出院计划服务在代谢综合征患者中的应用效果  

Application effect of discharge planning services for patients with metabolic syndrome

作　　者：邱辉[1] 张红艳[2] 刘冰[3] 李惠[1] 王月影[1] 胡莹[4] 

机构地区：[1]哈尔滨医科大学附属第一医院内分泌科三病房,150001 [2]哈尔滨医科大学附属第一医院泌尿外科一病房,150001 [3]哈尔滨医科大学附属第一医院感染科一病房,150001 [4]哈尔滨医科大学附属第一医院肾内科二病房,150001

出　　处：《中华现代护理杂志》2014年第36期4600-4603,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨出院计划服务在代谢综合征患者中的应用效果。方法选择2012年10月—2013年10月明确诊断为代谢综合征的168例患者作为研究对象，将其随机分为观察组和对照组，每组各84例。对照组实施常规护理教育，观察组在对照组基础上实施出院计划服务护理干预。比较护理干预前后两组患者自我行为管理能力得分、血压、空腹血糖、体质量指数及总胆固醇指标水平。结果护理干预前两组患者各项自我管理能力评分差异无统计学意义（P＞0．05）；护理干预后观察组患者疾病监测、并发症管理、操作技术、用药依从性、饮食与水盐限制、自我管理能力维度得分分别为（9．20±1．36），（2．32±0．21），（8．06±1．85），（5．86±0．12），（5．61±1．03），（30．28±3．26）分，均高于对照组，差异有统计学意义（t值分别为5．365，2．363，3．657，2．115，6．644，3．215；P＜0．05）。观察组患者自我管理能力各项评分较护理干预前均提高，差异有统计学意义（P＜0．05）；对照组并发症管理及用药依从性较护理干预前提高，差异有统计学意义（P＜0．05），其余4个维度比较差异无统计学意义（P＞0．05）。护理干预实施后观察组患者体质量指数、收缩压、舒张压、总胆固醇及空腹血糖水平分别为（24．98±3．55）kg／m2，（132．6±12．3）mmHg，（89．6±11．2）mmHg，（4．56±1．20）mmol／L，（7．62±2．65）mmol／L，差异有统计学意义（t值分别为3．265，2．986，2．856，3．021，5．962；P＜0．01）。结论出院计划服务可提高代谢综合征患者的自我行为管理能力，有效控制患者的体质量指数、血压、总胆固醇及空腹血糖水平。Objective To discuss the application of discharge planning services for patients with metabolic syndrome .Methods Totals of 168 cases clearly diagnosed as Metabolic Syndrome （ MS ） from October 2012 to October 2013 in our hospital were chosen and all cases were randomly divided into experimental group and control group .The control group was underwent routine nursing education , while experimental group was given discharge planning services based on routine .Self-behavior management , blood pressure , fasting plasma glucose , body mass index （ BMI ） , total cholesterol index and other general indicators between two groups were compared after nursing intervention .Results After intervention , the division score of disease monitor, complication management, operation skill, medication compliance, diet, water and salt restricted and self-management were （9.20 ±1.36）, （2.32 ±0.21）, （8.06 ±1.85）, （5.86 ±0.12）, （5.61 ±1.03） and （30.28 ±3.26）, which were higher than those in the control group （t=5.365,2.363,3.657,2.115,6.644, 3.215;P〈0.05）.Except of self-behavior management in the experimental group and medication compliance and complication management in the control group enhanced after intervention （P 〈0.05）, the other four dimensions had no statistical significance （P〉0.05）.The BMI, systolic pressure, diastolic pressure, total cholesterol and fasting plasma glucose were （ 24.98 ±3.55 ） kg/m2 , （ 132.6 ±12.3 ） mmHg, （ 89.6 ± 11.2）mmHg,（4.56 ±1.20）mmol/L and （7.62 ±2.65）mmol/L respectively （t =3.265, 2.986, 2.856, 3.021, 5.962, respectively; P 〈0.01）.Conclusions Discharge planning services can improve the self-behavior management ability of patients with the metabolic syndrome , and can effectively control the patient ’ s BMI, blood pressure, total cholesterol and fasting glucose .

关 键 词：代谢综合征 出院计划服务 自我管理 

分 类 号：R473.5[医药卫生—护理学]