健康教育临床路径对糖尿病患者遵医行为的效果  

Effect of health education clinical pathway on compliance behavior of diabetes patients

作　　者：麦娴静[1] 杜欣媚 吴小敏 MAI Xian-jing;DU Xin-mei;WU Xiao-min(Seventh Internal Medicine Department,Foshan Gaoming District People's Hospital,Foshan Guangdong Province 528500,China)

机构地区：[1]佛山市高明区人民医院内七科,广东佛山528500

出　　处：《中国城乡企业卫生》2023年第11期16-19,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨健康教育临床路径对糖尿病患者的影响,为提升患者护理效果提供参考。方法选取佛山市高明区人民医院2019年1月—2020年5月收治的糖尿病患者120例为研究对象,随机分为对照组和观察组各60例。对照组实施常规健康护理模式,观察组在对照组的基础上实施健康教育临床路径。比较两组患者遵医依从率、护理满意率、空腹血糖及餐后血糖水平。结果观察组遵医总依从率为96.67%,高于对照组的85.00%,差异有统计学意义(χ^(2)=8.179,P<0.05)。观察组护理总满意率为98.33%,高于对照组的83.33%,差异有统计学意义(χ^(2)=13.506,P<0.05)。观察组空腹血糖、餐后血糖水平均低于对照组,差异均有统计学意义(P<0.05)。结论健康教育临床路径应用于糖尿病患者的临床护理服务中,能够有效提升患者的遵医依从率,有效改善患者血糖水平,提高患者护理满意率,值得临床推广应用。Objective To explore the influence of health education clinical pathway on diabetes patients,and provide reference for improving patients'nursing effect.Methods A total of 120 patients with diabetes mellitus who were admitted to Foshan Gaoming District People's Hospital from January 2019 to May 2020 were selected as the research objects and randomly divided into control group and observation group with 60 cases in each group.The control group implemented routine health nursing model,while the observation group implemented clinical pathway of health education on the basis of the control group.The compliance rate with medical advice,nursing satisfaction rate,the levels of fasting blood glucose and postprandial blood glucose between two groups of patients were copmared.Results The total compliance rate with medical advice of the observation group was 96.67%,which was higher than 85.00%of the control group,and the difference was statistically significant(χ^(2)=8.179,P<0.05).The total satisfaction rate of nursing in the observation group was 98.33%,which was higher than 83.33%in the control group,and the difference was statistically significant(χ^(2)=13.506,P<0.05).The fasting blood glucose and postprandial blood glucose levels in the.observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of health education clinical pathway to clinical nursing services for diabetes patients could effectively improve the compliance rate of patients with medical advice,effectively improve the blood sugar level of patients,and improve the patient's satisfaction rate of nursing,which was worthy of clinical promotion and application.

关 键 词：健康教育 临床路径 糖尿病 临床护理 

分 类 号：R473.5[医药卫生—护理学]