中西医结合整体护理模式对住院2型糖尿病患者的干预效果评价  

Evaluation of holistic nursing model based on traditional Chinese and western medicine for in-patients with type 2 diabetes mellitus

作　　者：皮巧红[1] 

机构地区：[1]北京市和平里医院护理郁,100013

出　　处：《中国医药》2017年第2期294-297,共4页China Medicine

摘　　要：目的探讨中西医结合整体护理模式对住院2型糖尿病患者的干预效果。方法选取2015年5月至2016年3月于北京市和平里医院内分泌科及神经内科病房住院的2型糖尿病患者80例作为研究对象。运用随机数字表法分为观察组及对照组，各40例。对照组按照要求实施常规疾病护理；观察组在常规护理基础上实施中西医结合整体护理模式，包括用药护理、饮食调理、运动护理、足部护理、健康教育、情志调护及适宜中医护理技术等7大部分，比较2组人院时及出院前1d空腹血糖和中西医结合糖尿病自我管理知识问卷得分及出院前1d患者对护理工作满意度调查问卷得分。结果2组患者人院时空腹血糖及中西医结合糖尿病自我管理知识问卷得分差异无统计学意义（P〉0．05），干预后2组空腹血糖均低于入院时，且观察组低于对照组[（6．4±0．6）mmol／L比（6．7±0．8）mmol／L]；中西医结合糖尿病自我管理知识问卷得分均高于入院时，且观察组得分高于对照组[（42±12）分比（34±14）分]；干预后观察组护理工作满意度调查问卷得分高于对照组[（94±4）分比（89±6）分]，差异均有统计学意义（均P〈0．05）。结论中西医结合整体护理模式可有效改善血糖控制，提高住院2型糖尿病患者对糖尿病自我管理知识的知晓程度，并提升患者对护理工作的满意度。Objective To evaluate the effect of holistie nursing model based on traditional Chinese and western medicine for in-patients with type 2 diabetes mellitus. Methods Eighty in-patients with type 2 diabetes mellitus were enrolled in Beijing Hepingli Hospital from July 2015 to March 2016. The patients were divided into observation group and control group, with 40 eases in each group. The control group was treated with routine nursing measures; the observation group was treated with holistie nursing based on integrated traditional Chinese and western medicine including medication care, dietary control, rational exercise, foot care, health education, mental care and traditional Chinese medicial care measures. Fasting blood glucose was tested on admission and 1 d before discharge; diabetes self-management knowledge questionnaire and nursing service satisfaction questionnaire were evaluated. Results Fasting glucose and diabetes knowledge questionnaire scores had no significant differences between groups on admission（P 〉 0. 05）. Fasting glucose values were decreased at discharge compared to those on admission in both groups and the fasting glucose in observation group was lower than that in control group [ （6.4 ± 0. 6 ） mmol/L vs （ 6. 7 ± 0. 8） mmol/L ] ; diabetes knowledge questionnaire scores were increased before discharge compared to those on admission in both groups and the score in observation group was higher than that in control group [ （42 ± 12 ） scores vs （ 34 ± 14 ） scores ] ; the nursing service satisfaction score in observation group was higher than that in control group [ （94 ± 4）scores vs （89 ± 6）scores ] ; the differences were statistically significant（all P 〈 0. 05 ）. Conclusion Holistic nursing based on integrated traditional Chinese and western medicine for patients with type 2 diabetes can improve blood glucose control, diabetes self-management knowledge and nursing satisfaction.

关 键 词：糖尿病 中西医结合整体护理模式 自我管理 

分 类 号：R47[医药卫生—护理学]