分阶段护理干预对原发性糖尿病患者血糖指标及遵医嘱行为的影响  

Effect of Phased Nursing Intervention on Blood Glucose Index and Compliance Behavior in Patients with Primary Diabetes Mellitus

作　　者：邹小娟 洪锦治[1] ZOU Xiaojuan;HONG Jinzhi(Department of Endocrine,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属泉州第一医院内分泌科,福建泉州3620000

出　　处：《中国医药指南》2023年第5期168-170,共3页Guide of China Medicine

摘　　要：目的 分析分阶段护理干预对原发性糖尿病患者血糖指标及遵医嘱行为的影响。方法 选取2021年1月至2022年1月本院收治的65例原发性糖尿病患者,根据不同护理方案将患者分为研究组(n=33)、对照组(n=32)。对照组给予常规门诊护理干预,研究组采用分阶段护理干预。随访6个月,比较两组患者血糖血脂指标、遵医嘱行为、心理状态、护理满意度及并发症发生率。结果 护理后,研究组FPG、HbA1c、2hPG水平均低于对照组(P<0.05);研究组各项遵医嘱行为均高于对照组(P<0.05);研究组并发症发生率(3.03%)低于对照组(18.75%)(χ^(2)=4.1777,P<0.05);护理后,研究组SAS评分、SDS评分均低于对照组,且研究组护理满意度评分高于对照组(P<0.05)。结论 对原发性糖尿病患者给予分阶段护理干预满足患者的护理需求,提升患者的遵医嘱行为,从而有效控制血糖,降低并发症发生风险,改善患者的心理状态。Objective To analyze the effect of phased nursing intervention on blood glucose index and compliance behavior in patients with primary diabetes. Methods Sixty-five patients with primary diabetes treated in our hospital from January 2021 to January 2022 were selected and divided into study group(n=33) and control group(n=32) according to different nursing programs. The control group was given routine outpatient nursing intervention, and the study group adopted phased nursing intervention. The patients were followed up for 6 months, and the blood glucose and lipid indexes, medical compliance behavior, psychological state, nursing satisfaction and the incidence of complications were compared between the two groups. Results After nursing, the levels of FPG, HbA1c and 2hPG in the study group were significantly lower than those in the control group(P<0.05). The behaviors of complying with the doctor’s advice in the study group were higher than those in the control group(P<0.05).The incidence of complications in the study group(3.03%) was lower than that in the control group(18.75%), which was statistically significant(χ^(2)=4.1777, P<0.05). After nursing, the SAS score and SDS score of the study group were lower than those of the control group, and the nursing satisfaction score of the study group was higher than that of the control group(P<0.05). Conclusion Patients with primary diabetes were given phased nursing intervention to meet the patients’ nursing needs and enhance their compliance with the doctor’s advice, thus effectively controlling blood sugar, reducing the risk of complications and improving the psychological state of patients.

关 键 词：原发性糖尿病 血糖 分阶段护理干预 遵医嘱行为 

分 类 号：R473.5[医药卫生—护理学] R587.1[医药卫生—临床医学]