对出院糖尿病病人进行延续性教育的效果研究

[目的]探讨对出院糖尿病(DM)病人进行延续性小组教育的效果。[方法]对同期75例符合条件确诊DM的出院病人非随机分为实验组39例和对照组36例。实验组病人参加每周1次、每次2h的回院随访,随访内容包括糖尿病知识培训,监测末梢血糖、称体重、量血压、腰臀围,提供自我管理方面的相关指导。每次人数12人~16人,随访次数为12次,为期3个月。对照组病人通过回院复诊、糖尿病专科护理门诊来随访。对干预前、后病人的空腹末梢血糖、餐后2h末梢血糖、糖化血红蛋白(HbA1c),再入院率,病人对医院的综合满意度进行比较。[结果]实验组的空腹末梢血糖、餐后2h末梢血糖、HbA1c明显优于对照组,差异有统计学意义(P0.05);实验组的再入院率低于对照组,差异有统计学意义(P0.05);实验组对医院的综合满意度优于对照组,差异有统计学意义(P0.01)。[结论]对出院糖尿病病人进行延续性小组教育可以促使病人的各项监测指标达标,并可以降低再住院率,提升病人对医院的综合满意度。

Study on effect of continuing education on discharged patients with diabetes mellitus

Objective:To probe into the effect of continuing education on discharged patients with diabetes mellitus.Methods:A total of 75 cases of discharged patients with DM were randomly divided into experimental group(n=39) and control group (n=36).The patients in experimental group 1 times a week,every 2 h of follow-up,follow-up including diabetes knowledge training,monitoring of blood glucose,body weight,blood pressure,waist and hip circumference,guidance to provide self management.Each time the number of 12 to 16 people,followed up for a number of 12 times,for a period of 3 months.Patients in the control group were followed up by the return visit to the hospital and the diabetes specialist nursing clinic.Then,the fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin (HbA1c),readmission rate,and patient satisfaction with the hospital were compared before and after the intervention.Results:The fasting blood glucose and glycated hemoglobin (HbA1c) were significantly higher in the experimental group than those in the control group (P<0.05).The rate of readmission in the experimental group was lower than that in the control group (P<0.05).Experimental group overall satisfaction hospital than the control group,the difference was statistically significant (P<0.01).Conclusion: Continuing education of patients with discharged diabetes could promote the patient's monitoring indicators of compliance.And it could reduce rehospitalization rates,reduce medical expenses,and improve the patient's overall satisfaction with the hospital.