系统性护理干预对初诊2型糖尿病患者自我管理能力及血糖的影响  

Effect of systematic nursing intervention on self- management ability and blood glucose control in newly diagnosed type 2 diabetic patients

作　　者：杨焕芝[1] 付艳霞[1] 娄秀娥[1] 李芹[1] 任媛媛[1] 

机构地区：[1]滨州市中心医院,山东滨州251700

出　　处：《齐鲁护理杂志》2015年第19期16-18,共3页Journal of Qilu Nursing

摘　　要：目的:探讨系统性护理干预对初诊2型糖尿病患者自我管理能力及血糖的影响。方法:对120例初诊2型糖尿病患者按住院时间顺序分为对照组和干预组各60例,对照组采用常规护理,干预组采用系统性护理干预;比较两组患者的自我管理能力、糖尿病相关知识掌握程度及糖尿病各检测指标。结果:干预后干预组自我管理能力及糖尿病相关知识掌握程度优于对照组(P<0.01),干预组在出院后3、6、12个月,干预组空腹血糖(FPG)和餐后2 h血糖(2 h BG)、糖化血红蛋白(Hb A1c)明显低于对照组(P<0.05),运动次数高于对照组(P<0.05);干预组在出院后3、6、12个月FPG和2 h BG、Hb A1c、运动次数与入院前比较差异有统计学意义(P<0.05)。结论:系统性护理干预可明显提高初诊2型糖尿病患者的自我管理能力及疾病认知度,较好地控制患者的血糖水平,进而使其获得更长的临床缓解期,有效防止了慢性并发症的发生。Objective： To investigate the effect of systematic nursing intervention on self- management ability and blood glucose control in newly diagnosed type 2 diabetic patients. Methods： 120 newly diagnosed type 2 diabetic patients were divided into the control group and the intervention group（ 60 cases in each group） according to the time sequence on admission. The routine nursing care was taken in the control group and the systematic nursing intervention was adopted in the intervention group,the self- management ability and awareness of the diabetes- related knowledge of the patients and the detection indexes of diabetes were compared between the two groups. Results： The self- management ability and awareness of the diabetes- related knowledge of the patients were better in intervention group than those in the control group after the intervention（ P〈0. 01）; FBG,postprandial 2hBG and HbA1c of the patients were significantly lower in the intervention group than the control group after discharge for 3,6 and 12 months（ P〈0. 05）; the number of exercise of the patients in the intervention group was more than that in the control group（ P〈0. 05）; there were statistically significant differences in the comparison of FBG,postprandial 2hBG,HbA1c and exercise frequency of the patients after discharge for 3,6 and 12 months with those before admission in the intervention group（ P〈0. 05）. Conclusion： The systematic nursing intervention can significantly improve the self- management ability and cognition on the disease in newly diagnosed type 2 diabetic patients and effectively control the blood glucose level.

关 键 词：护理干预 系统性 2型糖尿病 血糖 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]