临床护理路径在双C治疗老年2型糖尿病患者中的应用效果评价  

Effect of clinical nursing pathway in double C treatment of elderly patients with type 2 diabetes

作　　者：唐莎[1] 

机构地区：[1]武汉市中心医院内分泌科, 430010

出　　处：《中国实用护理杂志》2014年第14期37-39,共3页Chinese Journal of Practical Nursing

摘　　要：目的 观察临床护理路径应用在双C治疗老年2型糖尿病患者时的效果.方法 将140例老年2型糖尿病患者随机分为实验组和对照组各70例,均用双C治疗,对照组患者入院后即予以常规护理,实验组在常规护理的基础上实施临床护理路径.治疗结束后比较2组患者对双C治疗老年2型糖尿病知识的掌握程度、血糖达标天数、胰岛素用量、低血糖发生率、护理质量满意度、健康教育达标率及依从性.结果 治疗后,对照组依从性好的患者占50.00％,实验组占68.57％,实验组依从性优于对照组;术后对照组患者有10.00％发生低血糖,实验组患者有1.43％发生了低血糖;对照组患者的双C治疗老年2型糖尿病知识的掌握人数与对护理质量满意人数分别为67.14％和82.86％,实验组为95.71％和98.57％,实验组显著优于对照组;对照组患者的血糖达标天数、胰岛素用量、健康教育达标得分分别为（8.35±1A1）d、（60.36±9.23） U/d、（65.20±3.42）分,实验组分别为（4.68±1.32）d、（42.34±7.74） U/d、（90.15±2.15）分,各项指标实验组均显著优于对照组.结论 临床护理路径在双C治疗老年2型糖尿病患者时具有先进、有序、高效的优点,值得深入研究与推广.Objective To observe the effect of clinical nursing pathway used in double-C treatment of elderly patients with type 2 diabetes.Methods 140 elderly type 2 diabetic patients were randomly divided into the control group and the experimental group with 70 cases in each group,both groups adopted double C treatment.The control group received routine care,on the basis of routine nursing care,the experimental group implemented CNP mode.After treatment,type 2 diabetes knowledge mastering levels,the number of days of blood glucose reaching standard level,insulin dosage,incidence of hypoglycemia,satisfaction degree with quality of care,compliance rate and passing rate of health education were compared.Results After treatment,for patients with good compliance rate,the control group accounted for 50.00%,the experimental group accounted for 68.57%,the compliance rate of the experimental group was better than the control group.The incidence of hypoglycemia in the control group was 10.00%,and 1.43% in the experimental group.The kn owledge mastering levels and satisfying rate with nursing care were 67.14% and 82.86% in the control group,and 95.71% and 98.57% in the experimental group.The number of days of blood glucose reaching standard level,insulin dosage,passing score of health education were （8.35 ± 1.41） d,（60.36±9.23） U/d,（65.20±3.42） points in the control group,and （4.68±1.32） d,（42.34±7.74） U/d,（90.15±2.15） points in the experimental group.The results of the experimental group were better than those of the control group.Conclusions The clinical nursing pathway in double C treatment of elderly patients with type 2 diabetes demonstrates the advantages of advance,orderly and efficiency,which is worthy of further research and extension.

关 键 词：双C 老年2型糖尿病 临床护理路径 效果 

分 类 号：R47[医药卫生—护理学]