CAJ | 학술논문

目的：探讨社区护理干预提高糖尿病患者遵医率和血糖控制的效果。方法随机选取2013年5月至2014年8月某社区已建卡管理的糖尿病患者95例，随机分为观察组48例及对照组47例。对两组患者出院及3个月后的空腹及餐后2h血糖变化情况，遵医率及护理满意度进行比较。结果两组患者出院时及3个月后FPG及2hPG比较，差异有统计学意义（P＜0．05）；观察组干预3个月后，其FPG，2 hPG水平明显低于对照组（P＜0．05）。观察组定期复查，饮食控制，服药情况，自我监测和运动疗法等的遵医率明显高于对照组（P均＜0．05）。观察组的护理满意率明显高于对照组（P＜0．05）。结论社区护理干预科明显提高糖尿病患者遵医率和血糖控制情况，且患者护理满意度提高。
목적：탐토사구호리간예제고당뇨병환자준의솔화혈당공제적효과。방법수궤선취2013년5월지2014년8월모사구이건잡관리적당뇨병환자95례，수궤분위관찰조48례급대조조47례。대량조환자출원급3개월후적공복급찬후2h혈당변화정황，준의솔급호리만의도진행비교。결과량조환자출원시급3개월후FPG급2hPG비교，차이유통계학의의（P＜0．05）；관찰조간예3개월후，기FPG，2 hPG수평명현저우대조조（P＜0．05）。관찰조정기복사，음식공제，복약정황，자아감측화운동요법등적준의솔명현고우대조조（P균＜0．05）。관찰조적호리만의솔명현고우대조조（P＜0．05）。결론사구호리간예과명현제고당뇨병환자준의솔화혈당공제정황，차환자호리만의도제고。
Objective This paper was to explore the community nursing intervention improving the compliance rate and the effects of glycemic controlof patients with diabetes.Methods The 95 diabetic patients who took part in the cards management in a community during May2013 and August2014 were selected, they were randomlydivided into the observation group ( n=48 ) and control group ( n=47 ) .The changes of fasting blood glucose(FPG) and 2h postprandial blood glucose (2hPG) of patientsat the time point leaving hospitaland 3 monthsafter leave hospital and compliance rate and nursing satisfaction of the two groups were compared. Results The differencesof FPG and 2hPG levelsof patientsat dischargingand 3 monthsafter dischargingbetweenthe two groupswere statistically significant(P <0.05).The FPG and 2hPG levels of the observation group were significantly lower than those of the control groupafter 3 months of intervention (P<0.05).Thecompliance rate ( regularlymeasurement, diet control, medication compliance, self-monitoring and exercise therapy ) in the observation groupwere significantly higher than those in the control group(P<0.05).The nursing satisfaction rate of the observation group was significantly higher than that of the control group(P <0.05).Conclusions Community nursing intervention can significantly improve the compliance rate and effects of glycemic control of patients with diabetes, as well as improve the patients'satisfaction.