曲尽奇

[摘要]目的 研究延续性护理对提高中老年糖尿病患者对低血糖知识的了解效果以及生活质量的影响。方法 选取2014年2月～2016年2月在我院确诊为糖尿病的中老年患者40例作为研究对象，患者出院后实施延续性护理措施，半年后比较护理干预前后患者对低血糖知识的了解程度以及生活质量。结果 延续性护理后，患者对低血糖病因、症状表现和应对措施的知识的了解程度显著优于护理前，差异有统计学意义（P<0.05）；延续性护理后，患者生活质量的各个指标显著优于护理前，差异有统计学意义（P<0.05）。结论 对中老年人糖尿病患者实施延续性护理可以提高老年人对低血糖知识的掌握程度，改善患者的生活习惯相应提高，提高了生活质量，值得应用于临床推广。

[关键词]延续性护理；中老年；糖尿病患者；低血糖

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）3（a）-0194-03

Continuous nursing to improve knowledge of hypoglycemia in diabetes patients in middle-aged and elderly patients

QU Jin-qi

Department of Geriatrics，Dalian Friendship Hospital，Liaoning Province，Dalian 116100，China

[Abstract]Objective To study the effect of continuous nursing on improving the knowledge of hypoglycemia in middle-aged and elderly patients with diabetes and the quality of life.Methods Forty middle-aged and elderly patients with diabetes diagnosed in our hospital from February 2014 to February 2016 were selected as the study subjects. continuous nursing measures were implemented after discharge. the knowledge of hypoglycemia and quality of life of patients before and after nursing intervention were compared six months later.Results After continuous nursing， the patients' understanding of the etiology， symptoms and response measures of hypoglycemia was significantly better than that before nursing，the difference was statistically significant（P<0.05）. After continuous nursing， the quality of life of patients was significantly better than that before nursing， the difference was statistically significant （P<0.05）.Conclusion The continuous nursing care for middle-aged and elderly diabetic patients can improve the knowledge of hypoglycemia in middle-aged and elderly diabetic patients， cultivate healthy life habits and improve the quality of life， which deserves to be used in clinical promotion.

[Key words]Continuity of care；Middle-aged and elderly patients with diabetes；Hypoglycemia

近年來，随着经济的发展，人们的生活水平不断提高，加上我国老龄化现象严重，导致我国目前你中老年人的糖尿病发病率逐年升高。糖尿病是临床中常见的一种慢性病，属于内分泌系统疾病，患者需要终身依赖药物进行治疗，治疗过程漫长[1]。糖尿病会引发相关并发症，严重时会导致患者残疾甚至死亡。在中老年患者糖尿病的治疗过程中，患者需要根据医生的叮嘱对生活中的低血糖事件予以关心，对各类血糖的临界值进行教育。患者发病时，血糖水平急速下降，出现心慌、乏力、冒冷汗等现象，病情加重时候出现昏迷和意识障碍[2]。由于低血糖的症状表现不明显，很难提前判断患者的血糖水平，在发病时无法及时对患者进行抢救。本文着力研究了应用延续性护理的方式提高老年人糖尿病知识掌握程度的方法和途径。

1 资料与方法

1.1 一般资料