社区护理干预对提高糖尿病治疗依从性临床分析(1)
[摘要] 目的 探究社区护理干预对提高糖尿病治疗依从性的临床效果。 方法 选择于2016年8月—2017年8月进入该社区医院治疗的98例糖尿病患者为研究主体对象，利用双盲法将所有患者划分为对照组及观察组，各组49例;对照组患者实行常规护理，观察组患者实行社区护理干预，对比两组患者的治疗依从性及静脉血指标。 结果 经护理，对照组与观察组治疗依从率分别为75.51%及93.88%，二者相比差异有统计学意义(P<0.05);经治疗，对照组与观察组空腹血糖、餐后2 h血糖、空腹血清C肽及餐后2 h血清C肽各项指标变化幅度相比差异有统计学意义(P<0.05)。 结论 糖尿病患者实行社区护理干预的效果显著，能大大增强治疗依从性规范日常用药行为，控制血糖指标始终处于平稳状态，值得在临床治疗领域中使用及推广。
[关键词] 社区护理干预;糖尿病;治疗依从性
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2019)01(b)-0001-03
[Abstract] Objective To investigate the clinical effect of community nursing intervention on improving the compliance of diabetes treatment. Methods A total of 98 patients with diabetes who were admitted to our community hospital from August 2016 to August 2017 were enrolled in the study. All patients were divided into control group and observation group by double-blind method， 49 cases in each group. Routine care was performed in the control group， and patients in the observation group were treated with community nursing intervention. The treatment compliance and venous blood parameters of the two groups were compared. Results After treatment， the compliance rate of the control group and the observation group were 75.51% and 93.88%， respectively. The difference between the two groups was statistically significant (P<0.05). After treatment， the control group and the observation group of fasting blood glucose and that after 2 hours after meal， fasting serum C-peptide and serum C-peptide levels at 2 hours after meal were significantly different. The data of the two groups were statistically significant (P<0.05). Conclusion The effect of community nursing intervention in patients with diabetes is significant， which can greatly enhance the compliance behavior of daily medication. The control of blood glucose is always in a stable state， which is worthy of use and promotion in the field of clinical treatment.
[Key words] Community care intervention; Diabetes; Treatment compliance
作為临床常见慢性内分泌代谢疾病之一，糖尿病存在造成机体内水电解质、脂肪、糖及蛋白质代谢紊乱的可能性，具有病程绵长及广泛影响机体各个器官等鲜明特点，一旦血糖控制效果不佳则机体内各个器官发生病变，直接影响患者生活质量，威胁患者生命健康安全[1-2]。近几年来，临床医学深入研究糖尿病的发病机制及治疗方法已取得令人满意的结果，但是如何提高糖尿病患者治疗依从性，成为医务人员所面临的主要挑战。鉴于此，该文以2016年8月—2017年8月收治的98例患者为研究对象，重点探究社区护理干预对提高糖尿病治疗依从性的临床效果，现将研究结果报道如下。
1 资料与方法
1.1 一般资料
选择进入该社区医院治疗的98例糖尿病患者为研究主体对象，利用双盲法将所有患者划分为对照组及观察组，各组49例。其中，对照组49例患者中男女比例为29：20(即男性29例及女性20例)，最大年龄为81岁，最小年龄为53岁、中位数年龄为(69.3±2.5)岁;观察组49例患者中男女比例为30：19(即男性30例及女性19例)，最大年龄为82岁、最小年龄为53岁、中位数年龄为(69.2±2.6)岁。根据上述资料可知，两组患者年龄及病程等基本信息均差异无统计学意义(P>0.05)，说明具备纳入对比的研究价值，并且两组患者及其家属已提前明确实验内容了解实验流程均自愿签署实验同意书，该实验得到本地伦理协会审核同意。纳入标准：两组患者均符合2型糖尿病的诊断标准且各项临床症状确切。排除标准：两组患者均不存在意识模糊及严重心肝肾功能障碍等情况。, 百拇医药(杨德艳)
[关键词] 社区护理干预;糖尿病;治疗依从性
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2019)01(b)-0001-03
[Abstract] Objective To investigate the clinical effect of community nursing intervention on improving the compliance of diabetes treatment. Methods A total of 98 patients with diabetes who were admitted to our community hospital from August 2016 to August 2017 were enrolled in the study. All patients were divided into control group and observation group by double-blind method， 49 cases in each group. Routine care was performed in the control group， and patients in the observation group were treated with community nursing intervention. The treatment compliance and venous blood parameters of the two groups were compared. Results After treatment， the compliance rate of the control group and the observation group were 75.51% and 93.88%， respectively. The difference between the two groups was statistically significant (P<0.05). After treatment， the control group and the observation group of fasting blood glucose and that after 2 hours after meal， fasting serum C-peptide and serum C-peptide levels at 2 hours after meal were significantly different. The data of the two groups were statistically significant (P<0.05). Conclusion The effect of community nursing intervention in patients with diabetes is significant， which can greatly enhance the compliance behavior of daily medication. The control of blood glucose is always in a stable state， which is worthy of use and promotion in the field of clinical treatment.
[Key words] Community care intervention; Diabetes; Treatment compliance
作為临床常见慢性内分泌代谢疾病之一，糖尿病存在造成机体内水电解质、脂肪、糖及蛋白质代谢紊乱的可能性，具有病程绵长及广泛影响机体各个器官等鲜明特点，一旦血糖控制效果不佳则机体内各个器官发生病变，直接影响患者生活质量，威胁患者生命健康安全[1-2]。近几年来，临床医学深入研究糖尿病的发病机制及治疗方法已取得令人满意的结果，但是如何提高糖尿病患者治疗依从性，成为医务人员所面临的主要挑战。鉴于此，该文以2016年8月—2017年8月收治的98例患者为研究对象，重点探究社区护理干预对提高糖尿病治疗依从性的临床效果，现将研究结果报道如下。
1 资料与方法
1.1 一般资料
选择进入该社区医院治疗的98例糖尿病患者为研究主体对象，利用双盲法将所有患者划分为对照组及观察组，各组49例。其中，对照组49例患者中男女比例为29：20(即男性29例及女性20例)，最大年龄为81岁，最小年龄为53岁、中位数年龄为(69.3±2.5)岁;观察组49例患者中男女比例为30：19(即男性30例及女性19例)，最大年龄为82岁、最小年龄为53岁、中位数年龄为(69.2±2.6)岁。根据上述资料可知，两组患者年龄及病程等基本信息均差异无统计学意义(P>0.05)，说明具备纳入对比的研究价值，并且两组患者及其家属已提前明确实验内容了解实验流程均自愿签署实验同意书，该实验得到本地伦理协会审核同意。纳入标准：两组患者均符合2型糖尿病的诊断标准且各项临床症状确切。排除标准：两组患者均不存在意识模糊及严重心肝肾功能障碍等情况。, 百拇医药(杨德艳)