2型糖尿病的社区护理干预效果观察

摘要

Objective To explore the community nursing mode of patients with diabetes B. Methods 218 patients were given 1 year of community nursing intervention.The changes of health literacy,behaviour and blood glucose levels of patients with diabetes B before and after intervention were compared. Results The comparison of before and after 1 year of community care found that the diabetes knowledge rate (x2=41.65,P<0.01), compliance behavior rate(x2=31.72,P < 0.01),self-management capacity rate(x2=30.11,P < 0.01), insisted exercise rate(x2=14.92, P< 0.01) had significantly improved; Fasting blood glucose levels(t=6.13,P < 0.01), after meals 2 hours postprandial blood glucose(t=3.15,P < 0.01),levels of glycosylated hemoglobin(t=9.82,P < 0.01),BMI index(t=5.44,P < 0.01) had significantly dropped on average. Conclusion Community nursing mode has better effect for the improvement of health literacy,behaviour and blood glucose levels in patients with diabetes B.%目的探讨2型糖尿病患者的社区护理模式。方法对218例患者进行为期1年的社区护理干预，对比干预前后2型糖尿病患者在健康素养、行为习惯和血糖水平等方面的变化。结果对社区护理1年前后进行比较发现，在糖尿病知识知晓率（x 2=41.65，P＜0.01）、遵医行为率（x 2=31.72，P＜0.01）、自我管理能力率（x 2=30.11，P＜0.01）、坚持运动率等（x2=14.92，P＜0.01）几个方面具有显著提高；空腹血糖水平（t=6.13，P＜0.01）、餐后2h血糖（t=3.15，P＜0.01）、糖化血红蛋白水平（t=9.82，P＜0.01）、BMI指数（t=5.44，P＜0.01）平均有显著下降。结论社区护理模式对2型糖尿病患者健康素养、行为习惯和血糖水平的改善具有较好的效果。