个案管理在糖尿病疾病护理中的应用研究

目的探讨个案管理在糖尿病患者护理中的应用价值。方法随机选取86例于2016年5月-2018年12月被本院确诊的糖尿病患者进行研究,依照患者前来本院的次序分至对照组和观察组,分别予以常规管理和个案管理,进行两组管理成效的对比。结果两组患者管理前的血糖和糖化血红蛋白水平差异无统计学意义(P> 0.05),观察组管理后空腹血糖、餐后2 h血糖和糖化血红蛋白分别为(7.6±0.5)mmol/L、(11.9±0.7) mmol/L和(10.8±1.0)%,与对照组相比,数据差异有统计学意义(P <0.05);两组患者自我管理能力得分为(76.2±2.6)分和(91.0±2.2)分,差异有统计学意义(P <0.05);两组患者满意度间差异有统计学意义(P <0.05)。结论个案管理利于糖尿病患者血糖控制,也可提高自我管理能力和满意度。

The Application of Case Management in Diabetes Care

Objective To explore the application value of case management in the nursing of diabetic patients. Methods 86 patients with diabetes diagnosed in the hospital from May 2016 to December 2018 were randomly selected for the study. The patients were divided into the control group and the observation group according to the order in which they came to the hospital for routine management and case management. Routine management and case management were conducted respectively, and the management effects of the two groups were compared. Results There was no statistically significant difference in blood glucose and glycosylated hemoglobin levels between the two groups(P > 0.05). After management, fasting blood glucose, 2 h postpranational blood glucose and glycosylated hemoglobin in the observation group were(7.6±0.5) mmol/L,(11.9±0.7) mmol/L and(10.8±1.0) % respectively, which were significantly higher than those in the control group, the difference was statistically significant(P < 0.05). The scores of self-management ability of the two groups were(76.2±2.6) points and(91.0±2.2) points, the difference was statistically significant(P < 0.05). There was statistically significant difference between the two groups in satisfaction(P < 0.05). Conclusion Case management is beneficial to blood glucose control in diabetic patients, and can improve self-management ability and satisfaction.