出院回访在糖尿病患者中的应用体会和价值观察  

Application Experience and Value Observation of Return Visit after Discharge from Hospital in Diabetic Patients

作　　者：范颖[1] 徐玉钗[2] FAN Ying;XU Yuchai(Fujian Provincial Government Hospital Physical Examination Center,Fuzhou 350003,China;Endocrine Ward of Fujian Provincial Government Hospital,Fuzhou 350003,China)

机构地区：[1]福建省级机关医院体检中心,福建福州350003 [2]福建省级机关医院内分泌病区,福建福州350003

出　　处：《中国医药指南》2021年第26期1-3,共3页Guide of China Medicine

基　　金：2020年福建省医学创新课题立项项目(2020CXB012)。

摘　　要：目的探讨出院回访在糖尿病患者中的应用体会和价值。方法收集本院于2020年1月至2021年6月收治的80例糖尿病患者作为研究对象,采用数字表法随机分为对照组(n=40)和研究组(n=40)。对照组采用常规护理方式,研究组在常规护理的基础上增加出院回访干预。对比两组患者护理前和护理后的空腹血糖水平、餐后2 h血糖水平和糖化血红蛋白水平。同时比较两组患者的自我效能状况、生活质量、抑郁、焦虑和自尊。结果经过护理后,两组患者的空腹血糖、餐后2 h血糖和糖化血红蛋白水平均显著降低(P<0.05),且研究组患者3个指标的降低程度明显优于对照组,比较有统计学差异(P<0.05)。研究组患者的自我效能量表评分均显著高于对照组,比较有统计学差异(P<0.05)。两组患者的生活质量评分均提高,且研究组的提高程度优于对照组,比较有统计学差异(P<0.05)。两组患者的SDS、SAS评分均显著降低,SES评分显著性升高(P<0.05),且研究组的改善程度优于对照组,比较有统计学差异(P<0.05)。结论在糖尿病患者中采用出院跟踪回访,可以提高患者的自我效能状况管理、生活质量和自尊,降低患者的抑郁和焦虑情绪,更有效的降低糖尿病患者的血糖水平。Objective To explore the application experience and value observation of discharge return visit in diabetic patients.Methods A total of 80 diabetic patients admitted to our hospital from January 2020 to June 2021 were collected as the research objects,and were randomly divided into a control group(n=40)and a study group(n=40)using a digital table method.The control group adopts conventional nursing methods,and the study group adds discharge return visit intervention on the basis of conventional nursing.The fasting blood glucose levels,blood glucose levels and glycosylated hemoglobin levels of the two groups before and after nursing were compared.At the same time,the self-efficacy,quality of life,depression,anxiety and self-esteem of the two groups of patients were compared.Results After nursing,the fasting blood glucose,2 h post-meal blood glucose and glycosylated hemoglobin levels of the two groups of patients were significantly reduced(P<0.05),and the three indicators of the study group were significantly reduced.Compared with the control group,there was a statistical difference(P<0.05).The self-efficacy scale scores of patients in the study group were significantly higher than those in the control group,with statistical differences(P<0.05).The quality of life scores of the two groups of patients were improved,and the improvement of the study group was better than that of the control group,which was statistically different(P<0.05).The SDS and SAS scores of the two groups of patients were significantly reduced,and the SES score was significantly increased(P<0.05),and the improvement of the study group was better than that of the control group,and there was a statistical difference(P<0.05).Conclusion Discharge follow-up visits in diabetic patients can improve the self-efficacy management,quality of life and self-esteem of the patients,reduce the depression and anxiety of the patients,and more effectively reduce the blood glucose level of diabetic patients.

关 键 词：糖尿病 血糖 出院回访 生活质量 

分 类 号：R578[医药卫生—消化系统]