社区遵医行为干预对老年糖尿病患者生活质量影响  

Effects of Community Medication Compliance Imtervention on Living Quality for Senior Diabetes Mwllitus

作　　者：冼碧霞[1] 徐伟莲[1] 谢珊[1] 

机构地区：[1]广东省深圳市宝安区人民医院综合科,深圳518101

出　　处：《中国医药导刊》2011年第3期517-518,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:观察糖尿病患者经社区护理干预促进遵医行为后对其生活质量的影响。方法:选择我院收治的110例糖尿病患者,住院期间均已接受常规医护指导,出院后观察组(55例)采用社区护理干预督促患者遵医嘱,加强自我管理,对照组(55例)未采用社区护理干预,随访6个月后比较两组遵医嘱率、血糖波动情况及生活满意程度。结果:两组在按时检查率、饮食控制率、药物疗法率、运动疗法率及自我监测率等方面有明显差异,观察组优于对照组(P<0.05),血糖检测数据也相对稳定,生活满意程度亦较高(P<0.05)。结论:社区护理干预能提高糖尿病患者的遵医行为,主动自我管理,血糖相对稳定,生活满意程度提高。Objective：To investigate the effect of community nursing intervention of patients with Type II diabetes mellitus on the medication compliance and improvement of living quality.Methods：One hundred and ten patients with diabetes mellitus in our hospital were enrolled in this study.All the patients received regular nursing guidance during hospital stay.After discharged from the hospital,the observation group （55 cases） was intervened with community nursing for medication compliance and enhancement of self-management,whereas the control group （55 cases） received no community nursing intervention.Followed-up for 6 months,a comparison was made between the two groups in the rate of medication compliance,blood sugar vibration and satisfaction of living status.Results：A significant difference existed between the two groups in the timely checkup rate,diet control rate,medication compliance rate,exercise treatment rate and self monitor rate,with the observation group better than the control group （P〈0.05）.More stable blood sugar data and higher degree of living satisfaction were detected in the observation group （P〈0.05）.Conclusion：Community nursing intervention can significantly improve medication compliance rate and enhance self-management of the patients with diabetes mellitus with relatively stable blood sugar and higher degree of living satisfaction.

关 键 词：老年糖尿病 社区护理干预 遵医行为 自我管理 生活质量 

分 类 号：R473.2[医药卫生—护理学]