糖尿病患者血糖自我监测与医护照顾期望的调查

摘要

目的 了解糖尿病患者血糖自我监测(self-monitoring of blood glucose,SMBG)现状与对医护照顾的期望.方法 采取便利抽样法,选择2012年7-8月就诊于同济大学附属第十人民医院的糖尿病患者105例,采用问卷调查法进行调查,内容包括患者基本状况、SMBG现状和对医护照顾的期望.结果 ①SMBG方面:48.6％患者没有进行SMBG,11.4％患者SMBG后没有记录;但88.6％患者认为,SMBG对自身健康有帮助.②医护照顾期望方面:81.0％患者认为,需要从医护人员那里获得远程实时照顾;90.5％患者认为,获得医护人员的时刻关注对身体健康是有益的;81.0％患者希望在医护照顾系统中能够有属于自己的糖尿病管理档案.结论 基于医院-社区-家庭联动机制,启动糖尿病管理项目,对糖尿病患者进行延续性护理照护,改善糖尿病患者SMBG行为,可以最大限度地满足其对医护照顾的期望.%Objective To investigate the status of self-monitoring of blood glucose (SMBG) in diabetic patients and their expectations about nursing care.Methods A total of 105 diabetic patients were chosen from our hospital from July to August 2012 by convenience sampling.They were investigated by questionnaire to detect their present medical condition,attitude and behavior about SMBG,and expectations about nursing care.Results Regarding SMBG,60.0％ patients did not do SMBG (48.6％) or did not record results (11.4％) ; But 88.6％ patients thought that SMBG was beneficial to their health.Regarding expectations about nursing care,81.0％ patients thought it was necessary to get remote and real-time health care from the medical staff; 90.5％ patients thought it was good for their health if the medical staff paid close attention to their diabetic condition;81.0％ patients expected to build up their own diabetes files in the medical care system.Conclusion Based on the hospital-community-family linkage,E diabetes management project was launched.So the diabetic patients can receive continuity of care,improve SMBG behavior,and fulfill their expectations about nursing care to a great extent.