AIDET沟通模式对住院2型糖尿病患者医护工作的临床意义  

Clinical significance of AIDET communication model in caring for type 2 diabetes mellitus of hospitalized patients

作　　者：郑建娣[1] 徐亚青[1] 郑宋宋 姬琳 周玉琴[1] 陈芳芳 Zheng Jiandi;Xu Yaqing;Zheng Songsong;Ji Lin;Zhou Yuqin;Chen Fangfang(Department of Endocrinology,Zhejiang Integrated Traditional Chinese and Western Medicine Hospital,Hangzhou Red Cross Hospital,Hangzhou 310000,China)

机构地区：[1]浙江省中西医结合医院杭州市红十字会医院内分泌科,杭州310000

出　　处：《中华老年医学杂志》2021年第5期601-604,共4页Chinese Journal of Geriatrics

基　　金：杭州市卫生科技计划项目(2017A39)。

摘　　要：目的探讨糖尿病住院患者应用AIDET沟通模式的临床效果。方法选取2018年1月至2019年11月本院内分泌科所收治的2型糖尿病患者113例,均接受常规治疗和护理。按照入选时间先后顺序的将其分为对照组(常规沟通模式)和观察组(AIDET沟通模式),对两组患者自我管理行为、糖代谢指标的变化情况进行评估分析。结果观察组患者出院时其血糖不良处理、足部护理、血糖监测、遵医服药、规律运动、饮食控制6项评分均明显高于对照组(均P<0.05);观察组空腹血糖、餐后2 h血糖、糖化血红蛋白入院时分别是(9.1±1.7)mmol/L、(13.8±2.9)mmol/L和(8.4±3.5)%,出院时分别是(5.9±1.5)mmol/L、(10.1±3.7)mmol/L和(6.3±1.2)%;对照组空腹血糖、餐后2 h血糖、糖化血红蛋白入院时分别是(9.4±2.1)mmol/L、(14.1±3.2)mmol/L和(8.1±2.9)%,出院时分别是(7.8±1.9)mmol/L、(12.8±3.9)mmol/L和(7.5±0.9)%;观察组患者出院时空腹血糖、餐后2 h血糖、糖化血红蛋白水平均明显低于对照组(均P<0.05)。结论在2型糖尿病住院患者中应用AIDET沟通模式,可有效增强患者的自我管理行为,有助于改善其糖代谢水平,对于控制2型糖尿病患者的病情发展,提高生活质量具有十分积极的作用。Objective To investigate of AIDET communication model in caring for type 2 diabetes mellitus of hospitalized patients.Methods A total of 113 patients with type 2 diabetes mellitus treated in our department from January 2018 to November 2019 were enrolled,and divided into the control group(receiving a conventional communication mode)and the observation group(receiving an AIDET communication mode)according to a time order in the selecting of the research patients.The changes of self-care behavior and glucose metabolism index were evaluated and analyzed between the two groups.Results On admission,the fasting blood glucose,2-h postprandial blood glucose and glycosylated hemoglobin were(9.1±1.7)mmol/L,(13.8±2.9)mmol/L and(8.4±3.5)%in the observation group,and(9.4±2.1)mmol/L,(14.1±3.2)mmol/L and(8.1±2.9)%in the control group,respectively,with no statistically significances(P>0.05).At discharge,the observation group versus the control group showed a statistically significantly improved levels in FPG of(5.9±1.5)mmol/L vs.(7.8±1.9)mmol/L,in 2h-PBG of(10.1±3.7)mmol/L vs.(12.8±3.9)mmol/L and in glycosylated hemoglobin of(6.3±1.2)%vs.(7.5±0.9)%,respectively(P<0.05).The scores of management of poor blood glucose,foot care,blood glucose monitoring,medication compliance,regular exercise and diet control were higher in the observation group than in the control group at discharge(P<0.05).Conclusions The application of AIDET communication mode can effectively enhance the self-care behavior of patients and help improve the glucose metabolism in hospitalized patients with type 2 diabetes mellitus.It has very positive effects on controlling the development of type 2 diabetes mellitus and improving the quality of life.

关 键 词：糖尿病 2型 AIDET沟通模式 

分 类 号：R473.5[医药卫生—护理学]