“1+N”4C模式在糖尿病周围神经病变患者延续护理中的应用  

Application of"1+N"4C mode in the continuous nursing of patients with diabetic peripheral neuropathy

作　　者：段文娜 巩梦 郭浩楠 DUAN Wenna;GONG Meng;GUO Haonan(Integrated Traditional Chinese and Western Medicine Department,Shangluo Central Hospital,Shangluo 726000,China)

机构地区：[1]商洛市中心医院中西医结合科,陕西商洛726000

出　　处：《临床医学研究与实践》2024年第29期135-138,共4页Clinical Research and Practice

基　　金：2022年商洛市科技计划项目(No.2022-Y-0031)。

摘　　要：目的探讨“1+N”4C模式在糖尿病周围神经病变患者延续护理中的应用价值。方法选取2022年1月至10月在我科接受治疗的60例糖尿病周围神经病变患者,以随机数字表法将其分为对照组(30例,常规延续护理)和观察组(30例,“1+N”4C模式延续护理)。比较两组的干预效果。结果干预后,观察组的空腹血糖(FBG)、餐后2 h血糖(2 h PG)水平及糖化血红蛋白(HbA1c)均低于对照组(P<0.05)。观察组的健康教育知晓率高于对照组(P<0.05)。干预后,观察组的感觉神经传导速度(SNCV)、运动神经传导速度(MNCV)高于对照组(P<0.05)。干预后,观察组的生活质量综合评定问卷-74(GQOLI-74)各维度评分均高于对照组(P<0.05)。结论“1+N”4C模式用于糖尿病周围神经病变患者延续护理中能提高血糖控制效果和健康教育知晓率,改善神经传导速度,提升患者生活质量。Objective To explore the application value of"1+N"4C mode in the continuous nursing of patients with diabetic peripheral neuropathy.Methods Sixty patients with diabetic peripheral neuropathy who were treated in our department from January to October 2022 were selected and divided into control group(30 cases,routine continuous nursing)and observation group(30 cases,"1+N"4C mode continuous nursing)by random number table method.The intervention effects of the two groups were compared.Results After intervention,the levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG)and glycosylated hemoglobin(HbA1c)in the observation group were lower than those in the control group(P<0.05).The awareness rate of health education in the observation group was higher than that in the control group(P<0.05).After intervention,the sensory nerve conduction velocity(SNCV)and motor nerve conduction velocity(MNCV)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Generic Quality of Life Inventory-74(GQOLI-74)in the observation group were higher than those in the control group(P<0.05).Conclusion The"1+N"4C mode can enhance the effect of blood glucose control and the awareness rate of health education,improve the nerve conduction velocity and elevate the quality of life of patients with diabetic peripheral neuropathy.

关 键 词：“1+N”4C模式 糖尿病周围神经病变 延续护理 血糖 

分 类 号：R473[医药卫生—护理学]