延续护理对老年糖尿病患者血糖水平、遵医行为及生活质量的影响

目的：探讨延续护理对老年糖尿病患者血糖水平、遵医行为及生活质量的影响。方法：选取240例老年糖尿病患者，随机分为观察组和对照组各120例，对照组采用常规护理方法，观察组在常规护理的基础上采取延续护理。结果：干预6个月后，观察组空腹血糖（FBG）、糖化血红蛋白（HbA1c）水平均低于对照组，观察组在遵医嘱服药、饮食控制、运动适量、血糖异常处理、自我监测等方面遵医行为得分均高于对照组，观察组健康调查简表（SF-36）各维度得分均高于对照组，差异有统计学意义（P＜0.01）；观察组患者血糖达标率高于对照组，差异有统计学意义（P<0.01）；两组并发症发生率差异无统计学意义（P＞0.05）。结论：延续护理可有效提高老年糖尿病患者血糖控制水平及遵医行为，提高患者生活质量。

Influence of continuing nursing on blood sugar level,compliance behavior and quality of life for elderly diabetic patients

Objective: To explore the effect of continuing nursing on blood sugar level, compliance behavior and quality of life for elderly diabetic patients. Methods: 240 elderly patients with diabetes mellitus were randomly divided into observation group and control group, 120 cases in each group. Patients in control group were given routine nursing, while patients in observation group were given continuity of nursing based on routine nursing.Results: After 6 months of intervention, the levels of fasting blood sugar(FBG) and glycosylated hemoglobin(HbA1c) in the observation group were lower than those in the control group. The scores of compliance behavior of patients in the observation group were higher than those in the control group in the aspects of medication, diet control, proper exercise, treatment of abnormal blood sugar and self-monitoring. The scores of each dimension of SF-36 in the observation group were higher than those in the control group and there were significant differences between the two groups（P<0.01）. The blood sugar compliance rate in the observation group was higher than that in the control group（P<0.01）, while there was no significant difference in the incidence of complications between two groups（P＞0.05）.Conclusion: Continuing nursing can effectively improve blood sugar control level and compliance behavior, so as to improve patients' quality of life for elderly patients with diabetes mellitus.