中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2009年
3期
21-23
,共3页
糖尿病%自我管理%疾病控制%随访
糖尿病%自我管理%疾病控製%隨訪
당뇨병%자아관리%질병공제%수방
Diabetes mellitus%Self-management%Disease control%Follow-up
目的 探讨随访对糖尿病患者疾病控制效果的影响.方法 将接受了糖尿病教育的160例糖尿病出院患者按出院顺序随机分为干预组和对照组各80例.干预组患者出院后定期随访(包括电话随访),观察时间为12个月,对照组患者出院后无定期随访.比较2组患者干预后健康行为,自我管理能力和认知水平的改善状况及空腹血糖、糖化血红蛋白情况.采用t检验及χ2检验.结果 干预组健康行为、自我管理能力和认知水平提高程度均显著优于对照组;对照组出院6、12个月后空腹血糖水平与出院时及同一时段干预组比较明显增高;干预组出院6、12个月糖化血红蛋白水平与出院时相比明显降低.结论 出院随访是将医院健康教育延伸到患者家里的有效手段,指导并督促2型糖尿病患者独立担负起后续指标控制的责任,对患者血糖控制、提高生活质量、促进身心健康起到积极的作用,值得推广.
目的 探討隨訪對糖尿病患者疾病控製效果的影響.方法 將接受瞭糖尿病教育的160例糖尿病齣院患者按齣院順序隨機分為榦預組和對照組各80例.榦預組患者齣院後定期隨訪(包括電話隨訪),觀察時間為12箇月,對照組患者齣院後無定期隨訪.比較2組患者榦預後健康行為,自我管理能力和認知水平的改善狀況及空腹血糖、糖化血紅蛋白情況.採用t檢驗及χ2檢驗.結果 榦預組健康行為、自我管理能力和認知水平提高程度均顯著優于對照組;對照組齣院6、12箇月後空腹血糖水平與齣院時及同一時段榦預組比較明顯增高;榦預組齣院6、12箇月糖化血紅蛋白水平與齣院時相比明顯降低.結論 齣院隨訪是將醫院健康教育延伸到患者傢裏的有效手段,指導併督促2型糖尿病患者獨立擔負起後續指標控製的責任,對患者血糖控製、提高生活質量、促進身心健康起到積極的作用,值得推廣.
목적 탐토수방대당뇨병환자질병공제효과적영향.방법 장접수료당뇨병교육적160례당뇨병출원환자안출원순서수궤분위간예조화대조조각80례.간예조환자출원후정기수방(포괄전화수방),관찰시간위12개월,대조조환자출원후무정기수방.비교2조환자간예후건강행위,자아관리능력화인지수평적개선상황급공복혈당、당화혈홍단백정황.채용t검험급χ2검험.결과 간예조건강행위、자아관리능력화인지수평제고정도균현저우우대조조;대조조출원6、12개월후공복혈당수평여출원시급동일시단간예조비교명현증고;간예조출원6、12개월당화혈홍단백수평여출원시상비명현강저.결론 출원수방시장의원건강교육연신도환자가리적유효수단,지도병독촉2형당뇨병환자독립담부기후속지표공제적책임,대환자혈당공제、제고생활질량、촉진신심건강기도적겁적작용,치득추엄.
Objective To discuss the influence of follow-up intervention on disease control of pa-tients with diabetes mellitus. Methods 160 patients who received education about diabetes mellitus were divided into the intervention group and the control group randomly according to the date of dis-charge with 80 patients in each group.The intervention group was given regular follow-up visit (including telephone fol-low-up) which lasted 12 months.The control group received no regular foUow-up.The health behavior,self-management ability and alleviation state of cognition level,fast glucose, glycosylated hemoglobin were com-pared after intervention between the two groups by t test andχ2 test. Results The health behavior,self-management ability and alleviation state of cognition level in the intervention group were better than those of the control group.The blood glucose 6 and 12 months after discharge was higher than that at the time of dis-charge and that of the intervention group at the same time point.The glyeosylated hemoglobin of the interven-tion group was reduced 6 and 12 months after discharge compared with that at the time of dis-charge. Conclusions Out-of-hospital follow-up is an effective method to extend hospital health educa-tion to patients' home. It can instruct and supervise the patients to assume the responsibility of subsequent targets control,so it plays a positive role in the blood glucose control,improvement of life quality and promo-tion of psychological and physical health.It is worthy of wide popularization.
