路径化健康教育在糖尿病临床护理中的应用及其安全性探讨  

Application of Pathway Health Education in Clinical Nursing of Diabetes and Discussion on Its Safety

作　　者：誉昭红[1] 吕丽雪[1] 黄丽容[1] YU Zhao-hong;LYU Li-xue;HUANG Li-rong(Department of Endocrinology,Foshan Traditional Chinese Medicine,Foshan,Guangdong Province,528000 China)

机构地区：[1]佛山市中医院内分泌科

出　　处：《中外医疗》2019年第27期146-149,共4页China & Foreign Medical Treatment

摘　　要：目的探讨路径化健康教育在糖尿病临床护理中的应用及其安全性。方法方便选取该院2016年1—8月份之间118例糖尿病患者临床护理中的应用和安全性进行回顾性解析,根据护理方式的不同分为两组,对照组应用常规护理,研究组应用路径化健康教育护理。比较两组患者知识掌握率、依从性治疗、抑郁焦虑情绪变化情况。结果研究组健康知识总掌握率96.6%显然高于对照组患者74.5%(χ^2=4.935,P<0.05);研究组患者运动治疗(52.54%)、饮食治疗(61.02%)、血糖检测(88.13%)以及药物治疗(93.22%)的治疗依从性显然优于对照组(38.98%、30.51%、50.84%、69.49%),差异有统计学意义(χ^2=4.125、4.036、4.889、4.651,P<0.05);研究组患者干预前SDS评分(68.3±7.3)分、SAS评分(65.4±6.6)分同对照组无明显区别[(69.4±8.3)分、(64.9±5.6)分],(t=1.381、1.962,P>0.05),研究组干预后SDS(54.3±4.2)分和SAS评分(53.9±5.4)分低于对照组[(65.3±6.4)分、(62.3±6.2)分](t=10.374、11.225,P<0.05)。结论路径化健康教育护理在糖尿病临床护理中更为有效地提高治疗效果,提高患者生活质量,此护理方式适合在全院各科室推广。Objective To explore the application and safety of pathological health education in clinical nursing of diabetes.Methods Convenient selected the clinical application and safety of 118 patients with diabetes in our hospital from January to August 2016 were retrospectively analyzed.They were divided into two groups according to different nursing methods.The control group applied routine nursing and the research group applied the path health education and nursing.The knowledge acquisition rate,compliance treatment,and depression and anxiety changes in the two groups were compared.Results The total mastery rate of health knowledge in the study group was 96.6%,which was significantly higher than that in the control group 74.5%(χ^2=4.935,P<0.05).The exercise group(52.54%),diet(61.02%),and blood glucose test(88.13%).The treatment compliance of drug treatment(93.22%)was obviously better than that of the control group(38.98%,30.51%,50.84%,69.49%),and the difference was statistically significant(χ^2=4.125,4.036,4.889,4.651,P<0.05);The SDS score(68.3±7.3)points and SAS score(65.4±6.6)points in the study group were not significantly different from the control group[(69.4±8.3)points,(64.9±5.6)points](t=1.381,1.962,P>0.05).SDS(54.3±4.2)points and SAS score(53.9±5.4)points were lower in the study group than in the control group(65.3±6.4)points,(62.3±6.2)points](t=10.374,11.225,P<0.05).Conclusion Pathway health education nursing can effectively improve the treatment effect and improve the quality of life of patients in the clinical nursing of diabetes.This nursing method is suitable for promotion in all departments of the hospital.

关 键 词：路径化 健康教育 糖尿病 临床护理 

分 类 号：R5[医药卫生—内科学]