CAJ | 학술논문

目的：构建并实施“以奥马哈系统为理论指导的糖尿病专科门诊规范化管理—糖尿病患者病情管理－院后自我管理”的早期T2DM 患者全程化护理管理模式，探讨其对早期 T2DM 患者血糖、生活质量及知识水平的影响。方法选取早期T2DM患者80例，使用单双号法分组。实验组在接受常规门诊护理的同时，实施全程化护理管理模式进行管理；对照组进行常规门诊护理。观察两组干预前及干预后6个月的血糖、生存质量及知识水平的变化。结果干预进行后6个月，实验组在血糖、生存质量、知识水平三方面的改善明显优于对照组（P＜0．01），差异有统计学意义。结论奥马哈分类系统在评估中的应用，能够促进临床护理的评估和整体护理的实施，对慢性病患者的护理工作具有临床指导意义；采用全程化护理管理模式对患者进行管理，能够改善患者的血糖水平，提高患者生存质量及知识水平。
목적：구건병실시“이오마합계통위이론지도적당뇨병전과문진규범화관리—당뇨병환자병정관리－원후자아관리”적조기T2DM 환자전정화호리관리모식，탐토기대조기 T2DM 환자혈당、생활질량급지식수평적영향。방법선취조기T2DM환자80례，사용단쌍호법분조。실험조재접수상규문진호리적동시，실시전정화호리관리모식진행관리；대조조진행상규문진호리。관찰량조간예전급간예후6개월적혈당、생존질량급지식수평적변화。결과간예진행후6개월，실험조재혈당、생존질량、지식수평삼방면적개선명현우우대조조（P＜0．01），차이유통계학의의。결론오마합분류계통재평고중적응용，능구촉진림상호리적평고화정체호리적실시，대만성병환자적호리공작구유림상지도의의；채용전정화호리관리모식대환자진행관리，능구개선환자적혈당수평，제고환자생존질량급지식수평。
Objective To construct and practice the whole course nursing management mode of “Standardized management of diabetes specialist clinic‐disease management for patients with diabetes‐post hospital self management theoretically guided by Omaha system”for patients with type 2 Diabetes mellitus(T2DM ) ,and to study it's effect on blood glucose ,knowledge level and quality of life for them .Method 80 patients with T2DM was selected and ran‐domly divided into observation group and control group by double and single number method .Patients in observation group was given routine clinical nursing and managed by the whole course nursing management mode .Patients in control group was given routine clinic nursing only .The blood glucose ,knowledge level ans quality of life was meas‐ured and compared between the two groups six month before and after intervention .Result After six months of in‐tervention ,the improvement of blood glucose ,knowledge level and quality of life for patients in observation group was significantly better than that of the control group(P<0 .01) .Conclusion The application of Omaha system can promote clinical nursing assessment and the implement of holistic nursing .It's important clinical guidance for nursing of chronic disease patients .The blood glucose ,knowledge level and quality of life of patients with T 2DM can be pro‐moted by applying the whole course nursing management mode .