延伸护理模式在糖尿病合并肺结核患者中的应用效果  

Application of Extended Nursing Model in Diabetic Patients with Pulmonary Tuberculosis

作　　者：高春愉 黄春艳[1] GAO Chunyu HUANG Chunyan(The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai 519000, Guangdong Province, China)

机构地区：[1]中山大学附属第五医院,广东珠海519000

出　　处：《中国实用乡村医生杂志》2017年第9期56-59,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的 研究延伸护理模式在糖尿病合并肺结核患者中应用的效果.方法 选取2015年4月—2016年10月中山大学第五医院收治的58例糖尿病合并肺结核患者,将2015年4月—2016年1月入院实施一般院内护理患者作为常规组（29例）;2016年2—10月入院在院内护理基础上实施延伸护理患者作为观察组（29例）.护理干预前后对两组患者疾病自我管理能力进行评分,评估患者出院后生存质量.结果 护理干预前,两组患者按时复查、按时按量服药、自我监测血糖、坚持合理饮食等评分结果 比较,差异无统计学意义（P〉0.05）;护理干预后,观察组患者病情自我管理能力等指标评分均高于常规组,差异有统计学意义（P〈0.05）.护理干预前,两组患者精神健康、生理机能、精力、社会功能等生存质量指标评分结果 比较,差异无统计学意义（P〉0.05）;出院后返院复查时再次评分,观察组患者生存质量指标评分均高于常规组,差异有统计学意义（P〈0.05）.结论 科室为糖尿病合并肺结核患者提供延伸护理服务,大部分患者出院后自护能力较好,出院后生存状态较好.Objective To study the effect of extended nursing model on diabetic patients with pulmonary tuberculosis. Methods 58 cases with diabetes complicated with pulmonary tuberculosis from Apr. 2015 to Oct. 2016 in the Fifth Affiliated Hospital of Sun Yat-Sen University were selected and divided into the control group （cases from Apr. 2015 to Jan. 2016） and the study group （cases from Feb. 2016 to Oct. 2016）. Routine nursing was performed in the control group while extended nursing model combined with routine nursing was given in the study group. The ability of self-management was scored before and after the nursing intervention. The life quality of the patients after discharge from hospital was evaluated. Results Before intervention, there was no statistical difference between the two groups in the scores of timely reexamination, strict medication, self-monitoring of blood glucose, and proper diet （P〉0.05）. After intervention, the score of patients＇ ability of self-management in the study group was higher than that of the control group （P〈0.05）. Before intervention, there was no statistical difference between the two groups in the scores of quality of life （QOL） including mental health, physiological function, energy and social function, etc. （P〉0.05）. When the patients returned to the hospital for reexamination, their QOL was rescored. The score of the study group was higher than that of the control group. The difference was statistically significant （P〈0.05）. Conclusion The extended nursing care for the patients with diabetes complicated with pulmonary tuberculosis can improve most patients＇ ability of self-care and help them have better quality of life after discharge from hospital.

关 键 词：延伸护理 糖尿病 肺结核 遵医行为 生存质量 

分 类 号：R473.5[医药卫生—护理学]