护理专案改善在提高2型糖尿病患者自我管理能力中的应用效果  

Application effect of nursing program in improving self-management ability of patients with type 2 diabetes

作　　者：梁红宽 罗蔼[1] 陈秀梅[1] LIANG Hong-kuan;LUO Ai;CHEN Xiu-mei(Department of Endocrinology,the Second Hospital Affiliated of Guangzhou Medical University,Guangdong Province,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院内分泌科

出　　处：《中国当代医药》2019年第14期211-213,217,共4页China Modern Medicine

摘　　要：目的探讨护理专案改善在提高2型糖尿病(T2DM)患者自我管理能力中的应用效果。方法采用便利抽样的方法,选取2017年4~6月我院住院治疗的83例T2DM患者,应用专案改善方法分析自我管理能力差的原因,针对患者自我管理行为缺陷,制定个体化教育,分析患者实施改善方案前后自我管理能力水平、空腹血糖(FBG)及餐后2h血糖(2h BG)的控制变化。结果干预后,患者特殊饮食得分提高,FBG和餐后2h BG血糖低于干预前,差异有统计学意义(P<0.05)。结论实施护理专案改善可提高T2DM患者自我管理能力,改善其血糖指标。Objective To explore the effect of nursing program on the improvement of self-management ability of patients with type 2 diabetes (T2DM). Methods Eighty-three patients with T2DM were selected by the convenient sampling method in our hospital from April to June in 2017. The causes of poor self-management ability of these patients were analyzed by program improvement method,and individualized education was developed for the self-management behavior defect of the patients. The changes of self-management ability,fasting blood glucose (FBG) and 2 hour postprandial blood glucose(2 h BG) control after the implementation of the improvement plan were analyzed. Results After the intervention,the scores of special diet the patients were improved. The results of paired t-test showed that the differences of FBG and 2 h BG were statistically significant lower than that before intervention (P<0.05). Conclusion The improvement of nursing program can improve the self-management ability and blood glucose control of patients with T2DM.

关 键 词：护理专案改善 2型糖尿病 自我管理 应用效果 

分 类 号：R471[医药卫生—护理学]