朱晓虹 王翠丽

[摘要] 目的 分析糖尿病行定期随访对其自觉体检与空腹血糖的效果影响。方法 资料选取该院2013年10月—2014年10月收治糖尿病90例患者进行回顾性分析，根据护理时不同护理方案分成两组，将住院期间常规护理（不予定期随访）38例患者设为对照组，将行出院后定期随访52例患者设为观察组，对两组自觉体检、空腹血糖的效果与生活质量进行对比。结果 观察组自觉体检率84.62%比对照组68.42%高，且空腹血糖恢复正常所占比例比对照组高（P<0.05）。 结论 糖尿病患者行定期随访效果显著，有利于强化患者血糖自我体检意识，改善血糖水平，对糖尿病相关并发症发生起到预防与延缓作用。

[关键词] 糖尿病；定期随访；自觉体检；空腹血糖；效果

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2016）03（a）-0007-02

Effect of Regular Follow-up on Subjective Physical Examination and Fasting Blood Glucose Level in Patients with Diabetes

ZHU Xiao-hong1， WANG Cui-li2

1. Physical Examination Department， Jinan Central Hospital， Jinan， Shandong Province， 250013 China；2. College of Nursing， Shandong University， Jinan， Shandong Province， 250013 China

[Abstract] Objective To analyze the effect of regular follow-up on subjective physical examination and fasting blood glucose level in patients with diabetes. Methods A retrospective analysis was conducted on the data of 90 cases with diabetes admitted in our hospital from October 2013 to October 2014. In accordance with the different nursing regimen given to the patients， the patients were divided into two groups， the control group（38 cases） treated by the conventional nursing during the hospitalization without regular follow-up， and the observation group （52 cases） treated by the regular follow-up after the discharge. The rate of subjective physical examination， fasting blood glucose level and quality of life of the two groups were compared. Results The rate of subjective physical examination was much higher in the observation group than that in the control group （84.62% vs 68.42%） （P<0.05）. The rate of fasting glucose level returning to the normal level was notably higher in the observation group than that in the control group （P<0.05）. Conclusion For patients with diabetes， regular follow-up has significant effect， which is conducive to strengthening the consciousness of subjective physical examination of the blood glucose level， improving the blood glucose level， preventing and delaying the incidence of complications related to diabetes.

[Key words] Diabetes； Regular follow-up； Subjective physical examination； Fasting blood glucose； Effect

糖尿病属慢性疾病，多发于老年人，极易造成机体内脂肪、蛋白质、糖等出现代谢性异常，且易并发多种并发症，加之随着人们生活水平提高与人口老龄化加剧[1-2]。该研究针对已选定的糖尿病90例患者行不同护理方案效果进行回顾性分析，现报道如下。

1 资料与方法

1.1 一般资料

资料选取该院2013年10月—2014年10月收治糖尿病90例患者进行回顾性分析，所有患者均与WHO糖尿病诊断标准相符合[3]。根据护理时不同护理方案分成对照组（38例）与观察组（52例）。对照组男女比例20：18，年龄43～75岁，平均（55.85±0.20）岁，病程4～14年，平均（6.5±1.0）年；观察组男女比例28：24，年龄43～76岁，平均（55.86±0.23）岁，病程3～13年，平均（6.3±1.1）年；两组性别、年龄与病程等基线资料均差异无统计学意义（P>0.05），均具可比性。

1.2 方法

对照组行住院期间常规护理（不予定期随访），包括护理人员于患者住院期间了解有无糖尿病病史与低血糖症状等，保持室内良好通风、适宜温度与确保病房干净、整洁，密切监测病情与生命体征变化情况，对治疗药物进行查对，予以基本诊疗辅助操作；对……