[1]李晓娟,李美妮.延续性护理模式对加强2型糖尿病患者自我管理能力的影响[J].西部中医药,2018,31(06):120-122.
 LI Xiaojuan,LI Meini.Influence of Continuous Care on Enhancing Self-management Ability of the Patients with Type Two Diabetes Mellitus[J].Western Journal of Traditional Chinese Medicine,2018,31(06):120-122.
点击复制

延续性护理模式对加强2型糖尿病患者自我管理能力的影响()
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年06期
页码:
120-122
栏目:
出版日期:
2018-06-15

文章信息/Info

Title:
Influence of Continuous Care on Enhancing Self-management Ability of the Patients with Type Two Diabetes Mellitus
文章编号:
1004-6852(2018)06-0120-03
作者:
李晓娟李美妮
甘肃省中医院,甘肃 兰州 730050
Author(s):
LI Xiaojuan, LI Meini
Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
糖尿病2型延续性护理自我管理能力
Keywords:
diabetes mellitus type two continuous care self-management ability
分类号:
R248
文献标志码:
B
摘要:
目的:探讨延续性护理对2型糖尿病患者自我管理的影响,为2型糖尿病患者从医院到家庭过渡期护理模式的建立提供科学依据。方法:将102例患者随机分为观察组、对照组各51例,观察组给予延续性护理模式,对照组实施常规健康教育。比较2组患者干预后空腹及餐后血糖监测情况。并使用自我管理行为量表进行自我管理评分。结果:同组治疗前后糖化血红蛋白、空腹血糖、餐后2小时血糖比较,差异有统计学意义(P<0.05);治疗后组间比较,差异也有统计学意义(P<0.05)。干预后饮食、运动锻炼、遵医嘱服药、自我血糖监测、足部护理等各因子及总评分观察组均高于对照组,差异有统计学意义(P<0.05)。自我管理评分分级观察组优于对照组,2组比较差异有统计学意义(P<0.05)。结论: 延续性护理模式,能更好的提高2型糖尿病患者自我管理能力,有利于提高治疗依从性,确保治疗效果。
Abstract:
Objective: To provide scientific reference for establishing the nursing model in the transition period from hospital to family for the patients with type two diabetes mellitus (T2DM) by discussing the effects of continuous care on self-management of T2DM patients. Methods: All 102 patients were randomized into the observation group and the control group, 51 cases each group, the observation group were given the model of continuous care, the control group carried out routine health education. The conditions of fasting and postprandial blood sugar monitoring of the patients were compared after the intervention, and self-management was scored by using self-management behavior scale. Results: The difference had statistical meaning in the comparisons of glycosylated hemoglobin, fasting blood sugar and two hours postprandial blood glucose between before and after treating within the same group (P<0.05); the difference was statistically significant in the comparisons between both groups after treating (P<0.05). The observation group was higher than the control group in total scales and different factors containing diet, exercise, medication according to the doctor′s advice, self-monitor blood sugar, foot care and others, and there was a significant difference (P<0.05). The observation group was superior to the control group in the scores of self-management, and the difference showed statistical meaning (P<0.05). Conclusion: The model of continuous care could improve self-management ability of T2DM patients better, it′s helpful to raise therapeutic compliance and ensure therapeutic effects.

相似文献/References:

[1]贾晓杰,刘志跃△.红花制剂在糖尿病及其并发症中的研究进展[J].西部中医药,2013,26(03):127.
 JIA Xiaojie,LIU Zhiyue.Research Progress of Safflower Preparation in Diabetes Mellitus and the Complication[J].Western Journal of Traditional Chinese Medicine,2013,26(06):127.
[2]范宗慧.温肾健脾法治疗糖尿病心得[J].西部中医药,2012,25(09):43.
 FAN Zong-hui.Experience on Method of WenShen JianPi in Treating Diabetes[J].Western Journal of Traditional Chinese Medicine,2012,25(06):43.
[3]张国民.消渴清颗粒治疗糖尿病周围神经病变疗效分析[J].西部中医药,2012,25(08):66.
 ZHANG Guo-min.XiaoKeQing Granules in Treating Diabetic Peripheral Neuropathy[J].Western Journal of Traditional Chinese Medicine,2012,25(06):66.
[4]张载宏.丹红注射液联合多贝斯治疗糖尿病周围神经病变临床疗效观察[J].西部中医药,2013,26(07):74.
 ZHANG Zaihong.Clinical Observation on DanHong Injection and Calcium Dobesilate Capsules in Treating Diabetic Peripheral Neuropathy[J].Western Journal of Traditional Chinese Medicine,2013,26(06):74.
[5]段丽萍.中西医结合治疗糖尿病周围神经病变30例[J].西部中医药,2013,26(07):90.
 DUAN Liping.Integrative Medicine in Treating 30 Cases of Diabetic Peripheral Neuropathy[J].Western Journal of Traditional Chinese Medicine,2013,26(06):90.
[6]龚云,王超,亢建国.运动结合灵芝多糖干预对糖尿病大鼠血脂的影响[J].西部中医药,2013,26(08):8.
 GONG Yun,WANG Chao,KANG Jianguo.Effects of Exercise and Ganoderan Intervention on Blood Fat of Rats with Diabetes Mellitus[J].Western Journal of Traditional Chinese Medicine,2013,26(06):8.
[7]呼宝娟.护理干预对肺结核合并糖尿病患者生活质量的影响[J].西部中医药,2013,26(09):125.
 HU Baojuan.Effects of Nursing Intervention on Life Quality of Diabetic Patients Complicated with Pulmonary Tuberculosis[J].Western Journal of Traditional Chinese Medicine,2013,26(06):125.
[8]张艳玲,高文菊.系统性干预对糖尿病并发症发生发展的影响[J].西部中医药,2013,26(12):81.
 ZHANG Yanling,GAO Wenju.Effects of Systematic Intervention on the Onset and Progression of Diabetic Complications[J].Western Journal of Traditional Chinese Medicine,2013,26(06):81.
[9]童玲利.外伤性跟骨骨折合并糖尿病患者围手术期护理体会[J].西部中医药,2014,27(02):131.
 TONG Lingli.Perioperative Care for the Patients with Diabetes Mellitus and Traumatic Calcaneal Fracture[J].Western Journal of Traditional Chinese Medicine,2014,27(06):131.
[10]陈海燕,刘怀珍.糖尿病周围神经病变的中医研究[J].西部中医药,2014,27(03):138.
 CHEN Haiyan,LIU Huaizhen.TCM Study of Diabetic Peripheral Neuropathy[J].Western Journal of Traditional Chinese Medicine,2014,27(06):138.
[11]段尚勤.糖脂消合罗格列酮治疗2型糖尿病合并非酒精性脂肪肝疗效观察[J].西部中医药,2013,26(02):88.
 DUAN Shangqin.Clinical Observation on TangZhiXiao and Rosiglitazone Maleate in Treating Type 2 Diabetes Mellitus Complicated with Non Alcoholic Fatty Liver Disease[J].Western Journal of Traditional Chinese Medicine,2013,26(06):88.
[12]张军和,杨振亚,张永琴.安糖1号治疗初发2型糖尿病并代谢综合征40例临床观察[J].西部中医药,2013,26(05):1.
 ZHANGJunhe,YANGZhenya,ZHANGYongqin.ClinicalObservationonAnTangNo.1intheTreatmentfor40CasesofDiabetesMellitusTypeTwoatPrimaryStageComplicatedwithMetabolismSyndrome[J].Western Journal of Traditional Chinese Medicine,2013,26(06):1.
[13]吕志芹,魏文慧.胰岛素联合痰热清治疗2型糖尿病合并肺部感染49例[J].西部中医药,2013,26(06):85.
 LV Zhiqin,WEI Wenhui.Insulin and TanReQing Injection in Treating 49 Cases of Diabetes Mellitus Type Two Complicated with Pulmonary Infection[J].Western Journal of Traditional Chinese Medicine,2013,26(06):85.
[14]刘希宏.中西药物联用对老年高血压合并2型糖尿病患者肾功能的保护作用[J].西部中医药,2012,25(07):9.
 LIU Xi-hong.Protection of Integrated Traditional Chinese and Western Medicine on Renal Function of Patients with Senile Hypertension and Type 2 Diabetes Mellitus[J].Western Journal of Traditional Chinese Medicine,2012,25(06):9.
[15]梁伟.护理干预在2型糖尿病患者护理中的应用[J].西部中医药,2013,26(12):128.
 LIANG Wei.Application of Nursing Intervention to the Patients with Diabetes Mellitus Type 2[J].Western Journal of Traditional Chinese Medicine,2013,26(06):128.
[16]王璟.中药对胰岛素治疗2型糖尿病低血糖发生率的影响[J].西部中医药,2014,27(04):94.
 WANG Jing.Effects of Herbs on the Incidence Rate of Hypoglycemia of the Patients with Type Two Diabetes Mellitus[J].Western Journal of Traditional Chinese Medicine,2014,27(06):94.
[17]齐丽丽,侯敏,尚新秀,等.2 型糖尿病患者八段锦锻炼态度的调查*[J].西部中医药,2014,27(08):36.
[18]张智明,陈孝民△.芪蛭消渴方联合西药基础治疗对 2 型糖尿病症状及血脂的影响*[J].西部中医药,2014,27(08):79.
[19]马红,王海红Δ,蒲小庆,等.中西医结合治疗 2 型糖尿病 68 例[J].西部中医药,2014,27(08):95.
[20]夏海萍,黄琴清,李志英,等.循证护理应用于2型糖尿病合并高血压病患者中的效果观察[J].西部中医药,2014,27(10):140.

备注/Memo

备注/Memo:
收稿日期:2017-12-07 作者简介:李晓娟(1971—),女,副主任护师。研究方向:护理管理及老年病的护理。
更新日期/Last Update: 2018-06-15