门诊护理对糖尿病患者的效果及生活质量分析  

Analysis of the Effect of Outpatient Care on Diabetic Patients and the Quality of Life

作　　者：王玉宏[1] 李振秀[1] WANG Yuhong;LI Zhenxiu(Tengzhou Central People's Hospital,Tengzhou,Shandong Province,277599 China)

机构地区：[1]滕州市中心人民医院,山东滕州277599

出　　处：《糖尿病新世界》2021年第17期130-133,142,共5页Diabetes New World Magazine

摘　　要：目的研究门诊护理对糖尿病患者的临床效果。方法选取2018年9月—2019年2月在该院就诊的糖尿病患者共计2000例,以抽签法模式均分为研究组和对照组,每组1000例。其中对照组患者实施基础干预,研究组实施门诊干预模式,记录两组干预依从性、低血糖发生率、血糖控制水平、生活质量分值以及自我效能感评分。结果研究组按时用药96.00%、科学用餐98.00%、运动量94.00%、自我监测96.00%、定期复查92.00%高于对照组82.00%、82.00%、80.00%、80.00%、74.00%,研究组低血糖发生率4.00%低于对照组16.00%,差异有统计学意义(χ^(2)=100.102、142.222、86.649、121.212、114.812、80.000,P<0.05);干预前,两组血糖控制水平差异无统计学意义(P>0.05);干预后,研究组空腹血糖(6.38±1.67)mmol/L、餐后2 h血糖(9.14±2.41)mmol/L、糖化血红蛋白(6.48±1.02)%优于对照组(7.71±1.55)mmol/L、(10.88±3.82)mmol/L、(7.27±1.54)%,差异有统计学意义(t=18.459、12.182、13.524,P<0.05);干预前,两组生活质量评分对比差异无统计学意义(P>0.05);干预后,两组生活质量评分均高于干预前,研究组高于对照组,差异有统计学意义(P<0.05);干预后,研究组生理功能为(47.96±5.00)分、心理功能为(24.81±3.34)分、社会关系为(16.66±12.11)分、治疗为(11.94±1.23)分,优于对照组(44.81±6.46)分、(27.80±4.22)分、(15.76±2.01)分、(11.49±1.13)分,差异有统计学意义(P<0.05);干预前,两组自我效能感评分差异无统计学意义(P>0.05);干预后,研究组自我效能感评分高于对照组,差异有统计学意义(P<0.05)。结论糖尿病患者实施门诊护理模式,能够提升临床依从率,生活质量分值有所改善,从而调节生存质量,这对于临床研究具有关键价值。Objective To study the clinical effect of outpatient care on diabetic patients.Methods total of 2000 diabetic patients who attended the hospital from September 2018 to February 2019 were selected and divided into study group and control group by lottery method,with 1000 cases in each group.Among them,the control group implemented basic intervention,and the study group implemented an outpatient intervention model.The intervention compliance,hypoglycemia incidence,blood sugar control level,quality of life scores,and self-efficacy scores were recorded in the two groups.Results In the study group,regular medication 96.00%,scientific meal 98.00%,exercise 94.00%,self-monitoring 96.00%,regular review 92.00%were higher than those in the control group 82.00%,82.00%,80.00%,80.00%,74.00%.The incidence of hypoglycemia in the study group was 4.00%,which lower than that in the control group(16.00%),and the difference were statistically significant(χ^(2)=100.102,142.222,86.649,121.212,114.812,80.000,P<0.05).Before the intervention,there was no statistically significant difference in blood glucose control between the two groups(P>0.05);after the intervention,the study group had fasting blood glucose(6.38±1.67)mmol/L,2 h postprandial blood glucose(9.14±2.41)mmol/L,and glycation hemoglobin(6.48±1.02)%was better than the control group(7.71±1.55)mmol/L,(10.88±3.82)mmol/L,(7.27±1.54)%,the difference was statistically significant(t=18.459,12.182,13.524,P<0.05);before the intervention,the difference in quality of life scores between the two groups was not statistically significant(P>0.05).After the intervention,the quality of life scores of the two groups were higher than those before the intervention,and the study group was higher than the control group,and the difference was statistically significant(P<0.05).After the intervention,the study group's physiological function was(47.96±5.00)points,psychological function was(24.81±3.34)points,social relations were(16.66±12.11)points,and treatment was(11.94±1.23)points,which was

关 键 词：糖尿病 门诊护理 生命质量 依从性 自我效能感 血糖指标 效果分析 

分 类 号：R587.1[医药卫生—内分泌]