综合护理干预对老年糖尿病患者遵医率和血糖控制的改善  

Comprehensive Nursing Intervention to Improve the Compliance Rate and Blood Glucose Control of Elderly Diabetic Patients

作　　者：金丽华[1] JIN Li-hua(Department of Cardiology,Jilin Provincial People's Hospital,Changchun,Jilin Province,130021 China)

机构地区：[1]吉林省人民医院心内科,吉林长春130021

出　　处：《糖尿病新世界》2020年第20期170-171,174,共3页Diabetes New World Magazine

摘　　要：目的探讨综合护理干预对老年糖尿病患者遵医率和血糖控制的改善效果。方法选取2018年12月—2019年11月期间103例老年糖尿病患者作为研究对象,采用随机综合平衡法,把研究对象划分A组(n=51,常规护理)和B组(n=52,综合护理干预),比较两组患者的遵医率、血糖控制情况、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果B组患者的遵医率显著高于A组;B组患者的空腹血糖值、餐后2 h血糖值、糖化血红蛋白水平均低于A组;干预后,B组患者的SAS、SDS评分均低于A组,两组之间比较差异有统计学意义(P<0.05)。结论在老年糖尿病患者中应用综合护理干预,能够提高患者的遵医率,达到良好的血糖控制效果,帮助患者克服焦虑、抑郁等不良情绪。Objective To explore the effect of comprehensive nursing intervention on improving the compliance rate and blood sugar control of elderly diabetic patients.Methods From December 2018 to November 2019,103 elderly diabetic patients were selected as the research objects.The random comprehensive balance method was used to divide the research objects into group A(n=51,routine care)and group B(n=52,comprehensive nursing intervention)to compare the compliance rate,blood glucose control,self-rating anxiety scale(SAS),and self-rating depression scale(SDS)scores of the two groups of patients.Results The compliance rate of group B patients was significantly higher than that of group A;the fasting blood glucose level,2 h postprandial blood glucose level,and glycosylated hemoglobin level of group B patients were lower than group A;after intervention,the SAS and SDS scores of group B patients were both lower than group A,the difference between the two groups was statistically significant(P<0.05).Conclusion The application of comprehensive nursing intervention in elderly diabetic patients can improve the patient's compliance rate,achieve good blood glucose control effects,and help patients overcome anxiety,depression and other bad moods.

关 键 词：综合护理干预 糖尿病 遵医率 焦虑 抑郁 血糖控制 

分 类 号：R587.1[医药卫生—内分泌]