出院后个体化护理干预对老年糖尿病患者用药依从性的影响

发布时间：2018-05-04 12:07

本文选题：老年人 + 糖尿病　；参考：《中华损伤与修复杂志(电子版)》2016年02期

【摘要】：目的观察出院后个体护理干预对老年糖尿病患者用药依从性的影响效果。方法选择2012年1月至2012年12月首都医科大学附属北京友谊医院医保内科住院的老年2型糖尿病患者60例,设为常规护理组。2013年1月至2013年12月60例老年2型糖尿病患者设为个体化护理干预组。两组患者住院期间均采用常规护理方法,个体化护理干预组患者出院后由糖尿病专科护士对患者每周2次电话随访,在出院随访3个月后将患者常规复查的血糖化验结果进行资料收集并对患者进行用药依从性评估问卷调查,比较两组患者用药依从性的差异。结果个体化护理干预组Morisky评分(8.12±0.35)分高于常规护理组(5.64±0.53)分,两组比较差异有统计学意义(t=2.751,P=0.032)。个体化护理干预组依从性好于常规护理组,差异有统计学意义(χ2=17.879,P0.05)。两组患者出院后3个月空腹血糖、餐后2 h血糖、糖化血红蛋白水平较入院时均有所改善,差异均有统计学意义(P值均小于0.05)。个体化护理干预组经3个月的护理干预后空腹血糖、餐后2 h血糖、糖化血红蛋白水平较常规护理组改善更明显,差异均有显著性统计学意义(P值均小于0.01)。结论个体化护理干预可有效地提高老年糖尿病患者的用药依从性,更有效地帮助老年糖尿病患者达到控制血糖的目的。
[Abstract]:Objective to observe the effect of individual nursing intervention on drug compliance of elderly diabetic patients. Methods from January 2012 to December 2012, 60 elderly patients with type 2 diabetes were enrolled in the Department of Medical Insurance, Beijing Friendship Hospital affiliated to Capital Medical University. From January 2013 to December 2013, 60 elderly patients with type 2 diabetes mellitus were divided into individual nursing intervention group. The patients in the two groups were treated with routine nursing methods. The patients in the individualized nursing intervention group were followed up by telephone twice a week after discharge from the hospital. After 3 months follow-up, the data of blood glucose test were collected and the patients' compliance was assessed by questionnaire to compare the difference of drug compliance between the two groups. Results the Morisky score of individual nursing intervention group (8.12 卤0.35) was higher than that of routine nursing group (5.64 卤0.53). The difference between the two groups was statistically significant. The compliance of the individualized nursing intervention group was better than that of the routine nursing group, and the difference was statistically significant (蠂 ~ 2 ~ (17.879) P 0.05). The levels of fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin in the two groups were improved 3 months after discharge from hospital, and the difference was statistically significant (P < 0.05). The level of fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin in the individualized nursing intervention group was significantly improved than that in the routine nursing group after 3 months of nursing intervention, and the difference was significant (P < 0.01). Conclusion the individualized nursing intervention can effectively improve the drug compliance of the elderly diabetic patients and help the elderly diabetes patients to achieve the purpose of blood glucose control.
【作者单位】：首都医科大学附属北京友谊医院医保内科;首都医科大学附属北京友谊医院护理部;
【基金】：院内基金资助项目(yyqdkt2013-27)
【分类号】：R473.5

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