CAJ | 학술논문

目的：探讨护理干预对门诊糖尿病患者生活质量的影响。方法选取本院2010年1月~2014年1月门诊收治的200例糖尿病患者作为研究对象，随机分为观察组和对照组，各100例。两组均按照2型糖尿病常规进行治疗和护理，同时进行系统健康教育。对照组给予门诊随诊干预，观察组在对照组的基础上给予定期电话随访干预。比较两组的血糖控制率、生活方式及A-DQOL评分。结果观察组的血糖控制率显著高于对照组，差异有统计学意义(P<0.05)。观察组的用药依从性、合理饮食、适当运动及血糖监测者所占比例显著高于对照组，差异有统计学意义(P<0.05)。两组干预后6个月和1年的A-DQOL各因子评分显著低于干预前，差异有统计学意义(P<0.05)。观察组干预后6个月和1年的A-DQOL各因子评分显著低于对照组，差异有统计学意义(P<0.05)。结论护理干预可有效控制社区老年糖尿病患者的血糖水平，改善其生活方式，提高其生活质量，值得临床推广应用。
목적：탐토호리간예대문진당뇨병환자생활질량적영향。방법선취본원2010년1월~2014년1월문진수치적200례당뇨병환자작위연구대상，수궤분위관찰조화대조조，각100례。량조균안조2형당뇨병상규진행치료화호리，동시진행계통건강교육。대조조급여문진수진간예，관찰조재대조조적기출상급여정기전화수방간예。비교량조적혈당공제솔、생활방식급A-DQOL평분。결과관찰조적혈당공제솔현저고우대조조，차이유통계학의의(P<0.05)。관찰조적용약의종성、합리음식、괄당운동급혈당감측자소점비례현저고우대조조，차이유통계학의의(P<0.05)。량조간예후6개월화1년적A-DQOL각인자평분현저저우간예전，차이유통계학의의(P<0.05)。관찰조간예후6개월화1년적A-DQOL각인자평분현저저우대조조，차이유통계학의의(P<0.05)。결론호리간예가유효공제사구노년당뇨병환자적혈당수평，개선기생활방식，제고기생활질량，치득림상추엄응용。
Objective To explore the influence of nursing intervention on the life quality of diabetic outpatient. Meth-ods 200 diabetic outpatients in the outpatient department of our hospital from January 2010 to January 2014 were se-lected and randomly divided into the observation group and the control group,100 patients in each group.Both groups was given conventional treatment and nursing of type-2 diabetes as well as systematic health education.The control group was given outpatient follow-up visit intervention,the observation group was given regular phone follow-up visit intervention on the basis of the control group.The blood glucose control,life style and the score of A-DQOL in two groups was compared. Results The control rate of blood glucose in the observation group was higher than that in the control group,with significant difference (P<0.05).The proportion of the drug compliance,reasonable diet,appropriate ex-ercise and blood glucose monitoring in the observation group was higher than that in the control group,with significant difference (P<0.05).The score of A-DQOL in two groups after intervention at six months and one year was lower than that before intervention,with significant difference (P<0.05).The score of A-DQOL after intervention at six months and one year in the observation group was lower than that in the control group,with significant difference(P<0.05). Conclu-sion Nursing intervention can effectively control the blood glucose level of elderly patients with diabetes,improve their life style and the quality of life,it is worthy of clinical promotion and application.