专病一体化护理在2型糖尿病中的应用

发布时间：2018-07-24 09:37

【摘要】：目的探讨专病一体化护理在2型糖尿病中的应用方法与效果。方法选择2011年8月到2015年2月在我院进行诊治的2型糖尿病患者104例,根据随机数字表法分为试验组与对照组各52例,两组都用胰岛素或降糖药控制血糖,治疗疗程为3个月,在治疗期间对照组给予常规护理,试验组在此基础上给予积极的专病一体化护理。结果护理后试验组与对照组的总有效率分别为98.1%与86.5%,试验组明显高于对照组(P0.05)。在糖化血红蛋白值和空腹血糖值上,对比护理前后,护理后有明显降低(P0.05),同时护理后试验组的空腹血糖与糖化血红蛋白值明显低于对照组(P0.05)。试验组护理后的病情监测、并发症管理、合理饮食、合理用药和运动行为评分都明显高于对照组(P0.05)。护理后试验组的自护技能、自护责任感、自我概念、健康知识评分都明显高于对照组(P0.05)。结论专病一体化护理在2型糖尿病中的应用能提高患者的自护能力,增加其疾病知识掌握程度,有利于血糖的控制,从而提高总体疗效。
[Abstract]:Objective to explore the application and effect of integrated nursing in type 2 diabetes mellitus. Methods 104 patients with type 2 diabetes mellitus who were treated in our hospital from August 2011 to February 2015 were randomly divided into two groups: the experimental group (n = 52) and the control group (n = 52). Both groups were treated with insulin or hypoglycemic drugs for 3 months. During the treatment, the control group was given routine nursing, and the experimental group was given active integrated nursing. Results the total effective rates of the test group and the control group were 98.1% and 86.5%, respectively, which were significantly higher than that of the control group (P0.05). In the glycosylated hemoglobin value and fasting blood glucose value, compared before and after nursing, there was a significant decrease after nursing (P0.05), while the test group after nursing fasting blood glucose and glycosylated hemoglobin value was significantly lower than the control group (P0.05). The scores of condition monitoring, complication management, reasonable diet, rational drug use and exercise behavior in the test group were significantly higher than those in the control group (P0.05). After nursing, the scores of self-care skills, self-care responsibility, self-concept and health knowledge in the experimental group were significantly higher than those in the control group (P0.05). Conclusion the application of integrated nursing in type 2 diabetes can improve the self-care ability of the patients, increase their knowledge of the disease, help to control the blood sugar, and improve the overall curative effect.
【作者单位】：海南省干部疗养院、海南省老年病医院三科;海南省人民医院消化内科;
【基金】：海南省自然科学基金立项项目(编号:310131)
【分类号】：R473.5

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