社区-医院-家庭干预模式对糖尿病患者血糖水平及自我管理的影响  

Impact of Community-hospital-family Intervention on Blood Glucose Level and Self-management in Diabetic Patients

作　　者：徐雅丽 刘美宏[1] 董利平[1] 张婧文 马峰[1] Xu Yali;Liu Meihong;Dong Liping;Zhang Jingwen;Ma Feng(Geriatric Department,the First Affiliated Hospital of Hebei North College,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院老年病科,张家口075000

出　　处：《国际老年医学杂志》2020年第2期114-117,共4页International Journal of Geriatrics

摘　　要：目的探讨社区-医院-家庭干预模式对糖尿病(DM)患者血糖水平、自我管理、健康素养及生活质量的影响。方法选取河北北方学院附属第一医院在2016年7月~2017年7月收治的120例DM患者作为研究对象,随机平均分为对照组与观察组,对照组行常规护理干预,观察组在此基础上行社区-医院-家庭干预12个月,对比两组干预前后饮食控制情况、血糖和血脂水平、自我管理、健康素养及生活质量变化。结果干预后,观察组的血糖达标率显著高于对照组(P <0.05);血糖指标(HbA1c、FBG、2hPG)、血脂指标(TC、TG、LDL-C)显著低于对照组,高密度脂蛋白胆固醇(HDLC)水平显著高于对照组(P <0.05);DM饮食控制、自我管理行为、健康素养及生活质量评分均显著高于对照组(P <0.05)。结论对DM患者实施社区-医院-家庭干预可有效控制血糖、血脂,提高自我管理能力及健康素养,改善了生活质量。Objective To explore the effects of community-hospital-family intervention on blood glucose level,self-management,health literacy and quality of life in diabetic patients.Methods 120 diabetic patients in the First Affiliated Hospital of Hebei North College from July 2016 to July 2017 were randomly divided into the control group and the observation group.The control group received routine nursing intervention.The observation group received community-hospital-family intervention for 12 months.The diet control,levels of blood glucose and lipid,self-management,health literacy and quality of life were evaluated in the two groups.Results The rate of cases with normal blood glucose in the observation group after intervention was significantly higher than that in the control group(P < 0.05).After intervention,the levels of Hb A1 c,FBG,2 hPG,TC,TG and LDL-C in the observation group were significantly lower and the level of HDL-C was significantly higher than those in the control group(P < 0.05).The scores of dietary control,self-management,health literacy and quality of life were significantly higher in the observation group than those in the control group after intervention(P < 0.05).Conclusion The implementation of community-hospital-family intervention in diabetic patients might effectively control the levels of blood glucose and lipid,enhance self-management ability and health literacy,and improve quality of life.

关 键 词：社区-医院-家庭干预 糖尿病 血糖 自我管理 健康素养 生活质量 

分 类 号：R473.5[医药卫生—护理学]