老年糖尿病患者全程护理干预后专科知识及生活质量提高的效果  

Nurse case management improves specialized knowledge and quality of lifein elderly diabetes patients

作　　者：唐梅芳[1] 刘蓓蓓[1] 

机构地区：[1]新疆医科大学第五附属医院老年病科

出　　处：《世界华人消化杂志》2014年第23期3541-3546,共6页World Chinese Journal of Digestology

摘　　要：目的:探讨全程护理干预提高老年糖尿病(diabetes mellitus,DM)患者专科知识及生活质量的临床效果.方法:按照患者意愿将新疆医科大学第五附属医院收治的170例老年DM患者分为实验组85例和对照组85例,两组患者分别给予全程护理干预和常规科内护理干预,比较两组患者住院护理干预前、住院护理干预后及门诊护理干预后DM专科知识掌握情况以及生活质量.结果:两组患者住院护理干预后饮食、运动、药物、自我监测、并发症以及糖尿病足预防等DM专科知识掌握情况均显著提高,与住院护理干预前比较(60.00%vs 11.76%、45.88%v s 1.18%、52.94%v s 1.18%、38.82%v s 1.18%、52.94%v s 0.00%、45.88%vs 22.35%、57.65%vs 12.94%、47.06%vs 1.18%、52.94%vs 1.18%、38.82%vs 0.00%、50.59%vs 0.00%、44.71%vs 22.35%),差异具有统计学意义(P<0.05);门诊护理干预后实验组患者DM专科知识掌握情况均显著提高,与住院护理干预后比较(91.18%vs 60.00%、85.29%vs 45.88%、83.82%vs 52.94%、83.82%vs 38.82%、80.88%vs 52.94%、85.29%vs 45.88%),差异具有统计学意义(P<0.05);门诊护理干预后实验组患者DM专科知识掌握情况均显著优于对照组(91.18%vs 58.06%、85.29%vs 48.39%、83.82%vs 53.23%、83.82%vs 40.32%、80.88%v s 51.61%、85.29%v s 45.16%),差异具有统计学意义(P<0.05);两组患者住院护理干预后躯体健康(physical functioning,PF)、躯体角色功能(role physical,RP)、情绪角色功能(role emotional,RE)评分均显著升高(24.04分±3.78分vs 19.51分±4.34分、6.44分±1.18分vs 4.97分±1.17分、4.84分±0.80分vs 3.64分±0.73分、24.08分±3.55分vs 19.54分±4.51分、6.45分±1.17分vs 4.96分±1.20分、4.86分±0.79分vs 3.62分±0.70分),躯体疼痛(bodily pain,BP)、过去一年总体健康状况(health target,HT)评分均显著下降(4.31分±1.90分vs 6.11分±15.98分、2.68分±0.56分vs 3.34分±0.75分、4.30分±1.92分vs 6.08分±15.96分、2.69分±0.55分vs 3.35分±0.76分),与住院护�AIM： To explore whether nurse case manage-ment improves specialized knowledge and qual-ity of life in elderly diabetes patients.METHODS： One hundred and seventy elderlypatients with diabetes were divided into either anexperiment group（n = 85） or a control group（n =85）.They were nursed by nurse case managementand routine nursing intervention,respectively.The specialized knowledge on DM and quality oflife before hospitalization,after nursing interven-tion in hospital and after outpatient nursing inter-vention were compared.RESULTS： The specialized knowledge on DMincluding diet,exercise,drugs,self-monitoring,complications and diabetic foot prevention in the two groups was significantly higher after nurs-ing intervention than before nursing interven-tion（60.00% vs 11.76%,45.88% vs 1.18%,52.94% vs 1.18%,38.82% vs 1.18%,52.94% vs 0.00%,45.88% vs 22.35%,57.65% vs 12.94%,47.06% vs 1.18%,52.94% vs 1.18%,38.82% vs 0.00%,50.59% vs 0.00%,44.71% vs 22.35%,P〈0.05）.The spe-cialized knowledge on DM in the experiment group after outpatient nursing intervention was significantly higher than that after nurs-ing intervention in hospital（91.18% vs 60.00%,85.29% vs 45.88%,83.82% vs 52.94%,83.82% vs 38.82%,80.88% vs 52.94%,85.29% vs 45.88%,P〈0.05）.The specialized knowledge on DM in the experiment group after outpatient nursing intervention was significantly higher than that in the control group（91.18% vs 58.06%,85.29% vs 48.39%,83.82% vs 53.23%,83.82% vs 40.32%,80.88% vs 51.61%,85.29% vs 45.16%,P〈0.05）.The scores of physical functioning,physical role,and emotional role in the two groups after nurs-ing intervention in hospital were significantly higher than those before hospitalization（24.04 ± 3.78 vs 19.51 ± 4.34,6.44 ± 1.18 vs 4.97 ± 1.17,4.84 ± 0.80 vs 3.64 ± 0.73,24.08 ± 3.55 vs 19.54 ± 4.51,6.45 ± 1.17 vs 4.96 ± 1.20,4.86 ± 0.79 vs 3.62 ± 0.70,P〈0.05）.The scores of body pain and health target in the two groups after nursing interven-tion in hospital were significantly lower than tho

关 键 词：全程护理 院内护理 糖尿病 专科知识 生活质量 

分 类 号：R473.5[医药卫生—护理学]