齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2014年
19期
35-36,37
,共3页
糖尿病%护理门诊管理%生活质量
糖尿病%護理門診管理%生活質量
당뇨병%호리문진관리%생활질량
Diabetes%Outpatient nursing management%Quality of life
目的：探讨护理门诊管理对糖尿病患者生活质量及生化指标的影响。方法：选择2011年10月~2012年10月参加护理门诊管理的2型糖尿病患者250例作为观察组，选择同期未参与护理门诊管理的2型糖尿病患者250例作为对照组，对所有患者进行监测评估，观察组通过咨询指导及危险因素干预实施为期6个月的门诊护理管理，比较两组患者的生活质量影响及生化指标变化。结果：6个月后，观察组患者症状自评量表、36条目简明健康量表评分、抑郁自评量表、焦虑自评量评分较对照组明显降低（P<0.01）；空腹血糖、空腹胰岛素、胰岛素抵抗指数、餐后2 h血糖、糖化血红蛋白、甘油三酯、低密度脂蛋白较对照组显著降低，高密度脂蛋白、胆固醇水平明显增高（ P<0.01）。结论：护理门诊管理能够提高糖尿病患者血糖控制水平，改善患者抑郁、焦虑状态，提高患者的生活质量。
目的：探討護理門診管理對糖尿病患者生活質量及生化指標的影響。方法：選擇2011年10月~2012年10月參加護理門診管理的2型糖尿病患者250例作為觀察組，選擇同期未參與護理門診管理的2型糖尿病患者250例作為對照組，對所有患者進行鑑測評估，觀察組通過咨詢指導及危險因素榦預實施為期6箇月的門診護理管理，比較兩組患者的生活質量影響及生化指標變化。結果：6箇月後，觀察組患者癥狀自評量錶、36條目簡明健康量錶評分、抑鬱自評量錶、焦慮自評量評分較對照組明顯降低（P<0.01）；空腹血糖、空腹胰島素、胰島素牴抗指數、餐後2 h血糖、糖化血紅蛋白、甘油三酯、低密度脂蛋白較對照組顯著降低，高密度脂蛋白、膽固醇水平明顯增高（ P<0.01）。結論：護理門診管理能夠提高糖尿病患者血糖控製水平，改善患者抑鬱、焦慮狀態，提高患者的生活質量。
목적：탐토호리문진관리대당뇨병환자생활질량급생화지표적영향。방법：선택2011년10월~2012년10월삼가호리문진관리적2형당뇨병환자250례작위관찰조，선택동기미삼여호리문진관리적2형당뇨병환자250례작위대조조，대소유환자진행감측평고，관찰조통과자순지도급위험인소간예실시위기6개월적문진호리관리，비교량조환자적생활질량영향급생화지표변화。결과：6개월후，관찰조환자증상자평량표、36조목간명건강량표평분、억욱자평량표、초필자평량평분교대조조명현강저（P<0.01）；공복혈당、공복이도소、이도소저항지수、찬후2 h혈당、당화혈홍단백、감유삼지、저밀도지단백교대조조현저강저，고밀도지단백、담고순수평명현증고（ P<0.01）。결론：호리문진관리능구제고당뇨병환자혈당공제수평，개선환자억욱、초필상태，제고환자적생활질량。
Objective:To explore the influence of outpatient nursing management on the quality of life in patients with diabetes and on the biochemical indexes. Methods:250 patients with type 2 diabetes enrolled in outpatient nursing management( from October 2011 to Oc-tober 2012)were taken as the observation group and other 250 patients who were not under outpatient nursing management were taken as the control group. All patients in both groups were under monitoring and evaluation. The 6-month outpatient nursing management was im-plemented in the observation group though consulting and intervention on risk factors,and then the life quality of the patients and the change of biochemical indexes were compared between the two groups. Results:After 6 months,the scores of SCL-90,SF-36,SAS and SDS of the patients were significantly lower in observation group than the control group(P<0. 01);fasting blood glucose,fasting insulin, insulin resistance index,postprandial 2 h blood glucose,glycated hemoglobin,triglyceride and low density lipoprotein significantly de-creased and high density lipoprotein and cholesterol levels significantly increased in the observation group compared with the control group (P<0. 01). Conclusion:The outpatient nursing management can improve glycemic control in diabetic patients,relieve depression and anxi-ety and improve the quality of life of the patients.
