朱亚芹

[摘要] 目的 探讨多专业联合干预对糖尿病患者康复效果的影响。 方法 选取60例糖尿病患者作为研究对象，随机分为研究组（28例）和对照组（32例）。出院后，对照组采用自我护理管理模式，研究组采用多专业联合干预。分别于出院时、出院3、6、9、12个月后，采用糖化血红蛋白（HbA1c）、自测健康评定量表（SRHMS）评价两组的康复效果。 结果 两组出院时及出院3个月的HbA1c水平、SRHMS评分比较，差异无统计学意义（P>0.05）。研究组出院6、9、12个月后的HbA1c水平明显低于对照组，SRHMS评分显著高于对照组，差异有统计学意义（P<0.01）。结论 多专业联合干预能够更好地帮助糖尿病患者有效控制血糖，改善健康状况，促进康复。

[关键词] 糖尿病；多专业联合干预；糖化血红蛋白；健康状况

[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-4721（2015）02（b）-0179-03

Influence of multi-specialty joint intervention on rehabilitation effect in patients with diabetics

ZHU Ya-qin

Department of Preventive Medicine，the First People′s Hospital of Jining City in Shandong Province，Jining 272000，China

[Abstract] Objective To explore the influence of multi-specialty joint intervention on rehabilitation effect in patients with diabetics. Methods 60 cases with diabetics were selected and randomly divided into the research group（n=28） and the control group（n=32）. After discharge from hospital，the control group was given management mode of self-care，the research group was given multi-specialties joint intervention.The rehabilitation effect was evaluated by glycosylated hemoglobin（HbA1c） and self-rated health measurement scale（SRHMS） at the time of discharge，3，6，9，12 months after discharge from hospital. Results The level of HbA1c，score of SRHMS at the time of discharge and 3 months after discharge from hospital in two groups，there was no statistical differences（P>0.05）.The level of HbA1c in the research group after 6，9，12 months after discharge from hospital was lower than that in the control group，and score of SRHMS in the research group after 6，9，12 months after discharge from hospital was higher than that in the control group，with significant difference（P<0.01）. Conclusion Multi-specialty joint intervention can better help patient with diabetics to control blood glucose，improve health condition and promote rehabilitation.

[Key words] Diabetics；Multi-specialty joint intervention；Glycosylated hemoglobin；Health condition

糖尿病患者出院后，大多数居家治疗康复，但由于多种不利因素的影响，如患者糖尿病康复知识与技能不足、家庭康复环境差、社会支持水平低等，其血糖控制效果大多不理想，这导致病情逐渐恶化，健康状况进一步受损。调查显示，99%的患者血糖未能达标[1-2]。糖尿病患者血糖控制不佳是普遍存在的问题，而糖尿病康复是一种综合管理行为，需要各科医生、护士、营养师及心理医生的共同配合，更需要患者的积极主动参与[3]，因此如何更好地控制病情和促进良好康复是社区糖尿病患者的心理需求。本研究对出院糖尿病患者实施多专业联合干预，旨在帮助糖尿病患者进行良好的康复。

1 资料与方法

1.1 一般资料

选取2013年3～7月在本院糖尿病科住院治疗的60例糖尿病患者作为研究对象。纳入标准：①符合2 型糖尿病诊断标准[4]；②……