护士主导护理方案在2型糖尿病患者中的应用效果  

Application effects of nurse-leading care program in patients with type 2 diabetes

作　　者：邱辉[1] 刘冰[1] 张红艳[2] 张莹[1] 王月影[1] 黄求进[3] 

机构地区：[1]哈尔滨医科大学附属第一医院内分泌三病房,150001 [2]哈尔滨医科大学附属第一医院泌外一病房,150001 [3]哈尔滨医科大学附属第一医院护理部,150001

出　　处：《中华现代护理杂志》2015年第25期3046-3048,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨护士主导护理方案在2型糖尿病患者中的应用效果。方法选择住院治疗的2型糖尿病患者,将2014年1—5月收治的68例患者设为观察组,实施护士主导护理方案；2013年8—12月收治的66例患者设为对照组,给予常规护理。比较两组护理后的治疗依从性、自我护理能力及生活质量。结果观察组患者通过护士主导护理方案护理后治疗依从性得分均高于对照组,差异有统计学意义（t值分别为-3.659,-3.524,-3.869,-4.569,-2.568,-4.023,-3.759,-3.214；P〈0.01）；患者健康知识水平、自我护理技能、自我概念、自我责任感和生活质量均得到提高。结论护士主导护理方案可提高患者的治疗依从性,提高患者的自我护理能力及生活质量。Objective To discuss the application effects of nurse-leading care program in patients with type 2 diabetes. Methods A total of 68 cases of diabetic patients in our hospital were selected as observation group （implementation of nurse-led care programs） from January to May 2014, while 66 cases of diabetic patients in our hospital were selected as control group （ given conventional nursing care） from August 2013 to December 2013. The comparison of the two groups were carried out about nursing treatment compliance, self-care ability and life quality. Results The patients in the observation group after interventions, the score of compliance about blood sugar monitoring, medication taking, regular exercise, reasonable control of healthy eating, pathoglycemia handling, foot care, smoking cessation, complication prevention scores were significantly higher than those of the control group （t= -3. 659,-3. 524,-3. 869,-4. 569,-2. 568,-4. 023,-3. 759,-3. 214; P 〈 0. 01 ）. The patients′ healthy education level, self-nursing care, self conception, self-responsibility and quality of life in the observation group improved. Conclusions Nurse-leading care program can improve the patients′treatment compliance, self-care ability and life quality of patients.

关 键 词：糖尿病 2型 治疗依从性 生活质量 护士主导护理方案 

分 类 号：R473.5[医药卫生—护理学]