CAJ | 학술논문

目的：探讨出院计划服务在代谢综合征患者中的应用效果。方法选择2012年10月—2013年10月明确诊断为代谢综合征的168例患者作为研究对象，将其随机分为观察组和对照组，每组各84例。对照组实施常规护理教育，观察组在对照组基础上实施出院计划服务护理干预。比较护理干预前后两组患者自我行为管理能力得分、血压、空腹血糖、体质量指数及总胆固醇指标水平。结果护理干预前两组患者各项自我管理能力评分差异无统计学意义（P＞0．05）；护理干预后观察组患者疾病监测、并发症管理、操作技术、用药依从性、饮食与水盐限制、自我管理能力维度得分分别为（9．20±1．36），（2．32±0．21），（8．06±1．85），（5．86±0．12），（5．61±1．03），（30．28±3．26）分，均高于对照组，差异有统计学意义（t值分别为5．365，2．363，3．657，2．115，6．644，3．215；P＜0．05）。观察组患者自我管理能力各项评分较护理干预前均提高，差异有统计学意义（P＜0．05）；对照组并发症管理及用药依从性较护理干预前提高，差异有统计学意义（P＜0．05），其余4个维度比较差异无统计学意义（P＞0．05）。护理干预实施后观察组患者体质量指数、收缩压、舒张压、总胆固醇及空腹血糖水平分别为（24．98±3．55）kg／m2，（132．6±12．3）mmHg，（89．6±11．2）mmHg，（4．56±1．20）mmol／L，（7．62±2．65）mmol／L，差异有统计学意义（t值分别为3．265，2．986，2．856，3．021，5．962；P＜0．01）。结论出院计划服务可提高代谢综合征患者的自我行为管理能力，有效控制患者的体质量指数、血压、总胆固醇及空腹血糖水平。
목적：탐토출원계화복무재대사종합정환자중적응용효과。방법선택2012년10월—2013년10월명학진단위대사종합정적168례환자작위연구대상，장기수궤분위관찰조화대조조，매조각84례。대조조실시상규호리교육，관찰조재대조조기출상실시출원계화복무호리간예。비교호리간예전후량조환자자아행위관리능력득분、혈압、공복혈당、체질량지수급총담고순지표수평。결과호리간예전량조환자각항자아관리능력평분차이무통계학의의（P＞0．05）；호리간예후관찰조환자질병감측、병발증관리、조작기술、용약의종성、음식여수염한제、자아관리능력유도득분분별위（9．20±1．36），（2．32±0．21），（8．06±1．85），（5．86±0．12），（5．61±1．03），（30．28±3．26）분，균고우대조조，차이유통계학의의（t치분별위5．365，2．363，3．657，2．115，6．644，3．215；P＜0．05）。관찰조환자자아관리능력각항평분교호리간예전균제고，차이유통계학의의（P＜0．05）；대조조병발증관리급용약의종성교호리간예전제고，차이유통계학의의（P＜0．05），기여4개유도비교차이무통계학의의（P＞0．05）。호리간예실시후관찰조환자체질량지수、수축압、서장압、총담고순급공복혈당수평분별위（24．98±3．55）kg／m2，（132．6±12．3）mmHg，（89．6±11．2）mmHg，（4．56±1．20）mmol／L，（7．62±2．65）mmol／L，차이유통계학의의（t치분별위3．265，2．986，2．856，3．021，5．962；P＜0．01）。결론출원계화복무가제고대사종합정환자적자아행위관리능력，유효공제환자적체질량지수、혈압、총담고순급공복혈당수평。
Objective To discuss the application of discharge planning services for patients with metabolic syndrome .Methods Totals of 168 cases clearly diagnosed as Metabolic Syndrome ( MS ) from October 2012 to October 2013 in our hospital were chosen and all cases were randomly divided into experimental group and control group .The control group was underwent routine nursing education , while experimental group was given discharge planning services based on routine .Self-behavior management , blood pressure , fasting plasma glucose , body mass index ( BMI ) , total cholesterol index and other general indicators between two groups were compared after nursing intervention .Results After intervention , the division score of disease monitor, complication management, operation skill, medication compliance, diet, water and salt restricted and self-management were (9.20 ±1.36), (2.32 ±0.21), (8.06 ±1.85), (5.86 ±0.12), (5.61 ±1.03) and (30.28 ±3.26), which were higher than those in the control group (t=5.365,2.363,3.657,2.115,6.644, 3.215;P<0.05).Except of self-behavior management in the experimental group and medication compliance and complication management in the control group enhanced after intervention (P <0.05), the other four dimensions had no statistical significance (P>0.05).The BMI, systolic pressure, diastolic pressure, total cholesterol and fasting plasma glucose were ( 24.98 ±3.55 ) kg/m2 , ( 132.6 ±12.3 ) mmHg, ( 89.6 ± 11.2)mmHg,(4.56 ±1.20)mmol/L and (7.62 ±2.65)mmol/L respectively (t =3.265, 2.986, 2.856, 3.021, 5.962, respectively; P <0.01).Conclusions Discharge planning services can improve the self-behavior management ability of patients with the metabolic syndrome , and can effectively control the patient ’ s BMI, blood pressure, total cholesterol and fasting glucose .