周婷

[摘要]目的 探讨延续护理在改善老年糖尿病（DM）患者居家自护能力和血糖控制中的作用。方法 选取2016年3月～2017年3月我院收治的96例老年2型DM患者作为研究对象，按照随机数字表法分为对照组和观察组，每组各48例。对照组出院后定期复查，观察组出院后采用延续性护理方案。比较两组院外期间自我护理能力以及干预前后血糖控制情况。结果 干预前两组自护能力各维度评分差异无统计学意义（P>0.05）；干预后两组自护能力各维度评分均提高，观察组明显高于对照组，差异有统计学意义（P<0.05）；干预后两组空腹血糖（GLU）、餐后血糖以及糖化血红蛋白（GHb）等指标均下降，观察组明显低于对照组，差异均有统计学意义（P<0.05）。结论 延续护理可有效提高老年DM患者的自我管理能力，改善其院外血糖控制情况。

[关键词]糖尿病；延续护理；老年患者；自护能力；血糖控制

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）9（a）-0206-03

[Abstract] Objective To investigate the continuous nursing in improving the self-care ability of patients with senile diabetes （DM） at home and glycemic control in effect. Methods 96 elderly patients with type 2 DM treated in our hospital from March 2016 to March 2017 were selected as the subjects. The patients were divided into the control group and the observation group according to the random number table method， 48 cases in each group. The control group patients after discharge regularly were review， observation group patients after were discharge continuous nursing plan. The self-care ability and blood glucose control before and after intervention were compared between the two groups. Results There was no significant difference in the scores of the two groups before intervention （P>0.05）， and the scores of all the two groups after intervention were improved， and the observation group was significantly higher than that in the control group （P<0.05）. After intervention， the two groups of fasting blood glucose（GLU）， postprandial blood sugar and glycated hemoglobin（GHb） were all decreased， and the observation group was significantly lower than that in the control group， the differences were statistically significant （P<0.05）. Conclusion Continuous nursing can effectively improve the self-management ability of elderly DM patients， improve their blood sugar control outside the hospital.

[Key words] Diabetes； Continuous nursing； Elderly patients； Self-care ability； Glycemic control

糖尿病（DM）是內分泌科临床常见的一种慢性代谢性疾病，属于慢性病，所以在住院期间最大的目的是为患者找寻一个合理的用药方案，以方便患者在院外治疗的同时也能获得好的治疗效果[1-2]。而大多DM患者由于对疾病知识的缺乏，无法明确药物治疗以及血糖监测的重要性，加之居家环境下无医务人员的督导，导致其在院外治疗时无法按医嘱进行，从而影响治疗效果[3]。在DM患者的院外治疗的居家期间进行有效的监督和指导对改善其自我管理能力、加强血糖控制具有非常重要的意义[4]。本研究应用延续护理对DM患者出院后进行监督指导，观察其对患者自护能力以及血糖控制的影响，现报道如下。

1资料与方法

1.1一般资料

选取2016年3月～2017年3月我院收治的96例老年2型DM患者作为研究对象，按照随机数字表法分为对照组和观察组，每组各48例。对……