细节护理干预对2型糖尿病患者自我管理行为及服药依从性的影响(1)
[摘要] 目的 該次实验将针对2型糖尿病患者实施细节护理干预，分析对患者自我管理行为与服药依从性的影响。方法 该次实验选取了2018年1月—2019年12月前来该院进行疾病检查及治疗的患者为对象，经过专业的科室检查，其属于2型糖尿病，并需要开展对症治疗。在自愿参与实验调查的患者中，采用硬币随机法，对80例患者进行病情结果讨论。对照组患者采用常规护理措施，观察组则为细节护理管理，分析改善成果。结果 从护理质量上看，观察组患者的自我管理能力综合评分为(89.4±2.3)分，对照组为(75.5±2.4)分，组间对比差异有统计学意义(P<0.05)。与此同时，在血糖水平的对比中，观察组空腹血糖和餐后2 h血糖指标均低于对照组，更加接近于正常范围，说明细节管理可以控制好血糖水平。最后，在治疗用药依从性上，观察组3个月的依从率为90.0%(36/40)，对照组则为77.5%(31/40)，说明观察组自我管理更好，能够按照医嘱用药。结论 采用细节护理管理措施有助于提升患者的自我管理能力，通过临床病情分析，用药重要性强调等，患者的血糖控制程度好，病情稳定。
[关键词] 细节护理干预;2型糖尿病;自我管理;服药依从性
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)10(a)-0124-03
[Abstract] Objective This experiment will implement detailed nursing interventions for patients with type 2 diabetes， analyze the impact on patients' self-management behavior and medication compliance. Methods In this experiment， patients who came to the hospital for disease examination and treatment from January 2018 to December 2019 were selected as subjects. After a professional examination， they belonged to type 2 diabetes and required symptomatic treatment. Among the patients who voluntarily participated in the experimental investigation， the coin random method was used to discuss the disease results of 80 patients. The patients in the control group used conventional nursing measures， and the observation group used detailed nursing management to analyze the improvement results. Results From the perspective of nursing quality， the comprehensive score of self-management ability of the observation group was (89.4±2.3) points and that of the control group was (75.5±2.4)points. The difference between the groups was significant and statistically significant (P<0.05). At the same time， in the comparison of blood glucose levels， the fasting blood glucose and 2 hours postprandial blood glucose indicators of the observation group were lower than those of the control group， and were closer to the normal range， indicating that detailed management can control blood glucose levels. Finally， in terms of compliance with medications， the compliance rate of the observation group for three months was 90.0%(36/40)， while that of the control group was 77.5%(31/40)， indicating that the observation group had better self-management and was able to take medication as prescribed by the doctor. Conclusion The use of detailed nursing management measures can help improve the patient's self-management ability. Through clinical disease analysis and emphasis on the importance of medication， the patient's blood glucose control is good and the disease is stable， which can be promoted and applied., 百拇医药(张小真 苏慧娜)
[关键词] 细节护理干预;2型糖尿病;自我管理;服药依从性
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)10(a)-0124-03
[Abstract] Objective This experiment will implement detailed nursing interventions for patients with type 2 diabetes， analyze the impact on patients' self-management behavior and medication compliance. Methods In this experiment， patients who came to the hospital for disease examination and treatment from January 2018 to December 2019 were selected as subjects. After a professional examination， they belonged to type 2 diabetes and required symptomatic treatment. Among the patients who voluntarily participated in the experimental investigation， the coin random method was used to discuss the disease results of 80 patients. The patients in the control group used conventional nursing measures， and the observation group used detailed nursing management to analyze the improvement results. Results From the perspective of nursing quality， the comprehensive score of self-management ability of the observation group was (89.4±2.3) points and that of the control group was (75.5±2.4)points. The difference between the groups was significant and statistically significant (P<0.05). At the same time， in the comparison of blood glucose levels， the fasting blood glucose and 2 hours postprandial blood glucose indicators of the observation group were lower than those of the control group， and were closer to the normal range， indicating that detailed management can control blood glucose levels. Finally， in terms of compliance with medications， the compliance rate of the observation group for three months was 90.0%(36/40)， while that of the control group was 77.5%(31/40)， indicating that the observation group had better self-management and was able to take medication as prescribed by the doctor. Conclusion The use of detailed nursing management measures can help improve the patient's self-management ability. Through clinical disease analysis and emphasis on the importance of medication， the patient's blood glucose control is good and the disease is stable， which can be promoted and applied., 百拇医药(张小真 苏慧娜)