护理干预对养老院老年糖尿病患者血糖的影响  

The influence of nursing intervention on the blood glucose of elderly diabetic patients at the nursing home

作　　者：刘秀芝 朱月红 武妍艳 褚诚刚 唐静莉 刘玉昌 LIU Xiuzhi;ZHU Yuehong;WU Yanyan;ZHU Chenggang;TANG Jingli;LIU Yuchang(Nursing Department of Hongqiao Community Health Service Center of Minhang District,Shanghai 201103,China;Medical Group of Hongqiao Community Nursing Home of Minhang District,Shanghai 201103,China;Management Office of Xinhong Community Health Service Center of Minhang District,Shanghai 201107,China)

机构地区：[1]上海市闵行区虹桥社区卫生服务中心护理部,上海201103 [2]上海市闵行区虹桥社区养老院医疗组,上海201103 [3]上海市闵行区新虹社区卫生服务中心行政办公室,上海201107

出　　处：《上海医药》2020年第12期42-44,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：中国社区健康联盟护理中心PSBH科研课题(美国健康基金会PSBH2018093)。

摘　　要：目的:评价社区护理干预对养老院老年糖尿病患者血糖的影响,为控制老年糖尿病病情提供思路。方法:以社区养老院68名血糖控制不佳(空腹血糖值≥6.2 mmol)的老年糖尿病患者为研究对象,其中男性31人,女性37人;年龄为70~93岁,年龄中位数为83岁。在社区居家养老糖尿病患者中选择年龄、性别、文化程度、病程等相同,且血糖控制不佳的68人作为对照组。对干预组患者采用护理干预,对对照组患者采用根据个人意愿就诊和常规护理。比较两组患者血糖、糖化血红蛋白改善情况和对护理服务的满意度。结果:干预前两组患者的空腹血糖、餐后血糖、糖化血红蛋白水平差异均无统计学意义(P> 0.05),干预后,干预组患者的空腹血糖、餐后血糖、糖化血红蛋白均低于对照组,差异均有统计学意义(P <0.05);干预组患者对护理服务的满意度明显高于对照组(98.5%比85.3%,P <0.01)。结论:护理干预能有效改善养老院老年糖尿病患者血糖水平,提升服务满意度,有助于提高养老院糖尿病患者的生活质量。Objective:To evaluate the influence of community nursing intervention on the blood glucose of elderly diabetic patients at the nursing home for providing ideas for controlling elderly diabetes.Methods:Sixty-eight elderly diabetic patients with poor blood glucose control(fasting blood glucose value≥6.2 mmol)in the community nursing home were selected as the study objects,including 31 males and 37 females;the age ranged from 70 to 93 years,with a median age of 83 years.Sixtyeight people with the same age,sex,education,disease course,etc.,and poor blood glucose control were selected as the control group.The nursing intervention was used for patients in the intervention group,and medical treatment and routine nursing were used for the patients in the control group according to personal wishes.The improvement of blood glucose and glycosylated hemoglobin and the satisfaction of nursing service were compared between the two groups.Results:There was no significant difference in fasting blood glucose,postprandial blood glucose and HbA1c between the two groups before intervention(P>0.05),after intervention,fasting blood glucose,postprandial blood glucose and glycosylated hemoglobin in the intervention group were lower than those in the control group and differences were statistically significant(P<0.05);the satisfaction degree in the intervention group was significantly higher than that in the control group(98.5%vs.85.3%,P<0.01).Conclusion:Nursing intervention can effectively improve the blood glucose levels of elderly diabetic patients at the nursing home,and improve service satisfaction,which is helpful to improve the life quality of diabetic patients in the nursing home.

关 键 词：糖尿病 养老院 护理干预 

分 类 号：R587.1[医药卫生—内分泌]