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目的:探讨延续性护理对老年糖尿病患者生活质量的影响。方法:选取2014年12月-2015年12月在安吉县人民医院住院的120例老年糖尿病患者,将其按照随机数字法分为实验组和对照组,每组60例,两组住院期间均给予常规护理和治疗,实验组出院后给予延续性护理干预,对照组出院后不给予延续性护理干预,分别于出院后6个月对两组的饮食行为、运动行为、遵医嘱用药情况、血糖自我监测情况、低血糖自行处理情况及血糖控制情况进行调查,并采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估心理状况,自尊量表(SES)评价自尊水平。结果:出院时两组空腹血糖、餐后2h血糖及糖化血红蛋白比较差异均无统计学意义;出院6个月后实验组空腹血糖、餐后2h血糖及糖化血红蛋白与出院时相比差异无统计学意义,对照组空腹血糖、餐后2h血糖及糖化血红蛋白均显著性高于出院时;出院后6个月实验组空腹血糖、餐后2h血糖及糖化血红蛋白均低于对照组。实验组饮食控制、运动锻炼、遵医嘱用药、血糖自我监测、低血糖自行处理依从性比例均高于对照组。出院6个月后,实验组SAS、SDS、SES评分均优于对照组。结论:延续性护理有利于提高老年糖尿病患者依从性,控制血糖水平,提高生活质量。
Objective: To investigate the effect of continuous nursing on the quality of life of elderly diabetic patients. Methods: A total of 120 elderly diabetic patients were enrolled in the People’s Hospital of Anji County from December 2014 to December 2015. The patients were divided into experimental group and control group according to random number method, 60 cases in each group. Both groups were given hospitalization Routine nursing and treatment. The experimental group were given continuous nursing intervention after discharge. The control group were not given continuous nursing intervention after discharged from the hospital. The patients were divided into two groups at 6 months after discharge: diet behavior, exercise behavior, medication compliance, (SAS), Self-rating Depression Scale (SDS), Psychological Status and Self-Esteem Scale (SES) to evaluate the level of self-esteem. Results: There was no significant difference in fasting blood glucose, 2h postprandial blood glucose and glycosylated hemoglobin when discharged from hospital. There was no significant difference in fasting blood glucose, postprandial blood glucose 2h and HbA1c after discharge from 6 months Significance, fasting blood glucose in the control group, 2h postprandial blood glucose and glycosylated hemoglobin were significantly higher than discharge; 6 months after discharge fasting blood glucose in the experimental group, postprandial blood glucose 2h and glycosylated hemoglobin were lower than the control group. The experimental group diet control, exercise, prescribed medication, self-monitoring of blood glucose, low blood sugar self-treatment compliance were higher than the control group. Six months after discharge, the scores of SAS, SDS and SES in the experimental group were all better than those in the control group. Conclusion: Continuous nursing is beneficial to improve the compliance of elderly diabetic patients, control blood sugar level and improve the quality of life.