经CT确诊糖尿病并发脑血管病患者在出院过渡期准备服务初探  

A study on the discharge planning in discharge transition of patients with Diabetes Mellitus complicated with cerebrovascular disease diagnosed by CT

作　　者：管理英[1] 蔡新力[1] 张娟[1] 

机构地区：[1]山东大学附属省立医院护理部,山东济南250021

出　　处：《医学影像学杂志》2008年第9期1065-1067,共3页Journal of Medical Imaging

摘　　要：目的:初步探讨经CT确诊的糖尿病患者并发脑血管病在出院过渡期出院准备服务的方法。方法:选取200例经临床检验证实的糖尿病患者,分为对照组及观察组,每组各100例,均行CT检查,明确有脑血管病,其中多发性脑梗死152例,占76%,单发脑梗死40例,占20%,小灶性脑出血8例,占4%;对对照组进行常规的糖尿病及脑中风健康教育;对观察组除进行常规的健康教育外,在临近出院前让患者的主要照顾者填写"主要照顾者出院需求表",医护人员据其对主要照顾者进行指导,让其学会相关的照顾常识和技能。同时,患者在出院后也能获得持续性的指导。结果:两组患者在出院两周时复查,观察组血糖控制良好的比例高于对照组(P<0.01);观察组出院后各方面的护理照顾质量高于对照组(P<0.01)。结论:经CT确诊的糖尿病并发脑血管病患者是最需要提供出院准备服务的对象,能提高主要照顾者的护理照顾质量。Objective： To study the method about the discharge planning in discharge transition of patients with Diabetes Mellitus （DM） complicated with cerebro vascular disease diagnosed by CT. Methods：All of 200 cases had taken CT scan. There were 152 cases with multiple cerebral infarction, accounting for 76%, 40 cases with single infarction, accounting for 20%, 8 cases with focalhorrhage, accounting for 8%. The control group was given usual health education about DM and stroke. The experimental group was also given the usual health education and the caregivers wrote ＂the table of caregiver＂ requirement after discharge, which helped the medical personnal to guide the caregivers learning relative caring knowledge and skill and the patients also gained continuing guide. Results：The conditions in the experimental group were all better than those in the control group, （ P 〈 0.01）.Conclusion：Patients DM complicated with cerebrovascular diagnosed by CT are the persons, who mostly need the discharge planning that improve the care quality.

关 键 词：糖尿病 脑血管病护理 出院过渡期 出院准备服务 

分 类 号：R743[医药卫生—神经病学与精神病学] R473.5[医药卫生—临床医学]