社区护理干预对糖尿病治疗依从性的影响

赵凤宇

[摘要] 目的 分析糖尿病患者采用社区护理干预对治疗依从性的影响。 方法 选取该社区医院2017年2月—2018年9月诊治的160例糖尿病患者，随机分为观察组（n=80）和对照组（n=80）;对照组患者进行常规护理，观察组患者在对照组基础上增加社区护理干预，观察两组患者的治疗依从性和血糖控制情况。 结果 两组患者治疗前血糖指标对比差异无统计学意义（P>0.05）;治疗后观察组患者空腹血糖为（6.92±1.54）mmol/L，餐后2 h血糖为（9.81±2.36）mmol/L，相比于对照组患者显著降低（P<0.05）;观察组患者依从率为95.0%，对照组患者依从率为82.5%，两组患者对比差异有统计学意义（P<0.05）。 结论 糖尿病患者加强社区护理干预可有效控制血糖水平，并提高治疗依从性。

[关键词] 社区护理干预;常规护理;糖尿病;依从性;空腹血糖;餐后2 h血糖

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0112-03

Impact of Community Nursing Intervention on Diabetes Treatment Compliance

ZHAO Feng-yu

Community Health Service Station， Eighth Street， Urban Community Health Service Center， Changping District， Beijing， 102200 China

[Abstract] Objective To analyze the effect of community nursing intervention on treatment compliance in patients with diabetes. Methods A total of 160 diabetic patients diagnosed and treated in the community hospital from February 2017 to September 2018 were randomly divided into observation group （n=80） and control group（n=80）; patients in the control group received routine care and patients in observation group community nursing interventions were added on the basis of the control group to observe the treatment compliance and blood glucose control of the two groups of patients. Results There was no statistically significant difference in blood glucose before treatment between the two groups of patients（P>0.05）. After treatment， the fasting blood glucose in the observation group was （6.92±1.54） mmol/L， and the 2 h postprandial blood glucose was （9.81±2.36） mmol/L. Compared with the control group， the patients were statistically significantly reduced（P<0.05）; the compliance rate in the observation group was 95.0%， and the compliance rate in the control group was 82.5%. There was a statistical signifrant difference between the two groups （P<0.05）. Conclusion Strengthening community nursing intervention for diabetic patients can effectively control blood glucose levels and improve treatment compliance.

[Key words] Community nursing intervention; Routine nursing; Diabetes; Compliance; Fasting blood glucose;2 h blood glucose after meals

糖尿病是如今最常見的慢性非传染性疾病，在世界范围内广泛流行。《中国心血管病报告2018》显示，我国糖尿病标化患病率为10.9%，男性为11.7%，女性为10.2%，糖尿病疾病负担沉重[1]。随着分级诊疗制度的实施落实，我国糖尿病社区防治逐步由点及面向多部门合作、全社会参与的综合防治方向发展，社区医院肩负起我国糖尿病等慢病防治的重要使命[2]。为此，社区医院如何提高糖尿病患者治疗依从性一直是关注重点。该社区医院选取2017年2月—2018年9月诊治的80例糖尿病患者对其实施社区护理干预，治疗效果显著，现将结果报道如下。

1  资料与方法

1.1  一般资料

选取该社区医院诊治的160例糖尿病患者，将患者随机分为观察组（n=80）和对照组（n=80）。观察组中男43例，女37例;年龄51～74岁，平均年龄（60.8±5.3）岁;病程1～9年，平均病程（4.9±1.5）年。对照组中男42例，女38例;年龄52～75岁，平均年龄（60.4±5.8）岁;病程1～8年，平均病程（4.7±1.1）年。两组……