专科护士主导的远程血糖管理在2型糖尿病患者居家康复中的应用效果  

Application effects of remote blood glucose management led by specialist nurses in the home rehabilitation of type 2 diabetic patients

作　　者：郭艳[1] 桂晨晨 郭梦婷 杨丽萍[1] 谢秀华[1] Guo Yan;Gui Chenchen;Guo Mengting;Yang Liping;Xie Xiuhua(Second Comprehensive Internal Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院综合内二科,乌鲁木齐830054

出　　处：《中华现代护理杂志》2021年第34期4710-4714,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨专科护士主导的远程血糖管理对2型糖尿病患者居家康复期间血糖、自我管理能力及生活质量的影响。方法采用便利抽样法选择2019年1—12月新疆医科大学第一附属医院的218例2型糖尿病患者,根据随机数字表法分为观察组和对照组,各109例。对照组采用常规血糖管理,观察组采用专科护士主导的远程血糖管理,共观察3个月。采用糖尿病自我管理行为量表(SDSCA)和糖尿病生存质量特异性量表(DSQL)评估两组患者干预前后的自我管理行为能力和生活质量,比较两组患者干预前后血糖指标。结果218例均配合完成全部研究内容,无脱落病例。干预后观察组的空腹血糖、餐后2 h血糖、糖化血红蛋白水平及DSQL得分低于对照组,SDSCA得分高于对照组,差异有统计学意义(P<0.05)。结论与常规血糖管理相比,专科护士主导的远程血糖管理可以更有效地控制2型糖尿病患者血糖水平,提高患者的自我管理能力和生活质量,整体提高患者居家康复期间的管理效率。Objective To explore the effect of remote blood glucose management led by specialist nurses on blood glucose,self-management ability and quality of life of type 2 diabetic patients during home rehabilitation.Methods From January to December 2019,convenience sampling was used to select 218 patients with type 2 diabetes in the First Affiliated Hospital of Xinjiang Medical University.According to the random number table method,the patients were divided into the observation group and the control group,each with 109 cases.The control group conducted conventional blood glucose management,and the observation group implemented remote blood glucose management led by specialist nurses for a total of three months of observation.Both were observed for 3 months.The self-management behavior and quality of life of the two groups of patients before and after the intervention were evaluated with the Diabetes Self-Management Behavior Scale(SDSCA)and the Diabetes Quality of Life Specific Scale(DSQL),and the blood glucose indicators of the two groups before and after the intervention were compared.Results All 218 cases cooperated to complete all the research contents,and there was no dropout case.After the intervention,the fasting blood glucose,two hours postprandial blood glucose,glycosylated hemoglobin and DSQL score of the observation group were lower than those of the control group,and the SDSCA score was higher than that of the control group.The differences were all statistically significant(P<0.05).Conclusions Compared with conventional blood glucose management,the remote blood glucose management led by specialist nurses can more effectively control the blood glucose of patients with type 2 diabetes,improve the patients'self-management ability and quality of life,and overall increase the management efficiency of patients during home rehabilitation.

关 键 词：糖尿病 2型 专科护士 远程血糖管理 自我管理行为 生活质量 

分 类 号：R473.2[医药卫生—护理学]