系统化护理模式对老年糖尿病患者治疗依从性及临床疗效的影响  

Influence of systematic nursing model on treatment compliance and clinical efficacy of elderly pa-tients with diabetes

作　　者：连丽虹[1] 黄剑施[1] 陈金凤[1] 郑永红[1] 庄秋云[1] 

机构地区：[1]广东省中山市人民医院综合科,528403

出　　处：《中国实用护理杂志》2012年第24期35-36,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨系统化护理模式对老年糖尿病患者治疗依从性及临床疗效的影响。方法选取我院2008年1月至2010年12月收治的老年糖尿病患者100例，随机将患者分为研究组和对照组各50例。对照组患者采用一般常规护理模式，而研究组患者则采用系统化护理模式，并分别对2组患者的治疗依从情况、临床治疗情况、临床指标改善情况进行比较分析。结果与对照组相比，研究组患者自我监测、饮食控制、遵医用药、运动疗法等治疗依从性指标均显著改善；研究组患者临床疗效显著优于对照组；研究组患者空腹血糖（FBG）、餐后血糖（PBG）、糖化血红蛋白（HbAlc）等临床指标均较对照组显著改善。结论系统化护理模式对于提高老年糖尿病患者治疗依从性及临床疗效具有积极的促进作用，其干预措施还有待于进一步的丰富和完善。Objective To probe into the effect of systematic nursing model on treatment compliance and clinical efficacy of elderly patients with diabetes. Methods 100 elderly patients with diabetes in our hospital were selected from January 2008 to December 2010. The patients were divided into the study group and the control group randomly, 50 cases in each group. The patients in the control group were treated with conventional care model, while the patients in the study group were treated with systematic nursing model. The compliance, clinical treatment effect, and improvement of clinical indicators were compared and ana-lyzed in two groups respectively. Results Compared with the control group, treatment compliance index-es such as self-monitoring, diet control, medication compliance, exercise therapy in the study group were sig- nificantly improved, the difference was statistically significant. Compared with the control group, the clinical ef- ficacy of patients in the study group was significantly improved. Compared with the control group, the FBG, PBG and HbAlc were improved significantly, the difference was statistically significant. Conclusions Sys- tematic nursing model plays a positive role in promoting treatment compliance and clinical effects of elderly patients with diabetes mellitus. The interventions need to be further enriched and perfected.

关 键 词：系统化护理模式 治疗依从性 临床疗效 老年糖尿病 

分 类 号：R473.5[医药卫生—护理学]