社区护理干预对老年糖尿病患者生活质量的影响

目的 研究护理干预对本社区老年糖尿病患者生活质量的影响。方法 采用康耐尔医学指数健康问卷设计的糖尿病知1只问卷，对95例社区老年糖尿病患者糖尿病知识、自我管理能力、糖尿病代谢控制指标、生活满意度进行干预前后评估，根据评估结果进行糖尿病知识讲座、个体针对性治疗、饮食、运动、药物、自我监测、并发症防治、足部护理、心理卫生指导等社区护理干预。结果 持续干预后患者的自我管理能力、糖尿病知识总评分、糖尿病代谢指标、对生活的满意度均明显优于干预前；干预前后比较均有显著性差异（P〈0．01或P〈0．001）。结论 针对性的社区护理干预能有效促进社区老年糖尿病患者病情的良性转归，提高生活质量。

The Effect of Community Nursing Intervention on the Life of Senile Diabetes

Objective To study the effect of community nursing intervention on the quality of life of senile diabetes.Methods A questionnaire on diabetes knowledge based on Cornell Medical Health Questionnaire was used to investigate 95 community senile diabetes patients regarding diabetes knowledge,self-management,control index for diabetes metabolism,and satisfaction degree of life,before and after nursing intervention.Based on the results,pertinent community nursing intervention was performed by lecture on diabetes knowledge,individual treatment,diet,physical exercise,medication,self-monitoring,prevention and treatment of complications,foot nursing,instruction on mental health.Results There were great improvement in view of self-management,diabetes knowledge,index of diabetes metabolism,comfort degree with life after continual intervention,with significant difference between pre-and post-intervention(P<0.01 or P<0.001).Conclusion The pertinent community nursing intervention is effective in promoting the development of diabetes in old patients and enhancing quality of life.