协作随访模式对骨科术后合并糖尿病患者出院后短期自我管理能力的影响研究  

Study on the Effect of Collaborative Follow-up Mode on Short-term Self-management Ability of Patients with Diabetes after Orthopedic Surgery

作　　者：陈晨[1] 林立宇[1] 林婷婷 CHEN Chen;LIN Liyu;LIN Tingting(The Second Department of Orthopedics,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院骨二科,福建福州350001

出　　处：《糖尿病新世界》2021年第10期127-129,133,共4页Diabetes New World Magazine

摘　　要：目的采取科室协作+随访处方单延续性护理方法提高骨科术后合并糖尿病患者出院后短期自我管理能力。方法选取2019年6—12月期间46例行骨科全麻手术合并糖尿病患者作为研究对象,随机分为对照组和观察组,每组23例,对照组采取常规出院随访方式,观察组采用科室协作+随访处方单的延续性护理模式,比较两组1个月后患者的血糖控制情况、自我管理能力的差异等。结果出院后1个月的空腹血糖和糖化白蛋白的结果比较显示,观察组的各项指标均优于对照组,组间差异有统计学意义(P<0.05),并且自我管理能力执行力的比较结果发现在专科随访方面观察组遵医行为明显高于对照组,差异有统计学意义(P<0.05),在用药、运动,饮食、监测血糖和方面遵医行为都较高,差异无统计学意义(P>0.05)。结论通过协作随访模式,骨科术后合并糖尿病患者的短期血糖控制情况显著提高,而且对患者的短期糖尿病自我管理行为的依从性有所提高,临床效果明显。Objective To adopt department collaboration+follow-up Prescription continuation nursing method to improve the short-term self-management ability of patients with diabetes after orthopedic surgery after discharge.Methods 46 patients with general orthopedic anesthesia combined with diabetes from June to December 2019 were selected as the research objects.They were randomly divided into a control group and a observation group,with 23 cases in each group.The control group adopted a routine discharge follow-up method.The observation group adopted the continuous care model of department collaboration+follow-up prescription,comparing the differences in blood glucose control and self-management ability of patients between the two groups one month later.Results The comparison of the results of fasting blood glucose and glycosylated albumin 1 month after discharge showed that the observation group's indicators were better than those of the control group,the difference between the two groups was statistically significant(P<0.05),and the results of the comparison of self-management ability execution found that the observation group’s compliance specialist follow-up were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).The compliance behaviors in medication,exercise,behaviors in diet,blood glucose monitoring were both higher,and the differences were not statistically significant(P>0.05).Conclusion Through the collaborative follow-up model,the short-term blood glucose control of patients with diabetes after orthopedic surgery is significantly improved,and the compliance with the patients'short-term diabetes self-management behavior is improved,and the clinical effect is obvious.

关 键 词：协作随访模式 骨科术后合并糖尿病 短期自我管理能力 

分 类 号：R47[医药卫生—护理学]