系统CGA护理模式在老年2型糖尿病患者中的应用  

Application of systematic comprehensive geriatric assessment nursing model in elderly patients with type 2 diabetes mellitus

作　　者：夏玲玲 虎婕 唐海燕[1] 王可 Xia Lingling;Hu Jie;Tang Haiyan;Wang Ke(Health Office,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;First Department of General Geriatrics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院保健办公室,郑州450000 [2]郑州大学第一附属医院老年综合一科,郑州450000 [3]郑州大学第一附属医院眼科,郑州450000

出　　处：《中华现代护理杂志》2020年第25期3530-3534,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨系统老年综合评估工具(CGA)护理模式在老年2型糖尿病患者血糖控制管理中的应用。方法采用便利抽样法,选取郑州大学第一附属医院实施系统CGA护理模式前(2017年9月—2018年6月)收治的老年2型糖尿病患者52例和实施系统CGA护理模式后(2018年7月—2019年4月)收治的老年2型糖尿病患者52例分别作为对照组和观察组。对照组实施常规护理干预,观察组在对照组的基础上应用系统CGA护理模式。干预前后比较两组糖代谢相关指标,采用中文版糖尿病自我行为管理行为量表(SDSCA)和自测健康评定量表(SRHMS)比较两组干预效果。结果干预3个月后,观察组患者空腹血糖(8.31±1.25)mmol/L、餐后2 h血糖(7.47±0.82)mmol/L、糖化血红蛋白(7.36±0.87)%,均低于对照组,差异有统计学意义(t值分别为4.771、11.795、3.619;P<0.05)。干预后观察组SDSCA中血糖监测(80.82±23.54)分、足部护理(87.13±18.94)分、饮食情况(97.59±12.43)分、运动情况(78.65±12.54)分、遵医行为(59.07±8.35)分,均高于对照组,差异有统计学意义(t值分别为3.965、3.236、4.386、6.174、13.534;P<0.05)。干预后观察组SRHMS的心理健康、生理健康、社会健康3个子量表得分分别为(124.38±10.18)、(143.73±7.52)、(87.28±10.06)分,差异均有统计学意义(t值分别为8.606、5.632、5.881;P<0.05)。结论老年2型糖尿病患者的护理中应用系统CGA护理模式,可提高患者的自我管理能力,促进其血糖控制,于其身心健康有利。Objective To explore the application of systemic comprehensive geriatric assessment(CGA)nursing model in the blood glucose control management of elderly patients with type 2 diabetes mellitus.Methods Using the convenient sampling method,a total of 52 elderly patients with type 2 diabetes mellitus who were admitted to the First Affiliated Hospital of Zhengzhou University before the implementation of systematic CGA nursing model(September 2017 to June 2018)were selected as the control group and 52 elderly patients with type 2 diabetes mellitus who were admitted after the implementation of systematic CGA nursing model(July 2018 to April 2019)were selected as the observation group.The control group was given routine nursing intervention,while the observation group was given systematic CGA nursing model on the basis of the control group.The indexes of glucose metabolism were compared between the two groups before and after intervention.The Chinese versions of Summary of Diabetes Self-Care Activities(SDSCA)and Self-Rated Health Measurement Scale(SRHMS)were used to compare the intervention effects of the two groups.Results After 3 months of intervention,fasting blood glucose(8.31±1.25)mmol/L,2-hour postprandial blood glucose(7.47±0.82)mmol/L and glycosylated hemoglobin(7.36±0.87)%in the observation group were all lower than those in the control group,and the differences were statistically significant(t=4.771,11.795,3.619;P<0.05).After intervention,scores of blood glucose monitoring(80.82±23.54),foot care(87.13±18.94),diet(97.59±12.43),exercise(78.65±12.54)and compliance behavior(59.07±8.35)in SDSCA of the observation group were higher than those in the control group,and the differences were statistically significant(t=3.965,3.236,4.386,6.174,13.534;P<0.05).After intervention,scores of three subscales including mental health,physical health and social health of SRHMS in the observation group were respectively(124.38±10.18),(143.73±7.52),(87.28±10.06),were higher than those of control group,and the differences

关 键 词：老年人 糖尿病 2型 系统CGA护理模式 血糖控制 自我管理 

分 类 号：R473.5[医药卫生—护理学]