摘要
目的 探讨延续性护理干预在2型糖尿病患者中的临床应用价值.方法 将88例2型糖尿病患者按随机数字表法随机分为研究组和对照组各44例.两组患者在院内治疗期间均行常规基础护理,研究组加用延续性护理干预,比较两组患者的治疗依从性,并采用健康调查简表（SF-36）评价两组患者的生活质量.结果 干预后研究组患者遵医用药、自我监测、运动疗法、饮食控制的依从性分别为84.09％,88.64％,79.55％,95.45％,均高于对照组的40.91％,34.09％,38.64％,45.45％,差异均有统计学意义（x2分别为17.50,27.61,15.23,26.42；P＜0.05）.研究组患者生理机能、生理职能、躯体疾病、一般健康状况、精力、社会功能、情感职能、精神健康维度的评分分别为（41.53±3.29）,（34.27 ±4.15）,（40.84±3.30）,（35.60±3.15）,（42.58±3.62）,（41.92±3.22）,（40.74±4.18）,（47.31±3.26）分,均高于对照组的（32.16±3.23）,（25.92±3.80）,（31.21±3.24）,（25.33±3.18）,（32.10±3.06）,（32.94±3.28）,（31.09±4.02）,（35.62±3.19）分,差异均有统计学意义（t分别为13.58,9.82,13.76,15.10,14.56,13.01,11.09,17.04;P ＜0.05）.结论 延续性护理干预措施对于2型糖尿病患者治疗依从性的提高和生活质量的改善均具有积极的促进作用.
Objective To explore the clinical application value of continuity nursing intervention on treatment compliance and quality of life in patients with type 2 diabetes. Methods Eighty-eight patients with type 2 diabetes were randomly divided into the study group and the control group from January 2012 to December 2012 in our hospital, each with 44 cases. The patients in two groups received routine basic nursing intervention model. Besides, the patients in study group received the continuity of care intervention mode. The treatment compliance and quality of life of the type 2 diabetes patients in two groups were compared and evaluted by the MOS item short from health survey （SF-36）. Results The rates of compliance of medication, self-monitoring, exercise therapy and diet control were respectively 84.09%, 88.64% , 79.55%, 95.45% in study group, and higher than that of the control group （40.91%, 34.09%, 38.64%, 45.45% ）, and the differences were statistically significant （X2 = 17. 50, 27.61, 15. 23, 26.42, respectively; P 〈 0. 05）. The physiological function, physiological functions, physical illness, general health, energy, social functioning, role emotional and mental health of life of the indexes were respectively （ 41.53 ± 3.29 ）, （ 34.27 ± 4.15 ）, （40.84 ± 3.30）, （35.60±3.15）, （42.58±3.62）, （41.92±3.22）, （40.74±4.18）, （47.31±3.26） in study group, and higher than （32.16 ±3.23）, （25.92±3.80）, （31.21 ±3.24）, （25.33 ±3. 18）, （32. 10±3.06）, （32.9±3.28 ） , （31.09 ± 4.02） , （35.62 ± 3.19） in the control group, and the differences were statistically significant （t = 13.58, 9.82, 13.76, 15. 10, 14.56, 13.01, 11.09, 17.04, respectively; P 〈 0.05）. Conclusions The continuity nursing intervention plays a positive role in improve treatment compliance and quality of life in patients with type 2 diabetes.
出处
《中华现代护理杂志》
2013年第30期3726-3728,共3页
Chinese Journal of Modern Nursing
关键词
糖尿病
2型
生活质量
治疗依从性
延续性护理
Diabetes mellitus, type 2
Quality of life
Treatment compliance
Continuity nursing
