探討護理干預對社區糖尿病患者自我管理能力的效果評價

李寧捷

[摘要] 目的 通過對比綜合護理和常規護理干預社區糖尿病患者對其自我管理能力的影響，分析綜合護理干預的應用價值。方法 以該社區2017年1月—2018年1月期間60例糖尿病患者作為研究對象，采取抽簽的方式隨機分為實驗組和對照組，對照組給予常規護理，實驗組給予綜合護理，于干預前后分別采SDSCA對患者自我管理行為進行評價，并對比干預前后血糖變化情況。 結果 兩組患者干預前藥物依從性、飲食控制、血糖監測、運動鍛煉、足部護理以及總評分相比差異無統計學意義（P>0.05），干預后各項SDSCA評分相比差異有統計學意義（P<0.05），干預前后兩組患者組內各項SDSCA評分相比差異有統計學意義（P<0.05）。兩組患者干預前空腹血糖（FBG）、餐后2 h血糖（2 hPG）、糖化血紅蛋白（HbA1c）比較差異無統計學意義（P>0.05），干預后各項血糖指標比較差異有統計學意義（P<0.05）。結論 綜合護理干預應用于社區糖尿病能夠提高患者自我管理能力，具有一定的臨床意義，值得大力推廣應用。

[關鍵詞] 綜合護理干預;社區糖尿病;自我管理能力;臨床意義

[中圖分類號] R587.1 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1672-4062（2019）08（a）-0008-03

[Abstract] Objective To analyze the impact of comprehensive nursing and routine nursing intervention on the self-management ability of community diabetes patients， and to analyze the application value of comprehensive nursing intervention. Methods Sixty patients with diabetes mellitus from January 2017 to January 2018 in this community were randomly divided into experimental group and control group. The control group received routine nursing and the experimental group received comprehensive nursing. SDSCA was used to evaluate the self-management behavior of patients， and the changes of blood glucose before and after intervention were compared. Results There were no significant differences in drug compliance， diet control， blood glucose monitoring， exercise， foot care， and total scores between the two groups （P>0.05）. The differences in SDSCA scores after the intervention were statistically significant （P<0.05）， the difference of SDSCA scores between the two groups before and after intervention was statistically significant （P<0.05）. There was no significant difference in fasting blood glucose （FBG）， postprandial 2 h blood glucose （2 hPG） and glycosylated hemoglobin （HbA1c） between the two groups （P>0.05）. The difference of blood glucose indexes after intervention was statistically significant （P<0.05）. Conclusion The application of comprehensive nursing intervention to community diabetes can improve the self-management ability of patients， which has certain clinical significance and is worthy of popularization and application.

[Key words] Comprehensive nursing intervention; Community diabetes; Self-management ability; Clinical significance

該次研究課題以2017年1月—2018年1月收治的60例社區糖尿病患者的護理為中心，根據糖尿病的疾病特點以及患者對護理干預的需求制定綜合護理干預措施，并與常規護理作對比，主要比較兩種護理干預后患者自我管理能力和血糖控制情況，旨在為社區糖尿病的護理提供有價值的參考[1-2]，現報道如下。