李宁捷

[摘要] 目的 通过对比综合护理和常规护理干预社区糖尿病患者对其自我管理能力的影响，分析综合护理干预的应用价值。方法 以该社区2017年1月—2018年1月期间60例糖尿病患者作为研究对象，采取抽签的方式随机分为实验组和对照组，对照组给予常规护理，实验组给予综合护理，于干预前后分别采SDSCA对患者自我管理行为进行评价，并对比干预前后血糖变化情况。 结果 两组患者干预前药物依从性、饮食控制、血糖监测、运动锻炼、足部护理以及总评分相比差异无统计学意义（P>0.05），干预后各项SDSCA评分相比差异有统计学意义（P<0.05），干预前后两组患者组内各项SDSCA评分相比差异有统计学意义（P<0.05）。两组患者干预前空腹血糖（FBG）、餐后2 h血糖（2 hPG）、糖化血红蛋白（HbA1c）比较差异无统计学意义（P>0.05），干预后各项血糖指标比较差异有统计学意义（P<0.05）。结论 综合护理干预应用于社区糖尿病能够提高患者自我管理能力，具有一定的临床意义，值得大力推广应用。

[关键词] 综合护理干预;社区糖尿病;自我管理能力;临床意义

[中图分类号] R587.1          [文献标识码] A          [文章编号] 1672-4062（2019）08（a）-0008-03

[Abstract] Objective To analyze the impact of comprehensive nursing and routine nursing intervention on the self-management ability of community diabetes patients， and to analyze the application value of comprehensive nursing intervention. Methods Sixty patients with diabetes mellitus from January 2017 to January 2018 in this community were randomly divided into experimental group and control group. The control group received routine nursing and the experimental group received comprehensive nursing. SDSCA was used to evaluate the self-management behavior of patients， and the changes of blood glucose before and after intervention were compared. Results There were no significant differences in drug compliance， diet control， blood glucose monitoring， exercise， foot care， and total scores between the two groups （P>0.05）. The differences in SDSCA scores after the intervention were statistically significant （P<0.05）， the difference of SDSCA scores between the two groups before and after intervention was statistically significant （P<0.05）. There was no significant difference in fasting blood glucose （FBG）， postprandial 2 h blood glucose （2 hPG） and glycosylated hemoglobin （HbA1c） between the two groups （P>0.05）. The difference of blood glucose indexes after intervention was statistically significant （P<0.05）. Conclusion The application of comprehensive nursing intervention to community diabetes can improve the self-management ability of patients， which has certain clinical significance and is worthy of popularization and application.

[Key words] Comprehensive nursing intervention; Community diabetes; Self-management ability; Clinical significance

该次研究课题以2017年1月—2018年1月收治的60例社区糖尿病患者的护理为中心，根据糖尿病的疾病特点以及患者对护理干预的需求制定综合护理干预措施，并与常规护理作对比，主要比较两种护理干预后患者自我管理能力和血糖控制情况，旨在为社区糖尿病的护理提供有价值的参考[1-2]，現报道如下。