“多媒体”同质化管理模式对肾小球肾炎合并糖尿病患者的效果影响  

Effect of multimedia homogeneous management mode on nursing quality of patients with glomerulonephritis complicated with diabetes

作　　者：李发 杨蕾[1] LI Fa;YANG Lei(Department of Endocrinology,Houjie Hospital of Dongguan,Dongguan 523000,China)

机构地区：[1]东莞市厚街医院内分泌科,广东东莞523000

出　　处：《医药高职教育与现代护理》2023年第2期139-143,共5页Medical Higher Vocational Education and Modern Nursing

基　　金：东莞市社会发展科技项目(20221800904502)。

摘　　要：目的分析“多媒体”同质化管理模式应用于肾小球肾炎合并糖尿病患者的效果。方法选取2020年5月至2021年12月东莞市厚街医院收治的肾小球肾炎合并糖尿病患者93例为研究对象,其中2020年5月至2021年2月的46例作为对照组,实施常规护理管理模式;2021年3月至2021年12月的47例作为观察组,在对照组基础上实施“多媒体”同质化管理模式。比较两组干预前及干预3个月后空腹血糖(FPG)、糖化血红蛋白(HbA1c)、血肌酐、24 h尿蛋白检测结果,并比较两组自我管理行为、健康素养、生存质量、护理质量。结果干预前两组患者FPG、HbA1c、血肌酐、24 h尿蛋白水平差异均无统计学意义(均P>0.05);干预后两组这4个指标均低于同组干预前水平,且观察组低于对照组(均P<0.05)。两组干预3个月后,患者自我管理行为优良率、健康素养达标率、生存质量优良率均高于干预前同组,且观察组高于对照组(均P<0.05);观察组护理质量优良率87.24%(41/47)高于对照组69.57%(32/46)(P<0.05)。结论“多媒体”同质化管理模式应用于肾小球肾炎合并糖尿病患者,可改善患者血糖及肾功能水平,强化患者自我管理行为,提高护理质量及患者健康素养,进而对生存质量产生积极作用。Objective To analyze the effect of multimedia homogeneous management mode in patients with glomerulonephritis complicated with diabetes.Methods From May 2020 to December 2021,93 patients with glomerulonephritis and diabetes in Houjie Hospital of Dongguan were selected,46 patients from May 2020 to February 2021 were taken as the control group,and the routine nursing management mode was implemented.47 patients from March 2021 to December 2021 were taken as the observation group,and the multimedia homogeneous management mode on the basis of the control group was implemented.Fasting blood glucose(FPG),glycosylated hemoglobin(HbA1c),Serum creatinine,and 24 h urine protein test results,self-management behavior,health literacy and quality of life were compared after three months intervention,and quality of care of the two groups were compared too.Results There was no significant difference in FPG,HbA1c,serum creatinine and 24-hour urine protein levels between the two groups at the baseline(all P>0.05).After three months of intervention,these four indexes of the two groups were lower than those of the same group before the intervention,and the observation group was lower than the control group(all P<0.05).the excellent rate of self-management behavior,the qualified rate of health literacy and the excellent rate of quality of life in the two groups were higher than before,and the observation group was higher than the control group(all P<0.05).The rate of excellent quality of care in observation group(87.24%,41/47)was higher than in control group(69.57%,32/46)(P<0.05).Conclusions The application of multimedia homogeneous management mode in patients with glomerulonephritis and diabetes can strengthen blood glucose control,patients'self-management behavior and health literacy,improve the quality of care and quality of life.

关 键 词：糖尿病 肾小球肾炎 同质化管理模式 多媒体 护理质量 

分 类 号：R473.5[医药卫生—护理学]