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目的探讨参与型护理模式对2型糖尿病(T2DM)患者血糖、血脂水平及自护能力的影响。方法选择信阳市中心医院92例T2DM患者,依据建档顺序分为观察组和对照组,每组46例。对照组采取常规护理,观察组行参与型护理模式实施护理,比较两组护理前、护理3个月后血糖指标[空腹血糖(FPG)、外周血糖化血红蛋白(Hb A1c)]与血脂指标[低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)]水平及护理后自我护理能力(ESCA)评分。结果观察组护理后FPG、Hb A1c、LDL-C、TC分别为(6.14±1.92)mmol/L、(6.03±1.16)%、(2.91±1.24)mmol/L、(4.76±1.35)mmol/L,均较对照组降低(P<0.05);观察组护理后自我概念、自我护理技能、自护责任感、健康知识水平评分均较对照组提高(P<0.05)。结论对2型糖尿病患者行参与型护理模式实施护理可明显降低患者血糖、血脂水平,提高其自护能力。
Objective To explore the effects of participatory nursing on blood glucose, blood lipid and self-protection in type 2 diabetes mellitus (T2DM). Methods 92 cases of T2DM patients in Xinyang Central Hospital were divided into observation group and control group according to the order of filing, with 46 cases in each group. The control group was given routine nursing care and the observation group was given care in the participatory nursing mode. The blood glucose levels (fasting blood glucose (FPG), peripheral blood glycosylated hemoglobin (Hb A1c) (LDL-C), total cholesterol (TC)], and post-nursing self-care ability (ESCA) scores. Results The levels of FPG, Hb A1c, LDL-C and TC in the observation group were (6.14 ± 1.92) mmol / L, (6.03 ± 1.16)%, (2.91 ± 1.24) mmol / L and (P <0.05). The scores of self-concept, self-care skills, self-care responsibility and health knowledge in the observation group were significantly higher than those in the control group (P <0.05). Conclusions Nursing type 2 diabetic patients with participatory nursing care can significantly reduce blood glucose and blood lipid levels and improve their self-care ability.