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目的:探讨系统化社区护理干预对对糖尿病患者自我管理的影响。方法:回顾性分析2012年1月至2014年12月本社区管理的糖尿病患者共102例,对比常规护理与系统化护理干预对患者控制不良事件发生及自我管理的影响。结果:实施护理干预6个月后,研究组患者发生低血糖1例,未见低血糖昏迷事件发生,明显优于对照组(P<0.01或P<0.05)。研究组患者评分50~116分,平均(92.5±15.6)分,整体评分等级优,明显优于对照组(P<0.05)。结论:通过系统化社区护理干预,能够使患者建立治疗信心,合理用药,规避糖尿病相关不良事件的发生。通过积极有效的自我护理,有益于患者对自我病情进展的观察,有助于危险因素的及时发现,减少因不良事件给患者带来进一步的身心痛苦和经济压力。
Objective: To explore the impact of systematic community nursing intervention on self-management of diabetic patients. Methods: A retrospective analysis of 102 community-based diabetic patients from January 2012 to December 2014 was conducted to compare the impact of routine and systematic nursing interventions on the occurrence of adverse events and self-management in patients. Results: Six months after nursing intervention, one case of hypoglycemia occurred in study group and no hypoglycemic coma occurred, which was significantly better than that of control group (P <0.01 or P <0.05). The study group scored 50 to 116 points, with an average of (92.5 ± 15.6) points, the overall grade was excellent, significantly better than the control group (P <0.05). Conclusion: Through systematic community nursing intervention, patients can establish the confidence of treatment, rational use of medication, to avoid the occurrence of diabetes-related adverse events. Through active and effective self-care, it is beneficial for patients to observe the progress of self-esteem, which can help the timely detection of risk factors and reduce the further physical and psychological pain and financial stress on patients caused by adverse events.