连续动态血糖监测联合思维导图式健康教育对糖尿病肾病患者的影响  

Effect of Continuous Dynamic Blood Glucose Monitoring Combined with Mind Map-Based Health Education in Patients with DKD

作　　者：刘荣 赵慧杰[2] 陈凯 Liu Rong;Zhao Huijie;Chen Kai(Kaifeng Municipal People′s Hospital,Kaifeng Henan 475000,China)

机构地区：[1]开封市人民医院,河南开封475000 [2]河南大学慢性病风险评价研究所

出　　处：《齐鲁护理杂志》2023年第9期17-20,共4页Journal of Qilu Nursing

基　　金：河南省中原学者工作站资助项目(编号:224400510016)。

摘　　要：目的:探讨连续动态血糖监测联合思维导图式健康教育对糖尿病肾病(DKD)患者血糖控制、自护能力及生活质量的影响。方法:选取2021年1月1日~2022年12月1日收治的126例DKD患者为研究对象,依据随机数字表法分为对照组和观察组各63例,对照组实施常规护理干预,观察组在对照组基础上实施连续动态血糖监测联合思维导图式健康教育;比较两组干预前后血糖水平[包括空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA 1 c)]、自护能力[采用自我护理能力量表(ESCA)]、自我负担[采用自我感受负担量表(SPBS)]及生活质量[采用糖尿病生存质量特异性量表(DSQL)]。结果:干预后,两组FPG、2 hPG、HbA 1 c、SPBS、DSQL评分均低于干预前(P<0.05),且观察组均低于对照组(P<0.01);干预后,两组ESCA评分高于干预前(P<0.05),且观察组高于对照组(P<0.01)。结论:连续动态血糖监测联合思维导图式健康教育可有效改善DKD患者血糖控制水平,提高患者自我护理能力和生活质量,从而减轻自我负担。Objective:To explore the effect of continuous dynamic blood glucose monitoring combined with mind map-based health education on blood glucose control,self-care ability and quality of life in patients with DKD.Methods:A total of 126 patients with DKD admitted from January 1,2021 to December 1,2022 were selected as the research subjects,and were bythe random number table method divided into the control group and the observation group with 63 cases in each group.The control group received routine nursing intervention,while the observation group received continuous dynamic blood glucose monitoring combined with mind map-based health education.Comparison between the two groups was made on the status of blood glucose control ncluding fasting plasma glucose(FPG),2 h postprandial plasma glucose(2 hPG),and glycosylated hemoglobin(HbA 1c),self-care ability using self care ability scale(ESCA),self-burden by self-perceived burden scale(SPBS)and quality of life by the diabetes specific quality of life scale(DSQL).Results:After intervention,the scores of FPG,2 hPG,HbA 1c,SPBS and DSQL in both groups were lower than those before intervention(P<0.05),and lower in the observation group than those in the control group(P<0.01).After intervention,the ESCA scores in both groups were higher than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.01).Conclusion:Continuous dynamic blood glucose monitoring combined with mind map-based health education can significantly improve blood glucose control,and self-care ability and quality of life in patients with DKD,so as to reduce their self-burden.

关 键 词：糖尿病肾病 连续动态血糖监测 思维导图 自护能力 生活质量 

分 类 号：R473.58[医药卫生—护理学]