医院-社区-家庭相结合的护理模式对2型糖尿病患者生命质量及睡眠的影响(1)
摘要 目的：探讨医院-社区-家庭相结合的护理模式在2型糖尿病患者临床治疗中的应用效果。方法：回顾性分析2017年1月至2018年6月中国中医科学院广安门医院南区收治的110例2型糖尿病患者病例资料，将2017年1月至2017年9月采取常规护理干预的52例患者资料组成对照组，2017年10月至2018年6月采取医院-社区-家庭相结合护理干预的58例患者资料组成观察组。比较2组患者生命质量及睡眠情况。结果：观察组各维度生命质量评分均高于对照组，差异有统计学意义(P<0.05);与干预前比较，2组睡眠质量评分均有所降低，且观察组低于对照组，差异有统计学意义(P<0.05)。结论：将医院-社区-家庭相结合护理模式应用于2型糖尿病患者临床治疗中可有效改善睡眠质量并进一步提升生命质量，有利于改善预后。
关键词 2型糖尿病;医院;社区;家庭相结合护理;生命质量;睡眠质量
Abstract Objective：To explore the application effect of hospital-community-family combination nursing in the clinical treatment of patients with type 2 diabetes.Methods：A total of 110 patients with type 2 diabetes who had been admitted to the Hospital between January 2017 and June 2018 were retrospectively analyzed.The 52 patients given routine nursing intervention from January 2017 to September 2017 were included in the control group，and the 58 patients given hospital-community-family combination nursing intervention between October 2017 and June 2018 were included in the observation group.The scores of quality of life and sleep in the two groups were compared.Results：The scores of quality of life in the observation group were higher than those in the control group(P<0.05).Compared with the pre-intervention，the qualit of sleep scores in both groups were lower after interventions，and the scores in the observation group were lower than those in the control group.The difference was statistically significant(P<0.05).Conclusion：For patients with type 2 diabetes，the application of hospital-community-family combination nursing can help alleviate their quality of sleep and further improve their quality of life，better for the improvement of their prognosis.
Key Words Type 2 Diabetes; Hospital;Community;Family Combination Nursing;Quality Of Life;Quality of sleep
中图分类号：R587.1;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2019.04.035
糖尿病是一种以血糖升高为主要表现的慢性终身性疾病，可引起肾脏、心脏、血管疾病等慢性并发症，具有较高致残率及病死率[1]。2型糖尿病由机体胰岛素分泌不足所致，常发于老年人群，且由于其抵抗力较弱，同时并发多种基础疾病，故需结合治疗现状及时采取针对性干预措施，以在最大程度上控制患者病情的发展[2]。为进一步提高臨床疗效，本研究将医院-社区-家庭相结合的护理模式应用于2型糖尿病患者，且已取得较为满意成效。具体报道如下。
1 资料与方法
1.1 一般资料 回顾性分析2017年1月至2018年6月中国中医科学院广安门医院南区收治的2型糖尿病患者110例病例资料，将2017年1月至2017年9月采取常规护理干预的52例患者资料为对照组，2017年10月至2018年6月采取医院-社区-家庭相结合护理干预的58例患者资料为观察组。对照组中男31例，女27例;年龄59～77岁，平均年龄(67.98±3.02)岁;病程2～11年，平均病程(7.45±1.69)年。观察组中男28例，女24例;年龄58～77岁，平均年龄(67.91±3.04)岁;病程3～11年，平均病程(7.52±1.68)年。2组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入标准 1)无反复严重性低血糖及低血糖昏迷;2)空腹血糖≥7 mmol/L，随机血糖≥11.1 mmol/L;3)无急慢性并发症;4)未出现周围血管病变与周围神经病变。, 百拇医药(靳敏 刘素珀)
关键词 2型糖尿病;医院;社区;家庭相结合护理;生命质量;睡眠质量
Abstract Objective：To explore the application effect of hospital-community-family combination nursing in the clinical treatment of patients with type 2 diabetes.Methods：A total of 110 patients with type 2 diabetes who had been admitted to the Hospital between January 2017 and June 2018 were retrospectively analyzed.The 52 patients given routine nursing intervention from January 2017 to September 2017 were included in the control group，and the 58 patients given hospital-community-family combination nursing intervention between October 2017 and June 2018 were included in the observation group.The scores of quality of life and sleep in the two groups were compared.Results：The scores of quality of life in the observation group were higher than those in the control group(P<0.05).Compared with the pre-intervention，the qualit of sleep scores in both groups were lower after interventions，and the scores in the observation group were lower than those in the control group.The difference was statistically significant(P<0.05).Conclusion：For patients with type 2 diabetes，the application of hospital-community-family combination nursing can help alleviate their quality of sleep and further improve their quality of life，better for the improvement of their prognosis.
Key Words Type 2 Diabetes; Hospital;Community;Family Combination Nursing;Quality Of Life;Quality of sleep
中图分类号：R587.1;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2019.04.035
糖尿病是一种以血糖升高为主要表现的慢性终身性疾病，可引起肾脏、心脏、血管疾病等慢性并发症，具有较高致残率及病死率[1]。2型糖尿病由机体胰岛素分泌不足所致，常发于老年人群，且由于其抵抗力较弱，同时并发多种基础疾病，故需结合治疗现状及时采取针对性干预措施，以在最大程度上控制患者病情的发展[2]。为进一步提高臨床疗效，本研究将医院-社区-家庭相结合的护理模式应用于2型糖尿病患者，且已取得较为满意成效。具体报道如下。
1 资料与方法
1.1 一般资料 回顾性分析2017年1月至2018年6月中国中医科学院广安门医院南区收治的2型糖尿病患者110例病例资料，将2017年1月至2017年9月采取常规护理干预的52例患者资料为对照组，2017年10月至2018年6月采取医院-社区-家庭相结合护理干预的58例患者资料为观察组。对照组中男31例，女27例;年龄59～77岁，平均年龄(67.98±3.02)岁;病程2～11年，平均病程(7.45±1.69)年。观察组中男28例，女24例;年龄58～77岁，平均年龄(67.91±3.04)岁;病程3～11年，平均病程(7.52±1.68)年。2组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入标准 1)无反复严重性低血糖及低血糖昏迷;2)空腹血糖≥7 mmol/L，随机血糖≥11.1 mmol/L;3)无急慢性并发症;4)未出现周围血管病变与周围神经病变。, 百拇医药(靳敏 刘素珀)