社区护理干预对糖尿病患者遵医行为及血糖控制情况的影响分析

摘要

Objective To investigate the effect of community nursing intervention on compliance behavior and glycemic control in patients with diabetes. Methods 75 cases with diabetics selected from November 2012 to November 2013 in our hospital were studied, randomly divided into two groups, were routinely taken hypoglycemic drugs, 37 patients in the control group were given conventional health education and care, 38 patients in the observation group were given community nursing intervention on the basis of the implementation of routine health education and care, the two groups were compared in compliance rate, glycemic control at discharge and end of the follow-up. Results The review, diet, medication, self-monitoring and compliance rate of exercise in the observation group were higher than those in the control group(P < 0.05). The fasting blood glucose and postprandial 2h blood glucose in both groups at the end of the follow-up were less than those at discharge, but the difference was statistically significant in the observation group(P < 0.05), the fasting blood glucose and postprandial 2h blood glucose in the observation group at the end of the follow-up were less than those in the control group(P < 0.05). Conclusion Community nursing intervention can improve the compliance rate of patients with diabetes, better control the blood sugar, and can be widely applied.%目的：探讨社区护理干预对糖尿病患者遵医行为及血糖控制情况的影响。方法选取2012年11月~2013年11月本院收治的糖尿病患者75例进行研究，随机分为两组，均常规服用降糖药物，对照组37例实施常规的健康教育及护理，观察组38例在常规健康教育及护理的基础上实施社区护理干预，比较两组遵医率、出院时及随访结束血糖控制情况。结果观察组复查、饮食、服药、自我监测及运动的遵医率与对照组比较较高（P＜0.05）。两组随访结束时空腹血糖及餐后2h血糖均低于出院时，但是观察组差异有统计学意义（P＜0.05），随访结束时观察组空腹血糖及餐后2h血糖均低于对照组（P＜0.05）。结论社区护理干预能使糖尿病患者的遵医率提高，控制血糖效果较好，可以推广应用。