循证护理提高代谢综合征患者社区干预疗效的研究  

Efficacy of evidence-based nursing intervention on patients with metabolic syndrome

作　　者：张莉 朱丽华 徐骅 邵志坚 

机构地区：[1]广州市海珠区第一人民医院外科,广东广州510220

出　　处：《中国医药导报》2013年第19期154-156,共3页China Medical Herald

基　　金：广东省广州市海珠区科技计划项目(编号2011-QY-13)

摘　　要：目的探讨在社区干预中运用循证护理对代谢综合征患者的效果。方法将代谢综合征患者215例分为循证护理干预组(112例)与对照组(103例),循证护理干预组采取IKAP健康教育模式(信息-知识-信念-行为理论模式),传授合理饮食、适度运动、按时服药复查、心理支持等知识。对照组接受社区一般护理。干预前、干预后第6、12个月两组进行代谢综合征各组分(体重指数、腰围、血压、血糖、血三酰甘油、高密度脂蛋白胆固醇、总胆固醇)对照。结果干预组采用循证护理干预措施后,各观察时段的大部分组分指标都有所改善,收缩压由(149.53±17.70)mm Hg降至(137.10±11.49)mm Hg,舒张压由(91.32±6.73)mm Hg降至(83.85±5.99)mm Hg,空腹血糖由(6.86±2.21)mmol/L降至(5.99±2.09)mmol/L,餐后血糖由(8.57±2.09)mmol/L降至(7.51±2.32)mmol/L,三酰甘油由(2.85±1.29)mmol/L降至(2.17±1.17)mmol/L,高密度脂蛋白胆固醇由(1.27±0.17)mmol/L升至(1.42±0.19)mmol/L,总胆固醇由(7.18±2.0)mmol/L降至(6.28±1.79)mmol/L,两组干预前后及干预后两组比较差异均有统计学意义(P<0.05或P<0.01),对照组除血压外各指标变化差异无统计学意义(P>0.05)。结论循证护理干预措能有效提高代谢综合征患者的疗效。Objective To probe into the efficacy of evidence-based nursing intervention on patients with metabolic syndrome. Methods 215 patients with metabolic syndrome were divided into evidence-based nursing intervention group and control group, health education of IKAP （information-knowledge-attitude-practice） form, healthy diet, exercise, medicine-intake supervision, psychology support were carried out for the intervention group while general community nursing in control group. Body mass index （BMI）, waist circumference, blood glucose, blood pressure, triglyeride （TG）, total cholesterol （CHO）, high density lipoprotein cholesterol （HDL-C） were measured in two groups before the intervention and the 6th, 12th month during the intervention. Results All above index between the intervention group and control group had no significant difference （P 〉 0.05） before the intervention, most of the index were improved （P 〈 0.05 or P 〈 0.01） except waist circumference and BMI in intervention group, systolic blood pressure was decreased from （149.53±17.70） mm Hg to （137.10±11.49） mm Hg, diastolic blood pressure was decreased from （91.32± 6.73） mm Hg to （83.85±5.99） mm Hg, FBG was decreased from （6.86±2.21） mmol/L to （5.99±2.09） retool/L, PBG was decreased from （8.57±2.09） mmol/L to （7.51±2.32） mmol/L, TG was decreased from （2.85±1.29） mmol/L to （2.17±1.17） retool/L, HDL-C was increased from （1.27±0.17） mmol/L to （1.42±0.19） retool/L, TC was decreased from （7.18±2.0） mmol/L to （6.28±1.79） retool/L, the differences of the two groups before and after intervention and the differences after intervention between the two groups were all statistically significant （P 〈 0.05 or P 〈 0.01）. While there were no significant differences in control group except for blood pressure. Conclusion Evidence-based nursing intervention can improve the efficacy of patients with metabolic syndrome.

关 键 词：代谢综合征 循证护理 社区干预 

分 类 号：R589.5[医药卫生—内分泌]