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作 者:林梅英 卢丽贞 李雅琦 许玲贞 李花英[1] LIN Meiying;LU Lizhen;LI Yaqi;XU Lingzhen;LI Huaying(Department of Endocrinology,Affiliated Hospital of Putian University,Putian Fujian 351100,China)
机构地区:[1]莆田学院附属医院血液内分泌科,福建莆田351100
出 处:《中国卫生标准管理》2023年第8期168-172,共5页China Health Standard Management
基 金:福建省中青年教师教育科研项目(科技类)(JAT210396)。
摘 要:目的探讨二维码健康宣教在2型糖尿病心血管并发症患者延续护理中的应用效果。方法选取2019月1月—2021年1月莆田学院附属医院出院的长期随访的110例2型糖尿病心血管并发症患者为研究对象,采用随机数字表法分为观察组和对照组,每组55例。对照组进行常规延续性护理,观察组在此基础上对出院患者进行二维码健康宣教。8个月后比较两组患者干预前后空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2 hours plasma glucose,2 hPG)、糖化血红蛋白(glycated hemoglobin,HbA1c)、三酰甘油(triacylglycerol,TG)、总胆固醇(total cholesterol,TC)、收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)水平,并对干预前后的生活质量中的一般健康状况、生理机能、躯体疼痛、情感机能评分进行比较。结果干预后观察组血糖、血压、血脂水平均显著低于对照组(P<0.05),生活质量评分中4个项目均显著高于对照组(P<0.05)。结论在2型糖尿病心血管并发症患者的延续护理中引入二维码健康宣教方法,可改善患者的健康状况和生存质量,值得临床推广。Objective To investigate the impact of QR code health education on the deferred treatment of type 2 diabetic patients with cardiovascular problems.Methods A total of 110 patients with cardiovascular complications of type 2 diabetes discharged from Affiliated Hospital of Putian University from January 2019 to January 2021 who were followed up for a long time were selected as study subjects,and 55 cases each were divided into observation group and control group using the random number table method.In the control group,routine follow-up care,while in the observation group,QR code health education was provided to the discharged patients on the basis of the contrd group,FPG,2 hours plasma glucose(2 hPG),glycated hemoglobin(HbA1c),triacylglycerol(TG),total cholesterol(TC),systolic blood pressure(SBP),and diastolic blood pressure(DBP)levels were compared,as well as general health status,physical function,somatic pain,and emotional function scores in the quality of life before and after the intervention.Results After the intervention,blood glucose,blood pressure,and lipid levels were significantly lower in the observation group than in the control group(P<0.05),and all four items in the quality of life scores were significantly higher than in the control group(P<0.05).Conclusion The introduction of a QR code health education method in the extended care of patients with cardiovascular complications of type 2 diabetes improves the health status and quality of survival of patients and is worthy of clinical promotion.
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