慢病管理理念与多样化护理在女性冠心病合并糖尿病患者中的应用效果  

Application Effect of Chronic Disease Management Concept and Diversi⁃fied Nursing in Female Patients of Coronary Heart Disease Complicated with Diabetes Mellitus

作　　者：余月 刘继维 潘莹 YU Yue;LIU Jiwei;PAN Ying(Department of Cardiology,People's Hospital of Macheng City,Macheng 438300,Hubei,China)

机构地区：[1]麻城市人民医院心内科,湖北麻城438300

出　　处：《糖尿病新世界》2024年第13期156-158,166,共4页Diabetes New World

摘　　要：目的探讨女性冠状动脉粥样硬化性心脏病(简称冠心病)合并糖尿病患者应用慢病管理理念以及多样化护理干预的临床效果。方法选取2021年3月—2023年7月麻城市人民医院心内科收治的100例女性冠心病合并糖尿病患者为研究对象,按护理方法不同分为两组,参照组(50例)给予传统普通护理干预,研究组(50例)给予慢病管理理念以及多样化护理干预。比较两组自我管理能力、护理总满意度以及血糖指标水平。结果护理后,研究组自我情绪管理评分、症状管理评分及用药依从性评分均高于参照组,差异有统计学意义(P均<0.05)。研究组护理总满意度高于参照组,差异有统计学意义(P<0.05)。护理后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于参照组,差异有统计学意义(P均<0.05)。结论女性冠心病合并糖尿病患者联合应用慢病管理理念以及多样化护理干预,可提升患者的自我管理能力,有效降低血糖水平,且护理满意度较高。Objective To investigate the clinical effect of chronic disease management and diversified nursing inter⁃vention in female patients of coronary heart disease complicated with diabetes mellitus.Methods A total of 100 fe⁃male patients of coronary heart disease complicated with diabetes mellitus admitted to the Department of Cardiology of People's Hospital of Macheng City from March 2021 to July 2023 were selected as the study objects and divided into two groups according to different nursing methods.The reference group(50 cases)was given traditional general nurs⁃ing intervention,while the study group(50 cases)was given chronic disease management concepts and diversified nursing intervention.Self-management ability scores,total nursing satisfaction and blood glucose index levels were compared between the two groups.Results After nursing,the self-emotion management score,symptom management score and medication compliance score of the study group were higher than those of the reference group,and the differ⁃ences were statistically significant(all P<0.05).The total nursing satisfaction of the study group was higher than that of the reference group,and the difference was statistically significant(P<0.05).After nursing,the levels of fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin A1c in the study group were lower than those in the reference group,and the differences were statistically significant(all P<0.05).Conclusion The combined appli⁃cation of chronic disease management concept and diversified nursing intervention in female patients of coronary heart disease complicated with diabetes mellitus can improve patients'self-management ability,effectively reduce blood glucose levels,and has higher nursing satisfaction.

关 键 词：慢病管理理念 多样化护理 女性冠心病合并糖尿病 护理效果 

分 类 号：R473[医药卫生—护理学]