低血糖对糖尿病患者生活质量的影响及护理干预  

Influence and Nursing Intervention of Hypoglycemia on Quality of Life in Diabetic Patients

作　　者：胡艳飞[1] 胡桂芬[1] 张亚当[1] 杨丽雅[1] 胡素银[1] 梅晓霞[1] 卢益萍[1] 

机构地区：[1]金华市中心医院内分泌代谢科,浙江金华321000

出　　处：《解放军护理杂志》2010年第8期569-571,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：浙江省医药卫生科学研究基金项目(2008B191)

摘　　要：目的调查糖尿病患者治疗过程中低血糖发生对其生活质量的影响,探讨护理干预对预防患者低血糖发生及提高患者生活质量的作用。方法采用糖尿病普适性生活质量量表(SF-36)评价102例糖尿病患者入院时及低血糖发生后的生活质量,并在对他们进行系统护理干预和药物调整1个月后作第3次评价。比较患者入院时、低血糖发生后及系统护理干预后生活质量的变化。结果糖尿病患者发生低血糖后生活质量降低,与发生前比较差异有统计学意义(P<0.05或P<0.01);系统护理干预后,患者的生活质量提高,除精力、躯体功能、社会功能以外的各维度与干预前相比差异有统计学意义(P<0.01)。结论糖尿病患者低血糖发生后生活质量降低,通过护理干预能够提高患者生活质量。Objective To investigate the influence of hypoglycemia on the quality of life（QOL） in diabetic patients,and to explore the nursing intervention on the prevention of hypoglycemia and improvement of QOL in the patients. Methods A total of 102 diabetic patients were examined with universal adoption of diabetes QOL scale（SF-36） at admission and after the occurrence of hypoglycemia,which were followed by the third QOI. evaluation one month after their systematic adjustment of nursing intervention and medica- tion. A comparison was conducted among the differences on the QOL for the patients at admission, after the occurrence of hypoglycemia and after the nursing intervention. Results The QOL was significantly lower in the patients with hypoglycemia than in those without hypoglycemia（P^O. O1 or P dO. 05）. Nursing intervention could significantly improve the QOL of the patients（P〈0.01）. Conclusion Diabetic patients＇ QOL declined with the occurrence of hypoglycemia and could be improved by nursing intervention.

关 键 词：糖尿病 低血糖 生活质量 护理干预 

分 类 号：R587.1[医药卫生—内分泌]