自行设计教育路径在非内分泌科糖尿病患者同质化管理中的应用研究  

Construction and application of self-design education path and homogeneity management in diabetic patients of non endocrine department

作　　者：覃玉梅 刘蔚艳 吕金凤[1] 甘志梅 邱锦媚 黄炎芳 QIN Yumei;LIU Weiyan;LV Jinfeng;GAN Zhimei;QIU Jinmei;HUANG Yanfang(Red Cross Hospital of Wuzhou City,Wuzhou 543099,China)

机构地区：[1]梧州市红十字会医院全科医学科,广西梧州543099

出　　处：《广州医药》2025年第4期529-536,共8页Guangzhou Medical Journal

基　　金：梧州市科学研究与技术开发计划项目(202002117);广西壮族自治区卫生健康委员会自筹经费科研课题(Z-D20221725)。

摘　　要：目的探讨自行设计教育路径在非内分泌科糖尿病患者同质化管理中的应用效果。方法采用时间分段法将200例非内分泌科住院糖尿病患者分为对照组和研究组各100例,对照组所在非内分泌科各科室责任护士在糖尿病联络护士指导下进行糖尿病常规健康教育,研究组自行设计非内分泌科糖尿病健康教育路径并实施同质化管理,观察比较两组患者糖尿病知识知晓程度、血糖水平、自我管理能力、护理满意度。结果出院时研究组患者密西歇根糖尿病知识测试问卷(DKT)评分(18.37±3.06)分,对照组为(16.01±3.59)分,研究组高于对照组(t=5.004,P<0.05);管理6个月空腹血糖(FBG)、餐后2h血糖(2hPBG)、糖化血红蛋白(HbAlc)分别为[7.00(7.00,8.00)]mmol/L、[8.00(6.00,9.00)]mmol/L、[7.50(6.00,8.00)]%,对照组分别为[8.00(7.00,10.00)]mmol/L、[9.00(8.00,11.00)]mmol/L、[8.00(7.00,9.00)]%,研究组均低于对照组(Z=6.398、5.248、3.034,均P<0.05);研究组糖尿病自我管理能力行为量表(SDSCA-6)评分、纽卡斯尔护理满意度量表(NNSS)评分分别为(35.36±4.75)分、(83.42±6.92)分,对照组分别为(30.90±7.56)分、(72.31±9.26)分,研究组均高于对照组(t=4.998、9.614,均P<0.05)。结论糖尿病教育路径结合同质化管理能提高非内分泌科住院糖尿病患者糖尿病知识的掌握程度,有效控制血糖水平,提高患者自我管理能力和对护理工作满意度。Objective To explore the application effect of self-designed education path in homogenization management of non-endocrinology diabetic patients.Methods A total of 200 inpatients with diabetes in non-endocrinology departments were divided into control group and research group with 100 cases in each group.The responsible nurses in the non-endocrinology departments of the control group conducted routine diabetes health education under the guidance of diabetes liaison nurses.The research group designed its own non-endocrinology diabetes health education path and implemented homogenized management.The knowledge level of diabetes mellitus,blood sugar level,self-management ability and nursing satisfaction of the two groups were observed and compared.Results At discharge,the DKT score of the study group was(18.37±3.06)and that of the control group was(16.01±3.59),which was higher than that of the control group(t=5.004,P<0.05).After 6 months management,FBG,2 HPBG and HbAlc of study group were[7.00(7.00,8.00)]mmol/L,[8.00(6.00,9.00)]mmol/L,[7.50(6.00,8.00)]%,respectively,while those in the control group was[8.00(7.00,10.00)]mmol/L,[9.00(8.00,11.00)]mmol/L and[8.00(7.00,9.00)]%,respectively.The study group was lower than the control group(Z=6.398,5.248,3.034,all P<0.05).SDSCA-6 scores and NNSS scores in the study group were(35.36±4.75)scores and(83.42±6.92)scores,respectively,while those in the control group were(30.90±7.56)scores and(72.31±9.26)scores,which were higher in the study group than in the control group(t=4.998,9.614,all P<0.05).Conclusions The combination of diabetes education pathway and homogenized management can improve the mastery of diabetes knowledge,effectively control blood sugar level,improve patients’self-management ability and satisfaction with nursing work.

关 键 词：教育路径 同质化管理 糖尿病 非内分泌科 

分 类 号：R473.5[医药卫生—护理学]