护理延伸服务对糖尿病血糖控制及减少并发症的影响

发布时间：2018-05-12 10:36

本文选题：护理延伸服 + 血糖控制　；参考：《临床医药文献电子杂志》2016年35期

【摘要】：目的客观评价护理延伸服务对糖尿病患者血糖控制及减少并发症的影响。总结开展护理延伸服务在实施过程中的要点与经验,利用有效的健康教育方法及服务模式,使糖尿病患者达到良好的血糖控制,减少并发症的发生。方法将在我院出院登记的糖尿病患者108例随机分为对照组与观察组,对照组患者采取常规的出院教育方法,观察组患者采取护理延伸服务,即运用手机短信或电话以及上门随访的模式对出院患者进行系统、规范的糖尿病教育、血糖监测及胰岛素笔的使用、指导,为每位糖尿病患者建立健康档案,定期进行日常护理、心理干扰、降糖用药后的不良反应、饮食指导、运动指导以及血糖监测、胰岛素笔的使用等,围绕患者的需求不断拓展护理延伸服务项目。6个月后对比两组患者的各项指标以及糖尿病并发症的发生率。结果对照组糖尿病患者的空腹血糖、餐后2 h血糖以及糖化血红蛋白等三项指标均明显高于观察组,对照组糖尿病患者的并发症发生率也明显高于观察组,差异有统计学意义(P0.05)。结论护理延伸服务是卫生服务工作中的一项重要工作,是糖尿病防治工作中最基本、最有效的手段之一,可有效提高患者的依从性,使患者对糖尿病有了系统、正确的认识,学会了自我管理,使血糖得到良好控制,从而提高患者的生活质量,减少并发症的发生。
[Abstract]:Objective to evaluate the effect of extended nursing care on blood glucose control and complication reduction in diabetic patients. The main points and experiences of carrying out the extended nursing service were summarized. The effective health education method and service model were used to make the diabetes patients achieve good blood glucose control and reduce the incidence of complications. Methods 108 diabetic patients who were registered in our hospital were randomly divided into control group and observation group. The patients in the control group were treated with routine discharge education and the patients in the observation group were treated with extended nursing service. That is, using cell phone text messages or phone calls and door-to-door follow-up mode to carry out systematic, standardized diabetes education, blood glucose monitoring and the use of insulin pens, and to establish health records for each diabetic patient. Regular daily nursing care, psychological disturbance, adverse reactions after hypoglycemic medication, dietary guidance, exercise guidance and blood glucose monitoring, use of insulin pens, etc. The extended nursing services were continuously expanded around patients' needs. Six months later, the indexes and the incidence of diabetic complications were compared between the two groups. Results the fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin in the control group were significantly higher than those in the observation group, and the incidence of complications in the control group was significantly higher than that in the observation group (P 0.05). Conclusion the extended nursing service is an important work in the health service and one of the most basic and effective means in the prevention and treatment of diabetes mellitus. It can effectively improve the compliance of the patients and make the patients have a systematic and correct understanding of diabetes mellitus. Learn self-management, so that blood sugar is well controlled, thereby improving the quality of life of patients, reducing the incidence of complications.
【作者单位】：广西钦州市第一人民医院(广西医科大学第十附属医院);
【分类号】：R473.5

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