护理门诊在社区糖尿病管理中的作用研究  

Study on the role of nursing outpatient clinic in the community diabetic management

作　　者：陈引东 俞丽芳 戚玉勤 彭承璐 CHEN Yindong;YU Lifang;QI Yuqin;PENG Chenglu(Medical Department of Fengjing Community Health Service Center of Jinshan District,Shanghai 201502,China)

机构地区：[1]上海市金山区枫泾镇社区卫生服务中心医务科,上海201502

出　　处：《上海医药》2020年第20期44-46,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:了解护理门诊在社区糖尿病管理中的作用。方法:选取就诊于上海市金山区枫泾镇社区卫生服务中心门诊,且纳入在册管理的2型糖尿病居家患者160例,其中对照组和观察组各80例。对照组有男性38例,女性42例;平均年龄(69.2±5.6)岁;观察组有男性36例,女性44例;平均年龄(68.6±5.1)岁。两组性别和年龄分布差异无统计学意义(P>0.05)。观察组采取护理门诊管理,对照组采取传统的公共卫生条线管理。管理时间为6个月。观察两组患者空腹血糖、糖化血红蛋白、餐后2 h血糖等指标变化情况和对糖尿病相关知识的掌握情况。结果:管理6个月后,两组患者空腹血糖、糖化血红蛋白、餐后2 h血糖三项指标较管理前均有明显下降,但观察组的下降幅度大于对照组,差异均有统计学意义(P<0.05)。管理前两组患者对糖尿病相关知识掌握率的差异无统计学意义(P>0.05),干预后观察组患者对糖尿病相关知识掌握率明显高于对照组,差异具有统计学意义(P<0.05)。结论:护理门诊的开展能提升糖尿病患者对相关知识的掌握率,更有助于糖尿病患者做好自我管理,改善血糖控制水平,有效提升社区糖尿病管理的效果。Objective:To understand the role of nursing outpatient clinics in the community diabetic management.Methods:One hundred and sixty home-patients with type 2 diabetes who were admitted to the Outpatient Clinic of the Community Health Service Center in Fengjing Town,Jinshan District,Shanghai and included in the register management of the outpatient clinic were selected,and there were 80 cases in the control group and 80 cases in the observation group.In the control group,there were 38 males and 42 females with an average age of(69.2±5.6)years;in the observation group,there were 36 males and 44 females with an average age of(68.6±5.1)years.There was no statistically significant difference in gender and age distribution between the two groups(P>0.05).The observation group adopted nursing outpatient management,and the control group adopted traditional public health line management.The management time was 6 months.The fasting blood glucose,glycated hemoglobin,2 h postprandial blood glucose and other indicators and the rate of knowledge about diabetes of the patients of the two groups were observed.Results:After 6 months of management,the three indicators of fasting blood glucose,glycated hemoglobin,and 2 h postprandial blood glucose of the patients in the two groups were significantly lower than those before the management,however,the decrease in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the mastery rate of diabetes related knowledge between the two groups before management(P>0.05),After the intervention,the knowledge of diabetes-related knowledge in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The development of nursing outpatient clinics can improve the mastery rate of diabetic patients with related knowledge,and help diabetic patients to do a good job of self-management,improve blood sugar control l

关 键 词：糖尿病 护理门诊 社区 作用 

分 类 号：R47[医药卫生—护理学]