延续性护理对老年糖尿病患者自我护理能力的影响

目的探讨延续性护理对老年糖尿病患者自我护理能力的影响。方法 180例老年糖尿病患者随机分为实验组和对照组,两组患者住院期间均按照糖尿病常规护理进行护理及宣教,实验组在出院后继续给予延续性护理干预及随访。对两组患者在出院时和出院1年后采用自我护理能力测定量表（exercise of self-care agency scale,ESCA）进行调查,评估其自我护理状况。结果两组老年糖尿病患者出院时的自我护理能力比较,无统计学差异。1年后,实验组ESCA总分（118.25±11.02）及各维度评分均高于出院时评定得分,同时也高于同期对照组总分（101.87±10.12）及各维度评分,差异均有统计学意义（P〈0.05）。结论延续性护理能够明显改善老年糖尿病患者的自我护理能力。

Effect of continuing nursing service for elderly patients with diabetes

Objective To study the effect of continuing nursing service on elderly patients with diabetes. Methods 180 patients with diabetes were divided into two groups： study group and control group. In both groups the routine nursing service was performed. Additionally,For the study group,continuing nursing care was implemented after they were discharged. The exercises of selfcare agency scale were collected from both groups at the baseline and one year after they left hospital. Results At baseline,the selfcare abilities of participants were in the medium level and there was no significant difference between both groups. The self-care ability of the study group（ 118. 25 ± 11. 02） was higher than that of the control group（ 101. 87 ± 10. 12） after intervention（ P〈0. 05）.Conclusions Continuing nursing service can significantly improve the self-care ability of elderly patients with diabetes.