老年糖尿病患者临床护理中的协同护理方式研究  

Research on Collaborative Nursing Method in Clinical Nursing of Elderly Diabetic Patients

作　　者：杨彩霞[1] YANG Caixia(Department of Geriatrics,Jilin Provincial People's Hospital,Changchun,Jilin Province,130021 China)

机构地区：[1]吉林省人民医院老年医学科,吉林长春130021

出　　处：《糖尿病新世界》2021年第19期128-131,136,共5页Diabetes New World Magazine

摘　　要：目的研究协同护理在老年糖尿病患者护理中的应用效果。方法以该院2020年4—10月确诊的84例老年糖尿病患者为例,抽签法随机分为两组,各42例,分别为常规护理(参照组)、协同护理(研究组),对比两组血糖水平、依从性与护理前后的生活质量、自护能力。结果研究组总依从性为95.24%,高于参照组的76.19%,差异有统计学意义(P<0.05);护理后研究组空腹血糖为(6.12±0.58)mmol/L、餐后2 h血糖为(9.45±1.53)mmol/L,明显低于参照组的(8.16±0.88)、(10.86±1.46)mmol/L,差异有统计学意义(P<0.05);护理后研究组各项自护能力评分均高于参照组,差异有统计学意义(P<0.05);护理后研究组生理功能(92.56±4.12)分、躯体角色(91.52±4.21)分、躯体疼痛(91.45±4.22)分、总体健康(91.85±4.52)分、活力(90.75±4.61)分、社会功能(90.75±4.25)分、情绪角色(92.46±4.15)分、心理健康(92.74±4.12)分等评分均高于参照组的(81.25±4.32)分、(82.16±4.27)分、(81.75±4.56)分、(80.75±4.16)分、(81.44±2.43)分、(81.88±3.25)分、(80.75±4.26)分、(85.46±4.74)分,差异有统计学意义(P<0.05)。结论经协同护理可有效提高患者依从性,继而稳定血糖水平,改善患者生活质量值得推广。Objective To study the application effect of collaborative nursing in elderly patients with diabetes.Methods Taking the 84 elderly diabetic patients diagnosed in the hospital from April to October 2020 as an example,the lottery method was randomly divided into two groups,42 cases in each group,which were routine care(reference group) and collaborative care(research group),and compared the two groups.Blood glucose level,compliance and quality of life before and after nursing,self-care ability.Results The total compliance of the study group was 95.24% higher than that of the reference group76.19%,the difference was statistically significant(P<0.05);the fasting blood glucose of the study group after nursing was(6.12±0.58)mmol/L,and the blood glucose 2 h after meal was(9.45±1.53)mmol/L,significantly lower than the reference group(8.16±0.88)mmol/L,(10.86±1.46)mmol/L,the difference was statistically significant(P<0.05);after nursing the study group’s nursing ability scores were higher than the reference group,the difference was statistically significant(P<0.05);after nursing,the study group had scores of physiological function(92.56±4.12)points,physical role(91.52±4.21)points,body pain(91.45±4.22)points,overall health(91.85±4.52)points,vitality(90.75±4.61)points,social function(90.75±4.25)points,emotional role(92.46±4.15)points,mental health(92.74±4.12)points and other scores were all higher than the reference group’s(81.25±4.32)points,(82.16±4.27)points,(81.75±4.56)points,(80.75±4.16)points,(81.44±2.43)points,(81.88±3.25)points,(80.75 ±4.26)points,(85.46 ±4.74)points,the difference was statistically significant(P <0.05).Conclusion Collaborative nursing can effectively improve patient compliance,then stabilize blood glucose level,improve the quality of life of patients,which is worthy of promotion.

关 键 词：协同护理 老年糖尿病 依从性 血糖水平 生活质量 应用效果 

分 类 号：R587.1[医药卫生—内分泌]