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目的:探讨社区全科护理在糖尿病患者中的规范化管理对患者的遵医行为、生活质量以及并发症的效果观察。方法:在绍兴市马山镇卫生院2016年1-12月收治的糖尿病患者中选取180例患者,随机分为研究组与对照组,每组90例,研究组患者在出院后采取社区全科护理,对照组未进行社区全科护理,分别在5个月后调查其遵医行为、生活质量以及并发症发生情况。结果:究组患者服药遵医行为70例(77.78%)、饮食控制54例(60.00%)、作息安排49例(54.44%)等方面明显优于对照组服药遵医行为48例(53.33%)、饮食控制39例(43.330%)、作息安排19例(21.11%)(P<0.05);在运动方面、血糖自我监控等方面,两组患者无明显差异(P>0.05)。研究组患者生理方面(55.65±9.93)分、心理方面(54.72±11.27)分、社会方面(53.42±10.71)分、环境方面得分(51.25±9.81)分明显高于对照组生理方面(43.82±10.32)分、心理方面(45.31±10.57)分、社会方面(48.63±10.29)分、环境方面得分(40.33±10.54)分(P<0.05)。研究组患者营养不良1例(1.11%)、低血糖4例(4.44%)、感染11例(12.22%)、酮症酸中毒1例(1.11%)明显低于对照组营养不良8例(8.89%)、低血糖12例(13.33%)、感染22例(24.44%)、酮症酸中毒7例(7.78%)(P<0.05)。结论:社区全科护理在糖尿病患者中的规范化管理可以提高患者的遵医行为与生活质量,并控制患者并发症的发生,可以降低全社会对糖尿病患者的医疗支出。
Objective: To investigate the effect of standardized management of community general nursing in patients with diabetes on compliance behavior, quality of life and complications. Methods: One hundred and eighty patients were randomly divided into study group and control group with 90 cases in each group. The patients in study group were discharged from the community Nursing, the control group did not conduct community-wide care, respectively, after 5 months to investigate compliance with their behavior, quality of life and complications. Results: The patients in the study group were significantly better than the control group in medication compliance in 48 cases (53.33%), 70 cases (77.78%), 54 cases (60.00%) of dietary control and 49 cases (54.44% , Diet control in 39 cases (43.330%), and schedule in 19 cases (21.11%) (P <0.05). There was no significant difference between the two groups in exercise and blood glucose monitoring (P> 0.05). The patients in the study group were significantly higher than those in the control group (55.65 ± 9.93), psychological (54.72 ± 11.27), social (53.42 ± 10.71), and environmental (51.25 ± 9.81) points (43.82 ± 10.32 ), Psychological (45.31 ± 10.57), social (48.63 ± 10.29), environmental (40.33 ± 10.54) points (P <0.05). Malnutrition was found in 1 case (1.11%), hypoglycemia in 4 cases (4.44%), infection in 11 cases (12.22%) and ketoacidosis in 1 case (1.11% %), Hypoglycemia in 12 cases (13.33%), infection in 22 cases (24.44%) and ketoacidosis in 7 cases (7.78%) (P <0.05). Conclusion: The standardized management of community general nursing in diabetic patients can improve the compliance and quality of life of patients and control the occurrence of patients’ complications, and can reduce the whole society’s medical expenditure on patients with diabetes.