糖尿病患者社区综合护理效果观察

目的制订糖尿病患者护理干预措施，探讨社区护理对糖尿病患者康复的影响。方法选择社区内确诊的2型糖尿病患者61例，建立个人健康档案，给予健康教育，包括饮食、运动、心理、督导药物治疗及定期血糖监测等干预措施。比较干预措施实施前后患者遵医行为，空腹血糖及糖化血红蛋白控制情况。结果社区护理行为干预后，糖尿病患者定期体检、饮食控制、定期血糖监测和运动疗法等遵医行为人数较干预前明显提高，差异有统计学意义（P〈0．05）；干预后空腹血糖和糖化血红蛋白控制良好，较干预前差异有统计学意义（P〈0．01）。结论对糖尿病患者采用社区护理行为干预，效果良好。

Observation of effect of comprehensive community nursing on patients with diabetes mellitus

Objective To establish nursing intervention for patients with diabetes mellitus and discuss influence of community nursing on rehabilitation of patients with diabetes mellitus. Methods Patients with confirmed diagnosis of type two diabetes mellitus （61 cases） were selected,individual health records were established and health education was given to them,including diet,exercises,psychological nursing,medication instruction and regular blood glucose monitoring. Patients compliance,control of fasting blood glucose and glycesylated hemoglobin were compared before and after nursing intervention. Resulls Patients compliance such as regular physical examination,diet control,regular blood glucose monitoring and exercises treatment improved after intervention compared with those before community intervention （P 〈 0.05）. The control of fasting blood glucose and glycesylated hemoglobin was better after intervention compared with those before community intervention （P 〈 0.01 ）. Condusion Community nursing intervention for patients with diabetes mellitus proved to have good effect.