CICARE沟通模式下的个性化饮食护理在肺结核合并糖尿病患者中的应用效果  

Application effects of personalized diet nursing under CICARE communication mode in patients with pulmonary tuberculosis complicated with diabetes

作　　者：李素红 LI Suhong(Henan Provincial Chest Hospital,Chest Hospital Affiliated to Zhengzhou University,Henan Infectious Diseases(Tuberculosis)Clinical Medical Research Center,Zhengzhou 450000 Henan,China)

机构地区：[1]河南省胸科医院,郑州大学附属胸科医院,河南省传染病(结核病)临床医学研究中心,河南郑州450000

出　　处：《中国民康医学》2025年第6期181-183,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察CICARE沟通模式下的个性化饮食护理在肺结核合并糖尿病患者中的应用效果。方法:回顾性分析2020年6月至2022年11月该院收治的114例肺结核合并糖尿病患者的临床资料,根据护理方法不同将其分为对照组和研究组各57例。对照组采用常规护理,研究组实施CICARE沟通模式下的个性化饮食护理。比较两组饮食依从优良率,护理前后血糖指标[空腹血糖(FBG)、餐后2 h血糖(2hPBG)]水平、营养指标[白蛋白(ALB)、血红蛋白(Hb)]水平,以及护理满意度。结果:护理后,研究组饮食依从优良率为96.49%(55/57),高于对照组的71.93%(41/57),差异有统计学意义(P<0.05);两组FBG、2hPBG水平均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组ALB、Hb水平均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组护理满意度为94.74%(54/57),高于对照组的80.70%(46/57),差异有统计学意义(P<0.05)。结论:CICARE沟通模式下的个性化饮食护理应用于肺结核合并糖尿病患者可提高饮食依从优良率、营养指标水平和护理满意度,以及降低血糖指标水平的效果优于常规护理效果。Objective:To observe application effects of personalized diet nursing under CICARE communication mode in patients with pulmonary tuberculosis complicated with diabetes.Methods:The clinical data of 114 patients with pulmonary tuberculosis complicated with diabetes admitted to this hospital from June 2020 to November 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and study group,57 cases in each group.The control group was given routine nursing,while the study group was given the personalized diet nursing under CICARE communication mode.The excellent and good rate of diet compliance,the levels of blood glucose indexes[fasting blood glucose(FBG),2 h postprandial blood glucose(2hPBG)]and nutritional indexes[albumin(ALB),hemoglobin(Hb)]before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the excellent and good rate of dietary compliance in the study group was 96.49%(55/57),which was higher than 71.93%(41/57)in the control group,and the difference was statistically significant(P<0.05).After the nursing,the levels of FBG and 2hPBG in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of ALB and Hb in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 94.74%(54/57),which was higher than 80.70%(46/57)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The personalized diet nursing under CICARE communication mode in the patients with pulmonary tuberculosis and diabetes can improve the excellent and good rate of diet compliance,the nutritional index levels and the nursing satisfaction,and reduce the levels of blo

关 键 词：CICARE沟通模式 个性化饮食护理 肺结核 糖尿病 血糖 营养 依从性 

分 类 号：R473.5[医药卫生—护理学]