延伸护理对出院2型糖尿病病人遵医行为及糖化血红蛋白的影响  

Influence of extended care on compliance behaviors and glycosylated hemoglobin in type 2 diabetic patients

作　　者：刘丽华[1] 赵秀君[1] 毛慧聪[1] 穆攀[1] 张明明[1] 

机构地区：[1]河北医科大学第二医院

出　　处：《护理研究（下旬版）》2014年第9期3343-3345,共3页Chinese Nursing Researsh

基　　金：河北省卫生厅医学科学研究重点课题;编号:20130477

摘　　要：[目的]探讨延伸护理对2型糖尿病(DM)病人出院后遵医行为及糖化血红蛋白(HbA1c)的影响。[方法]选择90例2型DM出院病人,随机分成观察组和对照组各45例,对照组给予常规出院指导,观察组出院后实施延伸护理。两组病人在每个月的最后1d回院内门诊测定空腹血糖及餐后2h血糖;出院3个月、6个月时测定HbA1c的控制情况;第6个月对两组病人进行遵医情况调查。[结果]观察组病人遵医行为及血糖、糖化血红蛋白的控制情况均优于对照组(P<0.01)。[结论]延伸护理可提高DM病人的遵医行为,有利于血糖及HbA1c的控制。Objective:To probe into the influence of extended care on compliance behaviors after discharge and glycosylated hemoglobin in type 2diabetic patients.Methods:A total of 90 cases of type 2DM discharged patients were selected and randomly divided into observation group and control group,45 cases in each.The patients in control group received routine discharge guidance,and extended care was carried out for patients in observation group after discharge.Two groups of patients came back to the hospital outpatient service for determination of fasting blood glucose and postprandial 2h blood glucose on the last 1day in each month;Determination of HbA1 c control was measured at 3months and 6months after discharge;two groups of patients were investigated on their compliance behaviors at sixth month after discharge.Results:Compliance behaviors and control of blood glucose and glycosylated hemoglobin of observation group patients were superior to that in control group(P<0.01).Conclusion:Extended care can improve the compliance behavior of patients with DM,and can control blood glucose and HbA1 c.

关 键 词：延伸护理 糖尿病 遵医行为 血糖 糖化血红蛋白 

分 类 号：R473.58[医药卫生—护理学]