基于达标理论的老年高血压糖尿病患者家庭访视效果观察  

Effect of King's Theory-based Home-visiting on Elderly Patients with Chronic Disease

作　　者：雷芳[1] 陈渊青[1] 罗红[1] 郑颖 叶宜根 

机构地区：[1]南华大学附属深圳市福田区妇幼保健院医教科,广东深圳518045 [2]重庆市卫生和计划生育委员会医政处,重庆401147

出　　处：《护理学报》2016年第3期19-22,共4页Journal of Nursing（China）

基　　金：广东省科技计划项目(2012B050600008)

摘　　要：目的探讨基于达标理论家庭访视在老年慢性病患者中的应用效果。方法选取某社区卫生服务中心就诊老年慢性病患者129例,按随机数字表法分观察组(n=65)和对照组(n=64)。对照组给予常规家庭访视,观察组基于达标理论家庭访视,干预时间为3个月。观察比较干预3个月末老年高血压病患者血压控制情况、老年糖尿病患者血糖及糖化血红蛋白控制情况。结果干预3个月末观察组老年高血压病患者收缩压和舒张压控制情况均优于对照组(P<0.01),观察组老年糖尿病患者血糖及糖化血红蛋白控制情况均优于对照组(P<0.05)。结论基于达标理论家庭访视能改善老年高血压病患者血压、老年糖尿病患者血糖及糖化血红蛋白达标情况,促进老年慢性病患者疾病管理。Objective To explore the effect of King＇s theory-based home-visiting on elderly patients with chronic disease.Methods Totally 129 elderly patients with chronic disease in one community health service center were randomly divided into intervention group（n=65）and control group（n=64）.Conventional home visiting was conducted in control group while King ＇s theorybased home-visiting in intervention group for 3 months.Blood pressure,blood sugar and Hb A1 C in both groups were recorded and compared.Results In the end of intervention,blood pressure control in intervention group was better than that of control group（P〈0.01）,and blood sugar and Hb A1 C control in intervention group were better than those in control group（P〈0.05）.Conclusion King＇s theory-based home-visiting can significantly improve the control of blood pressure in elderly patients with hypertension,and the control of blood sugar and Hb A1 C in elderly patients with diabetics.It can develop disease management ability of old patients with chronic diseases.

关 键 词：达标理论 老年患者 慢性病 社区护理 访视干预 

分 类 号：R473.59[医药卫生—护理学]