6.12)分(P＜0.05),健康管理行为除"规律运动"项外其余均优于对照组(P＜0.05);观察组空腹血糖[FPG,(7.20±1.42)mmol/L]、糖化血红蛋白[HbA1c,(6.99±1.17)％]、餐后 2 h 血糖[2hPG,(9.68±2.12)mmol/L]均低于对照组的(8.54±2.16)mmol/L、(8.10±2.13)％、(11.77±2.04)mmol/L(P＜0.05);皮肤和黏膜组织完整性、下肢灌注和焦虑自我控制评分均高于对照组(P＜0.05).结论 给予T2DM患者NNN-链接的护理模式有利于提高患者健康知识和行为水平,控制血糖,保持皮肤和黏膜组织完整性,改善下肢灌注,减轻焦虑.
Abstract
Objective To explore the application of NNN-linking in the nursing care of patients with type 2 diabetes mel-litus(T2DM),aiming to provide theoretical reference for clinical nursing.Methods A total of 94 T2DM patients diag-nosed and treated in the Department of Endocrinology and Metabolism of Shaoxing People's Hospital from January to Au-gust 2023 were selected.The patients were divided into 2 groups by random number table method.The control group(47 cases)received routine care,and the observation group(47 cases)received NNN-linked care.The levels of health knowledge and behavior,blood glucose,skin and mucous tissue integrity,lower limb perfusion and anxiety self-control were compared between the two groups.Results The score of post-nursing diabetes management knowledge in the obser-vation group was(89.11±7.21)points,which was higher than that in the control group[(74.22±6.12)points,P＜0.05].Additionally,the health management behavior in the observation group was better than that in the control group except for"regular exercise"(P＜0.05).Fasting plasma glucose[FPG,(7.20±1.42)mmol/L],glycated hemoglobin A1c[HbA1c,(6.99±1.17)％],2 h postprandial glucose[2hPG,(9.68±2.12)mmol/L]was lower than that of con-trol group[(8.54±2.16)mmol/L,(8.10±2.13)％,(11.77±2.04)mmol/L,P＜0.05].Furthermore,the scores of skin and mucosal tissue integrity,lower limb perfusion and anxiety self-control were higher in the observation group com-pared to those of control group(P＜0.05).Conclusion NNN-linked nursing mode in T2DM patients can improve the health knowledge and behavior level of patients,control blood glucose,maintain the integrity of skin and mucous tissue,improve lower limb perfusion,and alleviate anxiety.
维普
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