延续性护理干预对糖尿病患者血糖及并发症的影响

罗常春

(余杭区卫生进修学校 浙江 余杭 311100)

·临床护理与管理·

延续性护理干预对糖尿病患者血糖及并发症的影响

罗常春

(余杭区卫生进修学校 浙江 余杭 311100)

目的：探讨出院后延续性护理干预对糖尿病患者血糖及并发症的影响。方法将124例糖尿病患者随机分为观察组和对照组各62例，对照组出院后给予常规复查及健康教育，观察组给予综合护理干预措施，观察2组血糖控制情况、并发症情况及患者的自我护理能力。结果观察组患者出院1年后空腹血糖、餐后2h血糖及糖化血红蛋白水平均明显低于对照组(P<0.05)；观察组1年内的并发症发生率为11.29%，明显低于对照组的33.87%(P<0.05)；观察组出院1年后自我护理能力评分高于对照组(P<0.05)。结论出院后延续性护理干预能有效改善患者血糖水平，对减少或预防并发症的发生有积极意义。

糖尿病；护理干预；血糖；并发症

Abstract：[Objective]The article aims to discuss the effect of extended nursing intervention to the blood glucose and complicating diseases of diabetes patients after post-discharge. [Method] We divide 124 cases of diabetes patients randomly into two groups, each of which has 62 cases of patients. One group is to be as an observed group, and the other as contrast ones. The former received a kind of comprehensive nursing intervention after post-discharge, and the latter only received routine re-examine and health education. Then, the situation of blood glucose control, complicating diseases and self-care of patients among two groups was observed. [Result]After 1 year of post-discharge, all of patients in the observed group showed that the fasting blood glucose, 2h postprandial blood glucose and glycosylated hemoglobin were apparent less than those in the contrast group (p<0.05). The occurring rate of complicating diseases of the observed group during 1 year of post-discharge was 11.29%, apparently less than 33.87% of the contrast group (p<0.05). The assign mark of self-care ability of the observed group was higher than the contrast group after 1 year of post-discharge (p<0.05). [Conclusion]The extended nursing intervention after post-discharge is able to improve the blood glucose situation of patients, and has a positive effect to reduce complicating diseases or prevent them from happening.

Keywords: diabetes;nursing intervention; blood glucose;complicating disease

糖尿病(diabetes mellitus)是临床常见的一种内分泌代谢紊乱性疾病，是一种非传染性的慢性终身性疾病，具有较高的致残率和致死率[1]。目前尚无特效方法，临床治疗多以控制血糖，减少并发症为主，糖尿病患者饮食、运动、监测血糖和药物治疗是保持血糖稳定，减少并发症的重要因素[2]。因此，积极有效的护理干预措施对糖尿病的治疗和预后至关重要。本文观察了出院后经综合护理干预的62例糖尿病患者的血糖及并发症情况，并与同期给予常规复查的62例糖尿病患者进行了对比分析，旨在进一步探讨延续性护理干预措施对糖尿病血糖及并发症的影响。

1 资料和方法

1.1 一般资料

本次研究对象共124例，均来自2010年1月至2010年12月在余杭区第一人民医院接受治疗的糖尿病患者，全部经实验室检查确诊为糖尿病，均符合WHO糖尿病诊断标准，均为初治病例。……