社区综合护理干预对农村老年糖尿病患者遵医行为的影响

目的探讨社区综合护理干预对农村糖尿病患者遵医行为的影响。方法社区综合护理干预:为糖尿病患者建立个人健康档案;定期通知患者免费体检;对不能按时体检的患者进行家庭随访;进行健康知识教育;心理辅导。发放问卷调查干预前后的效果。结果干预前后患者在服药遵从、定期复查、合理饮食、合理运动、健康知识知晓率和健康行为形成率、血糖方面,分别经字2、U检验,P均<0.01,有显著性差异。结论社区综合护理干预能提高糖尿病患者的遵医行为;患者掌握测量和控制血糖的方法,维持血糖的稳定;帮助2型糖尿病患者建立合理的饮食、运动及健康行为习惯;提高健康知识知晓率和健康行为形成率。

Influence of community comprehensive nursing intervention on compliance of rural senile patients with diabetes

Objective To explore influence of community comprehensive nursing intervention on compliance of rural senile patients with diabetes. Methods Community comprehensive nursing intervention included:establishing health archives for patients with diabetes,informing patients to have free checkup regularly; home visiting for patients who were unable to have checkup regularly; performing health education; investigation with questionnaire and psychological consultation.The effects before and after intervention were compared. Results There were significant differences in patients' compliance with taking medicine,regular checkup,reasonable diet,adequate physical exercise,grasping rate of knowledge about health and the rate of healthy behavior and blood sugar between before and after intervention(tested by x2 and U,P<0.01). Conclusion Community comprehensive nursing intervention can improve the compliance of patients with diabetes,help them to understand the method of measuring and controlling blood sugar,maintain the stability of blood sugar,help patients with type 2 diabetes to have reasonable diet,physical exercise as well as healthy behavior and improve rate of knowledge about health and the rate of healthy behavior.