基于慢性病管理模式的护理干预对老年糖尿病患者血糖控制达标率及生活质量影响  

Effect of Nursing Intervention Based on Chronic Disease Management Model on Blood Glucose Control Compliance Rate and Quality of Life in Elderly Diabetic Patients

作　　者：杨柳青 YANG Liuqing(Xiamei Town Health Center,Nan’an City,Quanzhou 362000,China)

机构地区：[1]南安市霞美镇卫生院,泉州362000

出　　处：《中国医药指南》2024年第35期59-61,共3页Guide of China Medicine

摘　　要：目的分析基于慢性病管理模式的护理干预对老年糖尿病患者血糖控制达标率及生活质量的影响。方法选取2023年1月—12月南安市霞美镇卫生院收治的92例老年糖尿病患者,采用随机数字表法分为观察组和对照组,各46例。对照组采用常规护理,观察组在常规护理的基础上实施基于慢性病管理模式的护理干预。对比两组血糖水平(空腹血糖、餐后2 h血糖和糖化血红蛋白)、血糖控制达标率、生活质量[生活质量评价量表(SF-36)]和自我管理能力[自我管理行为量表(SDSCA)]。结果干预后,观察组空腹血糖、餐后2 h血糖和糖化血红蛋白水平均低于对照组(P<0.05);观察组血糖控制达标率高于对照组(P<0.05);观察组生活质量评分生理、功能、心理和角色维度评分均高于对照组(P<0.05);观察组自我管理能力评分合理饮食、科学运动和血糖监测维度评分均高于对照组(P<0.05)。结论基于慢性病管理模式的护理干预,可有效增强老年糖尿病患者血糖控制,优化血糖水平,并促进自我管理能力和生活质量的提升。Objective To analyze the impact of nursing interventions based on the chronic disease management model on the glycemic control rate and quality of life in elderly patients with diabetes.Methods A total of 92 elderly patients with diabetes treated at Xiamei Town Health Center in Nan’an City from January 2023 to December 2023 were selected and randomly divided into an observation group and a control group,each with 46 cases.The control group received routine nursing care,while the observation group received nursing interventions based on the chronic disease management model in addition to routine nursing care.The blood glucose levels(fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin),glycemic control rate,quality of life[Quality of Life Assessment Scale(SF-36)],and self-management ability[Self-Management Behavior Scale(SDSCA)]were compared between the two groups.Results After the intervention,the levels of fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin in the observation group were all lower than those in the control group(P<0.05).After the intervention,the glycemic control rate in the observation group was higher than that in the control group(P<0.05).After the intervention,the quality of life scores in the observation group in the dimensions of physical,functional,psychological,and role were all higher than those in the control group(P<0.05).After the intervention,the self-management ability scores in the dimensions of reasonable diet,scientific exercise,and blood glucose monitoring in the observation group were all higher than those in the control group(P<0.05).Conclusions Nursing interventions based on the chronic disease management model can effectively enhance glycemic control in elderly patients with diabetes,optimize blood glucose levels,and promote the improvement of self-management ability and quality of life.

关 键 词：糖尿病 慢性病管理模式 护理干预 血糖控制 生活质量 

分 类 号：R587.1[医药卫生—内分泌] R473.5[医药卫生—内科学]