徐瑶

[摘要] 以前人们的观念认为，只有在医院内的患者才需要护理服务，离开医院后护理服务就结束了。 事实上患者离开医院后也会不可避免地遇到种种健康问题，此时就应该对患者实施延续护理。通俗来说延续护理就是住院护理的延伸，将护理延续到医院外的地方，比如说家庭、社区等，避免了护理的中断并且能更好地对患者实施护理服务。而糖尿病是一种常见的慢性疾病，其治疗大部分时间都不在医院内，因此更需要有良好的自律和自我学习能力，延续护理尤为重要。奥马哈系统是美国护士协会认可的一种标准化语言体系，相较于传统护理而言，护理效果更显著，基于奥马哈系统的延续护理在糖尿病护理中具有独特的优越性。

[关键词] 奥马哈系统;延续护理;糖尿病;护理

[Abstract] In the past， people thought that only people in hospitals needed nursing services， and nursing services ended when they left the hospital. In fact， patients will inevitably encounter various health problems after leaving the hospital. At this time， continuous care should be implemented for patients. In general， continuing care is an extension of inpatient care， extending care outside the hospital， such as homes， communities， etc.， to avoid the interruption of care and better implement nursing services for patients. Diabetes is a common chronic disease， and most of the time， its treatment is not in the hospital. Therefore， it is necessary to have good self-discipline and self-learning ability. Continuing care is especially important. The Omaha system is a standardized language system recognized by the American Nurses Association. Compared with traditional nursing， the nursing effect is more significant. The continuing nursing based on the Omaha system has unique advantages in diabetes care.

[Key words] Omaha system; Continuing care; Diabetes; Nursing

糖尿病是一组以慢性高血糖为特征的代谢异常综合征，病程长，可能出现多组织系统损害，对个人及社会都有很大的危害。 根据国际糖尿病联盟（international diabetes federation，IDF）统计[1]，至2015年全球糖尿病病人已有4.15亿人，我们国家糖尿病患者有1.096亿，在世界上位于第一位。糖尿病目前已成发达国家第三大非传染性疾病，仅次于心血管疾病和肿瘤，是严重威胁人类健康的世界性公共卫生问题[2]。 根据有关文献调查显示[3]，89.87%的糖尿病患者离开医院后没有很好的遵医行为， 延续护理恰好弥补了这一不足，使糖尿病患者在家中就能知道什么样的食物以及什么样的生活方式对该病是有利的。……