医养结合视角下养老机构中延续护理对糖尿病患者的效果评价  

Effect evaluation of continuous nursing in institutional nursing for diabetic patients from the perspective of combination of medical care and nursing

作　　者：朱文娟[1] 赵久华[1] 臧谋红 胡俊[2] 杨丽[2] ZHU Wenjuan;ZHAO Jiuhua;ZANG Mouhong;HU Jun;YANG Li(Nursing Department,West Anhui Health Vocational College,Luan 237005;Department of Endocrinology,the Sixth Affiliated Hospital of Anhui Medical University)

机构地区：[1]皖西卫生职业学院护理系,六安237005 [2]安徽医科大学第六附属医院内分泌科

出　　处：《南通大学学报（医学版）》2023年第2期140-143,共4页Journal of Nantong University(Medical sciences)

基　　金：安徽省高等学校人文科研重点研究项目(SK2019A1099);安徽省高等学校省级质量工程项目(2019kfkc210);皖西卫生职业学院骨干教师培养项目(GGJS201801)。

摘　　要：目的:从医养结合的视角探讨糖尿病(diabetes mellitus,DM)患者出院后延续护理的效果。方法:选取2018年3月-2019年4月在安徽医科大学第六附属医院出院并在养老机构入住的DM患者76例为研究对象,随机分为两组,每组38例,对照组进行常规性养老服务护理,观察组出院后实施延续护理。干预6个月和12个月后,分别监测两组患者的血糖、糖化血红蛋白;同时干预12个月后,对两组患者进行依从性及日常生活能力,采用生活质量评分(quality of life,QOL评分)评价。结果:干预12个月后,观察组DM患者的空腹血糖、餐后2 h血糖和糖化血红蛋白改善情况均显著优于对照组(均P<0.05),同时观察组患者的总依从率、QOL各项评分和总分均明显高于对照组(均P<0.05)。结论:实施医养结合对养老机构的老年DM患者出院后延续护理,提高了患者的自我管理能力和护理依从性,有效降低了患者的血糖指标,改善了患者的生活质量,延缓了患者再次住院的周期,同时也有效提升了养老机构护理服务水平。Objective:To explore the effect of continuous nursing for patients with diabetes mellitus(DM)after discharge from hospital from the perspective of combining medical care with nursing.Methods:A total of 76 DM patients who were discharged from the Sixth Affiliated Hospital of Anhui Medical University and admitted to nursing institutions from March 2018 to April 2019 were selected as the research objects,and randomly divided into two groups with 38 cases in each group.The control group received routine nursing care for the elderly,and the observation group received extended nursing care after discharge.After 6 and 12 months of intervention,the blood sugar and glycosylated hemoglobin of the two groups were monitored respectively.At the same time,after 12 months of intervention,the compliance and daily living ability of patients in both groups were evaluated by quality of life(QOL).Results:After 12 months of intervention,fasting blood glucose,2 h postprandial blood glucose and glycated hemoglobin in the observation group were significantly better than those in the control group(all P<0.05),and the total compliance rate,QOL scores and total scores in the observation group were significantly higher than those in the control group(all P<0.05).Conclusion:The implementation of continuous nursing care for elderly DM patients after discharge in nursing institutions combined with medical and nursing care improved the patients′self-management ability and nursing compliance,effectively reduced the blood glucose index of the patients and better improved the quality of life of the patients.Delay the cycle of patients re-hospitalization,but also effectively improve the level of nursing services in pension institutions.

关 键 词：糖尿病 医养结合 延续护理 老年人 

分 类 号：R473.74[医药卫生—护理学]