杨淑娟

[摘要] 目的 探討延续性护理干预模式在2型糖尿病（T2DM）患者中的应用效果。 方法 选取四川省遂宁市中医院综合内科2011年9月～2015年9月收治的120例T2DM患者，按照出院时护理方法分为观察组（n=60）和对照组（n=60），观察组进行延续性护理干预，对照组给予常规护理指导和教育，比较两组干预前后糖尿病相关观察指标水平、治疗依从性及干预前后健康知识、生活方式、健康调查简表评分。 结果 干预后，两组空腹血糖、餐后2 h血糖、糖化血红蛋白及体重指数均较干预前降低，观察组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组，差异有统计学意义（P < 0.05）。观察组治疗依从率显著高于对照组（P < 0.05）。干预后，两组健康知识及生活方式评分较干预前升高，观察组健康知识及生活方式评分高于对照组，差异有统计学意义（P < 0.05）。干预后，两组躯体功能、心理功能、社会功能及物质功能评分均高于干预前，观察组上述各维度评分均高于对照组，差异有统计学意义（P < 0.05）。 结论 延续性护理干预有助于提高T2DM患者血糖控制水平，改善患者生活质量，效果显著，适合临床推广应用。

[关键词] 2型糖尿病；延续性护理；健康调查简表；血糖水平

[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210（2017）01（a）-0162-04

[Abstract] Objective To explore application effect of continuity nursing intervention mode on patients with type 2 diabetes mellitus （T2DM）. Methods 120 patients with T2DM in Department of General Medicine， Hospital of Traditional Chinese Medicine in Suining City， Sichuan Province from September 2011 to September 2015 were selected. They were divided into observation group （n=60） and control group （n=60） according to hospital nursing method. Continuity nursing intervention was used in observation group， routine nursing guidance and education was applied in control group. Diabetes related indicators levels before and after intervention， treatment compliance， health knowledge， life style and SF-36 scores before and after intervention between two groups were compared. Results After intervention， FBG， 2hPBG， HbA1c and BMI of two groups were lower than those before intervention， FBG， 2hPBG， HbA1c in observation group were lower than those in control group， with statistical differences （P < 0.05）. Treatment compliance rate in observation group was significantly higher than that in control group （P < 0.05）. After intervention， health knowledge， life style scores of two groups were higher than those before intervention， health knowledge， life style scores in observation group were higher than those in control group， with statistical differences （P < 0.05）. After intervention， physical function， psychological function， social function and material function scores of two groups were higher than those before intervention， physical function， psychological function， social function and material function scores in observation group were higher than those in control group， with statistical differences （P < 0.05）. Conclusion Continuity nursing intervention can help to improve blood glucose control levels in patients with T2DM， improve the quality of life in patients， the effect is significant， it is suitable for clinical promotion and application.

[Key words] Type 2 diabetes； Continuity nursing； SF-36； Blood glucose level

糖尿病为临床常见内分泌疾病，表现为机体血糖代谢紊乱，为慢性终生性疾病。其临床特点为高发病率、高致残率及高死亡率[1]。在糖尿病患者中，95%以上的患者为2型糖尿病（T2DM）。目前，糖尿病在临床上主要为积极稳定血糖，防止糖尿病的相关并发症发生。积极进行体育锻炼、合理低糖饮食，遵医嘱进行药物治疗并结合日常血糖监控以确保血糖水平保持稳定和降低并發症发生率。临床上60%左右的T2DM患者对治疗方案不够了解，从而对其身心健康及社会适应能力造成不良影响[2]。研究表明，积极有效的延续性护理干预可以改善糖尿病患者的生活水平[3-4]。本研究主要探讨延续性护理干预模式在T2DM患者中的应用效果。

1 资料与方法

1.1 一般资料