CAJ | 학술논문

目的设计以高级实践护士(APN)为主导的延续护理方案,并评价该方案对Ⅱ型糖尿病患者治疗依从性和血糖控制的影响.方法选择2011年1月至2012年12月在广州市某医院住院、符合研究标准的Ⅱ型糖尿病患者96例,将其随机分配到干预组及对照组,各48例.两组患者均接受住院及出院常规护理服务,试验组同时还接受以APN为主导的延续护理干预.分别在患者接受干预前、干预4周及12周后收集患者的治疗依从性和血糖资料,采用重复测量方差分析、t检验、卡方检验等统计方法分析结果.结果干预后4周,干预组治疗依从性总得分以及血糖监测、运动和饮食控制依从性3个维度的得分均高于对照组,且差异有统计学意义(P＜0.05);干预后12周,干预组治疗依从性总得分及用药、血糖监测和饮食控制依从性3个维度得分均高于对照组,且差异有统计学意义(P＜0.05);干预后12周,干预组糖化血红蛋白测量值与对照组相比,差异无统计学意义(P＞0.05),干预组糖化血红蛋白达标率高于对照组,且差异有统计学意义(P＜0.05).结论以高级实践护士主导的延续护理模式可以有效提高Ⅱ型糖尿病患者治疗依从性、糖化血糖蛋白达标率.
목적 설계이고급실천호사(APN)위주도적연속호리방안,병평개해방안대Ⅱ형당뇨병환자치료의종성화혈당공제적영향.방법 선택2011년1월지2012년12월재엄주시모의원주원、부합연구표준적Ⅱ형당뇨병환자96례,장기수궤분배도간예조급대조조,각48례.량조환자균접수주원급출원상규호리복무,시험조동시환접수이APN위주도적연속호리간예.분별재환자접수간예전、간예4주급12주후수집환자적치료의종성화혈당자료,채용중복측량방차분석、t검험、잡방검험등통계방법분석결과.결과 간예후4주,간예조치료의종성총득분이급혈당감측、운동화음식공제의종성3개유도적득분균고우대조조,차차이유통계학의의(P＜0.05);간예후12주,간예조치료의종성총득분급용약、혈당감측화음식공제의종성3개유도득분균고우대조조,차차이유통계학의의(P＜0.05);간예후12주,간예조당화혈홍단백측량치여대조조상비,차이무통계학의의(P＞0.05),간예조당화혈홍단백체표솔고우대조조,차차이유통계학의의(P＜0.05).결론 이고급실천호사주도적연속호리모식가이유효제고Ⅱ형당뇨병환자치료의종성、당화혈당단백체표솔.
Objective To develop a transitional care program led by advanced practice nurse(APN) for patients with type 2 diabetes and to evaluate its impact on the patients' treatment compliance and glycemic control.Methods A random sampling method was used.96 patients with type 2 diabetes from an inpatient department were divided into an intervention group and a control group randomly.Both groups received regular nursing service,and the intervention group also received transitional care led by APN.The treatment compliance and glycosylated hemoglobin Alc(HbAlc) of the patients were collected before and 4 and 12 weeks after the intervention.Results 4 weeks after the intervention,the total average score of treatment compliance and the scores of "self-monitoring","exercise",and "diet-control" were statistically higher in the intervention group than in the control group(P ＜ 0.05).12 weeks after intervention,the total average score of treatment compliance and the scores of "self-monitoring","medication",and "diet-control" were statistically higher in the intervention group than in the control group(P ＜ 0.05).The t-test showed that there was no statistical difference in HbAlc between the two groups 12 weeks after the intervention.But more patients were qualified in HbAlc in the intervention group than in the control group (P ＜ 0.05).Conclusions Transitional care program led by APN is an effective approach in improving treatment compliance and making more patients qualified in HbAlc.