Objective To explore the effect of community family nursing intervention on glycemic control of type 2 diabetic patients. Methods Ninety-two patients with type 2 diabetes after discharge in 6 communities of Tianhe District in Guangzhou were divided into a study group and a control group , 46 cases in each . The control group received routine care , while patients in the study group received additional community family nursing intervention, including personalized health education, diabetes family day and sharing, telephone follow-up and family home visits. The fasting plasma glucose, 2h-postprandial glucose and glycosylated hemoglobin A1c were compared. Results There were no significant differences in fasting plasma glucose, 2h-postprandial glucose and glycosylated hemoglobin A1c (all P>0.05). After intervention, there were significant differences in the three eridoxes between the two groups(all P<0.05). Conclusion The community family nursing intervention is of great importance to control the blood glucose, improve the therapeutic compliance and self-management ability in patients with type 2 diabetes.%目的 探讨社区家庭护理干预对2型糖尿病患者血糖控制的效果.方法 选取本市天河区某6个社区出院后的2型糖尿病患者92例,将患者分为对照组与试验组,每组分别抽取3个社区,每组各46例,同时分别选择患者家属各46名.对照组患者及其家属采用常规护理,试验组患者及其家属在此基础上进行社区家庭护理干预.比较两组患者干预前及干预后1年空腹血糖、餐后2h血糖、糖化血红蛋白的情况.结果 两组患者干预前空腹血糖、餐后2h血糖、糖化血红蛋白各项指标比较,均P>0.05,差异无统计学意义;两组患者干预后空腹血糖、餐后2 h血糖、糖化血红蛋白各项指标比较,均P<0.05,差异具有统计学意义,试验组患者血糖各项指标明显优于对照组.结论 社区家庭护理干预对降低糖尿病患者的血糖,提高患者的治疗依从性和自我管理能力具有重要的意义.
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