甲状腺功能亢进合并糖尿病患者的社区治疗及健康宣教分析

发布时间：2018-05-22 09:16

本文选题：甲状腺功能亢进 + 糖尿病　；参考：《中国地方病防治杂志》2016年09期

【摘要】：目的研究健康宣教措施在甲状腺功能亢进合并糖尿病患者的社区治疗中的应用效果。方法选择2013年6月至2015年6月我院接诊的90例甲状腺功能亢进合并糖尿病患者展开本次研究,按照随机数表法,随机均分为两组。对照组给予患者常规的社区治疗、护理干预及对症支持治疗措施,观察组在对照组应用的基础上,对患者进行甲状腺功能亢进合并糖尿病健康宣教。接受治疗和干预6月后,调查患者干预前后疾病知晓率、血糖/甲功监测率、门诊随访率、服药依从性及合理饮食率,并对患者血糖、甲亢恢复正常及并发症状况进行检测分析。结果干预后,两组患者对疾病的知晓率均显著提高(P0.05),且观察组患者疾病知晓率(93.33%)、血糖/甲功监测率(100.00%)、门诊随访率(100.00%)、服药依从性(91.11%)及合理饮食率(91.11%)均明显高于对照组(48.89%、42.22%、66.67%、62.22%、64.44%),两组比较有显著性差异(P0.05)。干预后,观察组患者的空腹血糖、餐后2h血糖明显低于对照组(P0.05),甲功恢复正常率(100.00%)明显低于对照组(77.78%),并发症发生率(0)明显低于对照组(13.33%),两组比较有显著性差异(P=0.026)。结论健康宣教措施在甲状腺功能亢进合并糖尿病患者的社区治疗中的应用效果较好,值得在临床护理工作中广泛推广应用。
[Abstract]:Objective to study the effect of health education in community therapy of hyperthyroidism with diabetes mellitus. Methods from June 2013 to June 2015, 90 patients with hyperthyroidism complicated with diabetes mellitus were selected and randomly divided into two groups. The patients in the control group were given routine community treatment, nursing intervention and symptomatic support treatment measures. The patients in the observation group were given hyperthyroidism with diabetes health education on the basis of the application of the control group. After 6 months of treatment and intervention, the patients' awareness rate of disease, blood glucose / thyroid function monitoring rate, outpatient follow-up rate, drug compliance and reasonable diet rate were investigated before and after intervention. The recovery and complications of hyperthyroidism were detected and analyzed. Results after intervention, The awareness rate of disease in the two groups was significantly higher than that in the control group (P 0.05), and the awareness rate of disease in the observation group was 93.33, the blood glucose / nail work monitoring rate was 100.00000, the out-patient follow-up rate was 100.00000.11) and the reasonable diet rate was 91.111.11), which was significantly higher than that in the control group (48.89 42.226.67% 62.226.67% 62.22% 64.4444), and there was a significant difference between the two groups. After intervention, the fasting blood glucose and 2 h postprandial blood glucose in the observation group were significantly lower than those in the control group (P 0.05, P 0.05, P 0.026), and the normal rate of thyroidemia was 100.00g) significantly lower than that in the control group (77.78m), and the incidence of complications was 0) significantly lower than that in the control group (13.3333%). There was a significant difference between the two groups (P 0.026). Conclusion Health education is effective in community therapy of hyperthyroidism with diabetes mellitus, and it is worth popularizing in clinical nursing.
【作者单位】：杭州市下城区石桥街道社区卫生服务中心疾病控制科;
【分类号】：R473.2

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