机构地区:[1]西安交通大学第二附属医院干部病房三病区,西安710004
出 处:《中华现代护理杂志》2017年第10期1387-1391,共5页Chinese Journal of Modern Nursing
基 金:西安交通大学第二附属医院科研基金护理研究项目[(YJ(HL)201501)]
摘 要:目的 探讨微信随访对青壮年2型糖尿病患者治疗依从性及生活质量的影响.方法 选取2015年2—12月笔者所在科室收治且能够独立使用微信的青壮年2型糖尿病患者120例为研究对象.随机分为干预组和对照组,各60例.对照组给予常规护理,干预组在此基础上进行微信随访干预,包括在治疗及出院后通过微信定期发送糖尿病相关知识及血糖监测提醒等信息.干预6个月后比较两组患者治疗依从性、睡眠质量、心理状况、血糖控制和并发症情况.结果 干预后,干预组患者治疗依从性得分(12.7±1.5)分高于对照组(8.7±1.7)分,差异有统计学意义(t=-3.056,P〈0.05);干预组患者合理饮食、规范服药、适度运动、良性心理和血糖监测依从率均高于对照组,差异有统计学意义(P〈0.05).干预组患者感染、低血糖、糖尿病眼病及急性并发症发生率均低于对照组,差异有统计学意义(P〈0.05);干预组患者神经病变、肾病发生率优于干预组,差异无统计学意义(P〉0.05).干预前,两组患者空腹血糖、餐后2 h血糖和糖化血红蛋白水平比较差异均无统计学意义(P〉0.05);干预后,两组患者空腹血糖、餐后2 h血糖和糖化血红蛋白水平低于对照组,差异有统计学意义(P〈0.05).干预前,两组患者PSQI评分、SDS和SAS评分比较,差异均无统计学意义(P〉0.05);干预后,干预组患者PSQI评分、SDS和SAS评分均低于对照组,差异有统计学意义(P〈0.05).结论 微信随访可以有效提高青壮年2型糖尿病患者治疗依从性,有助于改善患者血糖水平和心理状况,从而提高患者生活质量.Objective To investigate the influence of Wechat follow-up on the treatment compliance and quality of life for young adult patients with type 2 diabetes mellitus.Methods A total of 120 cases, who were able to use Wechat independently,were selected as the research objects from patients with type 2 diabetes mellitus during February 2015 to December 2015. They were randomly divided into control group (60 cases) and intervention group (60 cases). Patients in control group received routine nursing and health education,while patients in intervention group received knowledge about type 2 diabetes mellitus and nursing care through Wechat. Data of the patients in these two groups were obtained after 6 months. And the parameters including treatment compliance,blood glucose control,the incidence of complications,sleeping quality (PSQI), depression (SDS),and anxiety (SAS) of these patients were analyzed.Results After intervention,the score of treatment compliance in intervention group (12.7±1.5) was higher than (8.7±1.7) of control group (t=-3.056, P〈0.05). The compliance of reasonable diet,standardized medication,moderate exercise,benign psychology and regular blood glucose monitoring for intervention group were significantly improved than that of control group (P〈0.05). The infection,glycopenia,diabetic eye diseases,acute complications in the intervention group were lower than that of control group (P〈0.05),but neuropathy and rate of nephropathy in intervention group were better than that of control group,but there were no statistical significance (P〉0.05). Before intervention, there were no statistical significance between two groups in the levels of fasting blood glucose,postprandial 2 h plasma glucose and glycosylated hemoglobin,as well as PSQI,SDS and SAS (P〉0.05). However,the levels of fasting blood glucose,postprandial 2h plasma glucose and glycosylated hemoglobin,as well as PSQI,SDS and SAS were significantly decreased compared with the control g
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