郭银华

【摘要】 目的：探讨2型糖尿病患者实施专病一体化护理的效果。方法：选取2017年6月-2019年6月笔者所在医院收治的60例2型糖尿病患者，按照抽签的方式将其随机分为两组，各30例。对照组实施常规护理干预，研究组在对照组基础上实施专病一体化护理，比较两组护理效果。结果：两组护理后各血糖指标均优于护理前（P<0.05），且研究组各血糖指标改善情况均优于对照组，差异有统计学意义（P<0.05）。两组护理后自护能力评分和改良Barther指数评分均明显高于护理前（P<0.05），且研究组均显著高于对照组，差异有统计学意义（P<0.05）。研究组护理总满意度为96.67%，明显高于对照组的76.67%，差异有统计学意义（P<0.05）。结论：专病一体化护理应用于2型糖尿病患者的护理中效果显著，对提高患者自护能力和生活质量有积极意义，值得在临床进一步推广使用。

【关键词】 2型糖尿病 专病一体化护理 生活质量 血糖 护理满意度 自护能力

doi：10.14033/j.cnki.cfmr.2019.30.037 文献标识码 B 文章编号 1674-6805（2019）30-00-03

[Abstract] Objective： To explore the effect of integrated nursing of special diseases in patients with type 2 diabetes. Method： A total of 60 patients with type 2 diabetes admitted in our hospital from June 2017 to June 2019 were selected. They were randomly divided into two groups according to the way of drawing lots， with 30 cases in each group. The control group received routine nursing intervention， and the study group received integrated nursing of special diseases on the basis of the control group. The nursing effect of the two groups was compared. Result： All blood glucose indexes of the two groups after nursing were better than those before nursing （P<0.05）， and the improvement of blood glucose index in the study group was better than that in the control group， the differences were statistically significant （P<0.05）. The scores of self-care ability and improved Barther index in both groups after nursing were significantly higher than those before nursing （P<0.05）， and the study group was significantly higher than the control group， the differences were statistically significant （P<0.05）. The total nursing satisfaction of the study group was 96.67%， which was significantly higher than 76.67% of the control group， the difference was statistically significant （P<0.05）. Conclusion： The application of integrated nursing of special diseases in the nursing of patients with type 2 diabetes has a significant effect， which is of positive significance in improving patients self-care ability and quality of life， and is worthy of further promotion in clinical use.

[Key words] Type 2 diabetes Integrated nursing of special diseases Quality of life Blood sugar Nursing satisfaction Self-care ability

First-authors address： Xiaogan Central Hospital， Xiaogan 432000， China

糖尿病是一種临床较为常见的慢性代谢性疾病，其中2型糖尿病患者约占95%，常合并有各种并发症，严重影响患者健康及生活质量[1-2]。此疾病为慢性疾病，患者通常需要终身服用降糖药物，才能有效控制病情发展[3-4]。因此对此类患者加强护理干预对提高其生活质量和改善预后有重要意义[5-6]。鉴于此，本文通过选取2017年6月-2019年6月在笔者所在医院接受治疗的2型糖尿病患者作为研究对象，就2型糖尿病患者实施专病一体化护理的效果进行探讨，现报道如下。

1 资料与方法

1.1 一般资料

选取2017年6月-2019年6月于笔者所在医院治疗的60例2型糖尿病患者，纳入标准：2型糖尿病患者。排除标准：合并严重心、肝、肾等脏器功能不全者;意识障碍、精神异常者;不能配合日常语言和肢体沟通者;中途退处研究者。按照抽签的方式将其随机分为两组，各30例。对照组：男18例，女12例;年龄45～62岁，平均（53.24±2.18）岁;病程2～11年，平均（6.5±1.6）年。研究组：男15例，女15例;年龄44～63岁，平均（53.52±2.62）岁;病程2～11年，平均（6.6±1.7）年。两组一般资料比较差异均无统计学意义（P>0.05），有可比性。本……