延续性护理干预对2型糖尿病患者血糖控制及生活质量的影响

目的:了解2型糖尿病患者临床延续性护理干预的过程,并对其临床疗效发挥在患者血糖控制、生活质量改善两方面所具备的应用价值进行评估.方法:本次研究由我院2型糖尿病患者参与进行,共80例,于2020年1月-12期间被我院收治.基于临床护理方式的应用,所有患者被分成两组,具体涉及常规护理、延续性护理干预两种模式,各自对应患者4...     

分析延续性护理模式对2型糖尿病患者生活质量的临床影响

目的探讨延续性护理模式对2型糖尿病患者生活质量的临床效果。方法样本时间:2017年1月-2018年8月期间,样本来源:在该院就诊的2型糖尿病患者,抽取82例,41例设为对照组,41例设为观察组,对照组给予常规护理,观察组在此基础上给予延续性护理模式,比较两组护理前后血糖水平(空腹血糖值、餐后2 h血糖)、生活质量评分与护理满意度。结果护理前,对照组血糖水平与观察组相比差异无统计学意义(P>0.05);护理后,观察组空腹血糖值、餐后2 h血糖水平与对照组相比差异有统计学意义(P<0.05);护理前,两组患者生活质量评分对比差异无统计学意义(P>0.05);护理后,观察组患者生理功能、心理功能、社会角色、总体质量评分与对照组差异有统计学意义(P<0.05);观察组患者护理满意度与对照组相比差异有统计学意义(P<0.05)。结论延续性护理模式对2型糖尿病患者生活质量的临床效果显著。     

延续性护理对2型糖尿病患者的临床实用价值及血糖情况分析

目的分析2型糖尿病患者接受延续性护理的实用价值与血糖状况。方法随机选择该院2016年6月-2019年1月收治的96例2型糖尿病患者,均分为对照护理组与延续性护理组,分别采用基础护理与延续性临床护理措施,对比96例2型糖尿病患者血糖情况、风险事件发生率以及遵医行为。结果对照护理组在血糖各项指标上均劣于延续性护理组,差异有统计学意义(P<0.05);对照护理组患者风险事件发生几率高于延续性护理组;对照护理组患者遵医行为数值低于延续性护理组,差异有统计学意义(P<0.05)。结论延续性护理具有极高的护理价值,有助于稳控2型糖尿病患者的血糖值,提高患者的依从性,拓展了护理范围,提升了护理时效性。     

延续性护理对2型糖尿病患者用药依从性、糖脂代谢及生活质量的影响

目的探讨延续性护理对2型糖尿病患者用药依从性、糖脂代谢及生活质量的影响。方法便利抽选2018年1-12月沛县中医院住院的2型糖尿病患者56例,采用随机法将患者分为对照组与实验组各28例。对照组予以常规护理的方法,实验组在对照组基础上,对患者出院后实施延续护理干预,对比两组效果。结果两组患者入组时在用药依从性、糖脂代谢及生活质量等指标对比差异无统计学意义(P>0.05),半年后指标相比入组时均有显著改善,差异有统计学意义(P<0.05)。结论延续性护理能改善2型糖尿病患者的糖脂代谢指标,提高患者的用药依从性、及生活质量。     

延续性护理模式联合康复干预对脑梗死伴2型糖尿病患者治疗效果及血糖控制的影响

目的探讨在脑梗死伴2型糖尿病患者中应用延续性护理模式联合康复干预的效果及对患者血糖控制的影响。方法将80例该院2017年2月—2019年2月收治的脑梗死伴2型糖尿病患者随机分为延续性护理组及对照组。对照组患者在出院时接受常规健康教育及电话随访指导,延续性护理组患者在出院时接受延续性护理联合康复干预。比较两组患者出院时、出院3个月后及出院6个月后的NIHSS量表得分、Fugl-Meyer量表得分、Barthel指数、SAS量表得分、SDS量表得分、SF-36量表得分、空腹血糖(FBG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbAlc)水平;比较两组患者出院6个月后的护理满意度。结果在出院3个月后及出院6个月后,延续性护理组患者NIHSS得分均低于对照组患者(P<0.01),Fugl-Meyer及Barthel得分均高于对照组患者(P<0.01);延续性护理组患者SAS及SDS量表得分均低于对照组患者(P<0.01);延续性护理组患者SF-36量表各维度得分均高于对照组患者(P<0.01);延续性护理组患者FBG、2 hPG及HbAlc水平均低于对照组患者(P<0.01);延续性护理组患者总满意率(100.0%)高于对照组患者(85.0%)(P<0.05)。结论延续性护理模式联合康复干预在脑梗死伴2型糖尿病患者中的应用效果显著,能够改善患者的神经功能、日常活动能力及自理能力,减少焦虑、抑郁等负性情绪的发生,改善患者生活质量,控制血糖,且患者接受度较高。     

2型糖尿病患者通过延续性护理对血糖和睡眠状况的效果分析

目的探索2型糖尿病患者通过延续性护理对血糖和睡眠状况的效果。方法选择该院2017年7月-2018年7月120例2型糖尿病患者为试验对象,选择区组随机化分组,各60例,分别选择延续性护理、常规护理。结果观察组睡眠质量总评分、HbAIc(糖化血红蛋白)、2 h PBC(餐后2 h血糖)、FBG(空腹血糖)低于对照组,差异有统计学意义(P<0.05)。结论延续性护理在2型糖尿病患者中效果显著,可改善当前睡眠状态和血糖值。     

延续性护理干预模式在2型糖尿病合并急性胃炎患者中的应用效果及生活质量影响

目的 探讨延续性护理干预模式在2型糖尿病合并急性胃炎患者中的作用.方法 选取2018年10月—2020年10月该院收治的84例2型糖尿病合并急性胃炎患者为研究对象,经抽签法均分为两组,对照组和观察组各42例,前者行常规护理,后者实施延续性护理,对比两组患者认知水平、护理前后心理状态、应对方式、血糖水平和生活质量.结果 ...     

延续性护理干预对糖尿病患者生活质量及疗效影响的研究

目的:分析糖尿病患者实施延续性护理对生活质量及临床疗效的影响.方法:选取我院收治的180例糖尿病患者,随机分为研究组和对照组,对照组患者给予常规健康教育和出院指导,研究组在对照组基础上给予延续性护理干预,观察两组患者生活质量及治疗效果情况.结果:研究组患者出院6个月后检测FPG以及HbAlc水平明显低于对照组,而心理卫...     

延续性护理在2型糖尿病患者中的效果及满意度和护理质量分析

目的:探讨罹患2型糖尿病患者应用延续性护理展开干预,观察满意度评分和护理质量评价.方法:对罹患2型糖尿病的60例患者予以选取,时间选取为2020年5月至2021年3月,随机分组,即对照组(应用临床常规专科护理模式)和观察组(应用延续性护理模式)各30例,就两组护理质量测评,出院时、出院后15天、1个月后的空腹血糖水平测...     

全程护理干预对社区糖尿病患者血糖控制及生活质量的影响

目的探讨分析全程护理干预对社区糖尿病患者血糖控制及生活质量的影响。方法在2018年4月—2019年4月期间该院收治的社区糖尿病患者中选取符合研究标准的60例,将之随机分为两组:一组实施全程护理干预,该组为观察组(30例);一组实施常规护理干预,该组为对照组(30例);对两组的以下几项指标进行观察和比较:干预前后的血糖水平变化、干预前后的生活质量评分、护理满意度。结果干预前比较两组的空腹血糖和餐后2 h血糖水平发现均差异无统计学意义(P>0.05);干预后比较两组的空腹血糖和餐后2 h血糖水平发现观察组均显著低于对照组(P<0.05)。干预前比较两组的生活质量评分发现均差异无统计学意义(P>0.05);干预后比较两组的生活质量评分发现观察组均显著高于对照组(P<0.05)。比较两组的护理满意度发现观察组显著高于对照组(P<0.05)。结论通过对社区糖尿病患者实施全程护理干预,可以有效提高其血糖控制效果及生活质量,使患者更加满意于社区护理服务,值得应用及推广。     

社区2型糖尿病患者自我效能与糖尿病控制状况及生活质量的相关性研究

目的 调查社区2型糖尿病患者的自我效能感、糖尿病控制状况及生活质量的现状,并探讨其之间相关性.方法 随机选取2019年1—12月期间该院就诊的150例社区2型糖尿病患者为研究对象.采用一般资料问卷、一般患者自我效能感量表(GSES)中文版、糖尿病控制状况评价量表(CSSD70)及简明健康状况调查问卷(SF-36)中文版...     

Primary Care Medical Home Experience and Health-Related Quality of Life Among Adult Medicaid Patients with Type 2 Diabetes

Purpose

To examine whether patient-reported indicators of medical home performance are associated with health-related quality of life (HRQOL) among adults with type 2 diabetes.

Methods

Cross-sectional survey of 540 patients with Medicaid insurance and type 2 diabetes in Los Angeles County. The Primary Care Assessment Tool was used to measure seven features of medical home performance. The EuroQol EQ-5D-3L (EQ-5D) was used to measure HRQOL.

Results

Higher total medical home performance was correlated with better overall HRQOL. A one-point change in total medical home score was associated with a 0.06-point higher score on the EQ-5D index [95 % confidence interval (CI): 0.01–0.11], which is a clinically meaningful difference. The total score was also significantly associated with a lower likelihood of problems on one domain of the EQ-5D (pain). Longitudinality was the only medical home feature associated with better general health status (ordered odds ratio = 1.78; 95 % CI: 1.04–3.03). The positive relationship of medical home with the EQ-5D appears to be present predominantly among women.

Conclusion

Overall medical home experience is favorably associated with HRQOL among vulnerable adult patients with type 2 diabetes. Provider efforts to improve the overall medical home experience for patients may contribute to improvements in HRQOL.KEY WORDS: Primary care, Medical home, Diabetes, Access, Health-related quality of life     

2型糖尿病患者心理干预对糖尿病人生活质量的研究

目的探讨用积极心理学为基础的干预方法对2型糖尿病患者生活质量的影响。方法选择250例2012年3月—2015年3月在该院门诊及住院的初诊T2DM患者为研究对象,随机选择125例为干预组、125例为对照组。干预组在常规护理的基础上给予心理干预,对照组实施常规护理。3个月后,分别对其进行SAS、SDS测试和36简式健康状况调查问卷进行评定。结果分析比较两组患者的问卷测量,治疗后测试评分均比治疗前明显降低,且干预组评分明显低于对照组,两组比较差异均有统计学意义(P0.05)。结论心理干预可以明显降低患者的焦虑和抑郁情绪,并有效改善糖尿病人的生活质量。     

健康管理干预对社区2型糖尿病患者生活质量的效果评价

目的探讨健康管理干预对社区2型糖尿病患者生活质量的影响。方法采用调查问卷方式对21家社区健康服务中心182例糖尿病患者的糖尿病知识、自我护理能力、糖尿病代谢各种自控指标、生活满意度进行健康管理前后的评估,同时根据评估情况进行个性化健康管理。结果干预前后182例糖尿病患者糖尿病基本知识、并发症预防知识及检查治疗知识、空腹血糖、餐后2h血糖、末梢血血糖间差异均有统计学意义（P〈0．01）。干预前、后患者定期监测血糖、足部自我检查率间差异均有统计学意义（P〈0．01）。干预前后患者体力健康、精神健康、总体功能及总分、生活满意度差异均有统计学意义（P〈0．01）。结论健康管理的实施能有效改善2型糖尿病患者的整体健康状况和生活质量。     

健康干预对社区2型糖尿病患者生活质量的影响

目的探讨健康干预对社区2型糖尿病患者生活质量的影响。方法采用调查问卷方式对社区健康服务中心182例糖尿病患者糖尿病知识、自我护理能力、糖尿病代谢各种自控指标、生活满意度进行健康管理前后的评估,同时根据评估情况进行个性化健康管理。结果健康干预前后患者的自我护理能力,糖尿病知识知晓率及总评分,糖尿病代谢自控指标、生活满意度均有明显提高(P0.01)。结论健康干预的实施能有效改善被管理人员的整体健康状况和生活质量。     

Impact of Delaying Blood Pressure Control in Patients with Type 2 Diabetes: Results of a Decision Analysis

BACKGROUND

In patients with diabetes, delays in controlling blood pressure are common, but the harms of delays have not been quantified.

OBJECTIVE

To estimate the harms of delays in controlling systolic blood pressure in middle-aged adults with newly diagnosed Type 2 diabetes.

DESIGN

Decision analysis using diabetes complication equations from the United Kingdom Prospective Diabetes Study (UKPDS).

PARTICIPANTS

Hypothetical population of adults aged 50 to 59?years old with newly diagnosed Type 2 diabetes based on characteristics from the National Health and Nutrition Examination Surveys.

INTERVENTION

Delays in lowering systolic blood pressure from 150 (uncontrolled) to 130?mmHg (controlled).

MAIN MEASURES

Lifetime complication rates (amputation, congestive heart failure, end-stage renal disease, ischemic heart disease, myocardial infarction, and stroke), average life expectancy and quality-adjusted life expectancy (QALE).

KEY RESULTS

Compared to a lifetime of controlled blood pressure, a lifetime of uncontrolled blood pressure increased complications by 1855 events per 10,000 patients and decreased QALE by 332?days. A 1-year delay increased complications by 14 events per 10,000 patients and decreased QALE by 2?days. A 10-year delay increased complications by 428 events per 10,000 patients and decreased QALE by 145?days. Among complications, rates of stroke and myocardial infarction increased to the greatest extent due to delays. With a 20-year delay in achieving controlled blood pressure, a baseline blood pressure of 160?mmHg decreased QALE by 477?days, whereas a baseline of 140?mmHg decreased QALE by 142?days.

CONCLUSIONS

Among middle-aged adults with diabetes, the harms of a 1-year delay in controlling blood pressure may be small; however, delays of ten years or more are expected to lower QALE to the same extent as smoking in patients with cardiovascular disease.     

综合护理干预对老年高血压合并2型糖尿病患者血压、血糖的影响探讨

目的探讨综合护理干预对老年高血压合并2型糖尿病患者血压、血糖的影响,为临床工作者提供参考。方法回顾分析自2013年1月—2014年12月期间,该院收治的80例老年高血压合并2型糖尿病患者的临床资料。按入院先后顺序将患者分为观察组(n=40)和对照组(n=40),两组患者均接受常规治疗,对照组患者治疗期间接受常规护理,观察组患者接受综合护理干预。比较两种护理方式对老年高血压合并2型糖尿病患者血压、血糖的影响。结果两组患者经治疗护理后的血压、血糖值较治疗前明显下降(P0.05),观察组的血压、血糖值下降更为明显,组间差异有统计学意义(P0.05)。结论综合护理干预老年高血压合并2型糖尿病患者,能有效控制患者的血压、血糖,具有应用价值。     

Diabetes Care in South Asian and White European Patients with Type 2 Diabetes

Aspects of diabetes care in South Asian and white European patients with Type 2 diabetes attending a hospital review clinic were explored. Among the clinic population of 1710 patients, 25B (15%) were of South Asian origin. A significantly greater proportion (95% CI for difference in proportions 8–22%) of these patients was treated with oral hypoglycaemic drugs than in white Europeans, in whom there was a correspondingly greater proportion receiving insulin treatment. In a case-control study, where 154 patients in each racial group were stratified according to treatment regimen, significantly more South Asian patients (13/30 vs 6/30, p < 0.05) on insulin were treated with a once-daily regimen. Despite these observed differences in treatment of diabetes, glycaemic control was no worse in South Asian patients when compared to their white European counterparts. South Asian diabetic patients attending hospital diabetes clinics in the UK can experience similar levels of glycaemic control to white Europeans.     

Whole-body Glucose Metabolism in Obese Patients with Type 2 Diabetes Mellitus: the Impact of Hypertension and Strict Blood Glucose Control

We have examined the impact of hypertension and blood glucose control on insulin sensitivity in obese Type 2 (non-insulin-dependent) diabetic patients. Glucose metabolism in the basal state and in response to insulin was examined using the euglycaemic, hyperinsulinaemic (2 mU kg^?1 min^?1) clamp technique in combination with 3-[3H]-glucose infusion and indirect calorimetry in 60 obese Type 2 diabetic patients (30 normotensive patients and 30 hypertensive patients on antihypertensive treatment) and 10 obese normotensive control subjects. In the basal state and during hyperinsulinaemia, glucose disposal rates (total, oxidative, and nonoxidative) were similar in Type 2 diabetic patients with or without hypertension (230 ± 83 vs 270 ± 114 mg m^?2min^?1 (NS), 83 ± 28 vs 95 ± 7 mg m^?2 min^?1 (NS), 148 ± 70 vs 180 ± 89 mg m^?2 min^?1 (NS), treated hypertensive vs normotensive subjects, respectively). However, compared to obese control subjects (403 ± 65 mg m^?2 min^?1) both groups of diabetic patients had significantly decreased insulin-stimulated glucose disposal rates (p < 0.005). Even in a subset of Type 2 diabetic patients with long-term (> 6 months) near normal blood glucose control (HbA_1c < 6.1 %) significant defects were detectable in whole-body glucose and lipid metabolism when compared to control subjects. These results indicate that treated hypertension does not significantly aggravate the insulin insensitivity that is already present in Type 2 diabeted mellitus. Furthermore, Type 2 diabetic patients with long-term good metabolic control continue to demonstrate insulin insensitivity in peripheral tissues.