延续护理干预对老年糖尿病患者血糖控制及自我管理能力的影响

吴敏，赵梅珍

（榆林市中医医院，陕西 榆林，719000）

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摘要：

目的 探究延续护理干预对老年糖尿病患者血糖控制及自我管理能力的影响。方法 选取2015年1月至2016年5月我院收治的老年糖尿病患者220 例，随机分为对照组和观察组，每组110 例。对照组实施常规护理干预，观察组在此基础上予以 延续护理干预。比较两组患者血糖控制情况和自我管理能力水平。结果 两组患者干预前血糖指标水平比较，差异无统计学意义（P>0.05）；干预后，两组患者的2 h 血糖、空腹血糖、糖化血红蛋白水平均显著降低，且观察组上述指标明显低于对 照组（P<0.05）；观察组患者饮食控制、自我监测、遵嘱服药、血糖异常处理、运动适量评分均明显优于对照组（P<0.05）。结论 老年糖尿病患者实施延续护理效果显著，能有效维持患者血糖平稳，提高患者自我管理能力，值得临床推广与应用。

关键词：延续护理干预；老年糖尿病患者；血糖控制；自我管理能力

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)32-0162-02

Influence of continuing nursing intervention on the glycemic control and self-management skill in aging

patients with diabetes
WU Min, ZHAO Mei-zhen
(Traditional Chinese Medicine Hospital of Yulin, Yulin 719000, China)

ABSTRACT: Objective To investigate the influence of continuing nursing intervention on the glycemic control and self-management skill in aging patients with diabetes. Methods A total of 220 cases of senile diabetes patients admitted in our hospital from January 2015 to May 2016 were selected and randomly divided into control group and observation group, with 110 cases in each group. The control group was given routine nursing intervention, and the observation group was given continuing nursing intervention on the basis of the control group. The situation of glycemic control and self-management skills of the two groups were compared. Results There were no significant differences in the levels of blood glucose indexes between the two groups before intervention (P>0.05). After intervention, the levels of blood glucose at postprandial two hours, fasting blood glucose and glycosylated hemoglobin of the two groups significantly descended and the above indexes in the observation group were significantly lower than those of the control group (P<0.05). Compared with the control group,
the scores of diet control, self -monitoring, self administration, pathoglycemia handling and moderate exercise in the observation group were significantly better (P<0.05). Conclusion Continuing nursing intervention has significant effect on aging patients with diabetes and which can effectively maintain stable blood glucose and increase self-management skill, it is worthy of clinical promotion and application.
KEYWORDS: continuing nursing intervention; aging patients with diabetes; glycemic control; self-management skill

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