护理程序在改善社区糖尿病患者血糖代谢、生活质量及满意度中的作用  

Role of Nursing Program in Improving Community Glucose Metabolism, Quality of Life and Satisfaction of Patients with Diabetes

作　　者：熊青[1] 廖晓春[2] 

机构地区：[1]江西省九江市第一人民医院,江西九江332000 [2]九江学院护理学院

出　　处：《中国医学创新》2014年第34期124-127,共4页Medical Innovation of China

基　　金：江西省卫生厅2014年度科技计划资助项目(20142056)

摘　　要：目的:探讨护理程序在改善社区糖尿病患者血糖代谢、生活质量及满意度中的作用。方法:运用随机整群抽样的方法选取社区2013年1月-2014年9月收治的80例糖尿病患者,依据随机数字表法将这些患者分为研究组和对照组两组,各40例。给予对照组患者常规健康教育管理,给予研究组患者常规健康教育管理基础上的护理程序管理,然后对两组患者的血糖代谢、生活质量及满意度进行统计分析。结果:入组时两组患者的各代谢指标、DSQL量表评分和SF-36量表评分、满意度之间的差异均无统计学意义(P>0.05);管理1年、2年时研究组患者的体质指数、空腹血糖、餐后2 h血糖、糖化血红蛋白、三酰甘油、总胆固醇水平、DSQL量表评分均显著低于对照组,差异有统计学意义(P<0.05);SF-36量表评分、满意度均显著高于对照组,差异有统计学意义(P<0.05)。结论:护理程序能够有效改善社区糖尿病患者血糖代谢指标,提高患者的生活质量及满意度,值得在临床推广。Objective：To investigate the role of care program in improving community glucose metabolism, quality of life and satisfaction of diabetic patients. Method： 80 cases of diabetes who were treated in our communities from January 2013 to September 2014 were selected by random cluster sampling method, these patients were divided into study group and control group according to a random number table, each had 40 cases. The control group were given routine management health education, while the study group were given care process management on the basis of conventional health education and management, and then the glucose metabolism, quality of life and satisfaction of the two groups were statistically analyzed. Result：The differences of metabolism, DSQL scale score and SF-36 scale scores, satisfaction between the two groups of patients were not statistically significant（P〉0.05）; Management 1 year, 2 years body mass index, fasting blood glucose, postprandial 2 h plasma glucose, glycated hemoglobin, triglycerides, total cholesterol level, DSQL scale scores of the study group were significantly lower than the control group, the differences were statistically significant（P〈0.05）;SF-36 scale scores, satisfaction were significantly higher than the control group, the differences were statistically significant（P0.05）.Conclusion：Nursing program can effectively improve glucose metabolism community, quality of life and satisfaction of patients with diabetes, so it is worthy of promotion.

关 键 词：护理程序 社区糖尿病患者 血糖代谢 生活质量 满意度 作用 

分 类 号：R473.2[医药卫生—护理学]