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作 者:庞晴[1] 黄秋鹏[1] 何霁[1] 袁静[1] 杨晓清[1]
机构地区:[1]川北医学院第二临床学院(南充市中心医院)肾内科,南充637001
出 处:《医学美学美容(中旬刊)》2013年第10期78-79,共2页
摘 要:目的对糖尿病患者实施社区护理干预,探讨和分析其对患者治疗效果的影响。方法将我院收治的346例2型糖尿病患者,在患者住院回到社区后,社区对其进行统一建立档案,并按照随机数字表法分为试验组(200例)和对照组(146例)。对照组:对患者进行常规的糖尿病知识教育和宣传,以电话随访的方式对患者进行指导。试验组:在对照组护理的基础上,护理人员对患者进行家访,给予一对一,面对面的指导。结果与对照组相比,试验组患者在饮食控制、服药以及自我监测、按时进行检查等方面差异显著,具有统计学意义(P〈0.05)。在干预1个月后.试验组患者的糖化血红蛋白值明显低于对照组,具有统计学差异(P〈0.05)。结论实施社区护理干预,能改善糖尿病患者的遵医行为,提高用药安全,有效控制疾病的进展。Object Community nursing intervention was implemented among the patients with diabetes, to explore and analyze their impact on the treatment effect. Methods 346 cases of patients with type 2 diabetes mellitus from our hospital were chosen, they were created the file when they were back to the community. Patients were divided into the test group(n= 200) and control group(n= 146) according to the method of random number ta- ble. Routine knowledge education and publicity of diabetes were made among the patients of control group, and the patients were guided by the methods of telephone follow--up. On the basis of control group nursing, family visit was done among the test group by the nurse with the method of one on one,face to face guidance. Results Compared with the control group, diet control,medication,self--monitoring and inspection of the test group were significantly different(p^0.05). Compared with the control group, the glycosylated hemoglobin of test group was significantly lower after intervention of one month(p^0.05). Conclusions Implementation of community nursing intervention may improve the complicauce behavior of diabetes patients, improve the drug safety and effectively control the progress of disease.
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