不同延续护理方式对2型糖尿病患者自我效能及治疗效果的影响

目的探究不同延续护理模式对2型糖尿病患者自我效能及治疗效果的影响。方法选取2017年10月-2018年3月我院收治的在院期间血糖控制达标的2型糖尿病患者142例为研究对象,采用随机数字表法将其分为一体化组(72例)和常规组(70例),常规组采用传统延续护理模式,一体化组采用信息技术支持下医院-社区-家庭一体化延续护理模式。随访6个月后,比较2组患者血糖控制情况、自我管理效能及生活质量。结果一体化组患者空腹血糖、餐后2h血糖、糖化血红蛋白水平及体质指数均较常规组降低(P<0.05);一体化组患者在饮食、运动、血糖监测和足部护理方面的自我管理效能均优于常规组(P<0.05),用药行为方面,2组得分差异无统计学意义(P>0.05);2组患者DSQL生活质量评分在时间及组间方面比较,差异有统计学意义(P<0.05)。结论基于信息化技术的医院-社区-家庭一体化延续护理模式可提高T2DM患者自我管理能力,改善患者血糖控制情况和生活质量。

Influence of different continuous nursing methods on treatment effect and self-efficacy of patients with type 2 diabetes mellitus

Objective To explore the influence of different continuous nursing methods on treatment effect and self-efficacy of patients with type 2 diabetes mellitus(T2DM). Methods Totally 142 T2DM patients admitted to our hospital between October 2017 and March 2018 were randomly divided into a regular group (n=70) and an integrated group (n=72), according to a random number table. The regular group was given routine continuous nursing, while the integrated group was provided with IT-supporting hospital-community-family integrated continuous nursing. Six months after the discharge, the blood sugar control, self-management efficiency and quality of life were compared between the two groups. Results After the intervention for 6 months, the fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin level and body mass index of the integrated group were significantly lower than those of the regular group. The self-management in diet, exercise, blood sugar monitoring and foot care of the integrated group was significantly better than the latter. There was no significant difference between the two groups in medication. With the passing of time, the disease specific quality of life (DSQL) scores decreased gradually, with that of the integrated group still significantly lower than the latter (P<0.05). Conclusion The hospital-community-family integrated continuous nursing based on information technology can improve the self-management, the blood sugar control and life quality of patients with type 2 diabetes mellitus.