Medication compliance and nursing intervention of elderly hospitalized patients with diabetes
糖尿病老年住院患者服药依从性及护理干预

摘要

目的 探究糖尿病老年住院患者的服药依从性情况及影响因素，并总结有效的护理干预措施。方法本研究以2021年6月~2022年1月间于本院就诊的75例老年糖尿病患者作为研究对象，所有患者均住院接受治疗，回顾性分析其临床治疗资料。调查影响老年糖尿病患者用药依从性的主要因素，针对其特点开展具有针对性的护理干预方法，对比分析护理干预前后的用药依从性和血糖控制情况。结果 影响糖尿病老年住院患者服药依从性的主要因素包括文化教育水平较低、糖尿病的相关知识不足、护理措施不全面、记忆力较差、经济压力较大、运动量少、患者自我管理能力差等。与护理前相比，经护理后，患者的服药依从性优良率明显升高，血糖控制水平明显好转（p＜0.05）。结论 文化教育水平较低、糖尿病的相关知识不足、记忆力较差、经济压力较大、护理措施不全面、运动量少以及患者自我管理能力差等因素均能影响老年住院患者的用药依从性，采取具有针对性的护理干预后可有效提升患者的用药依从性，有利于患者血糖控制。

Abstract

Objective: To explore the medication compliance and influencing factors of elderly hospitalized patients with diabetes, and summarize effective nursing interventions.
Methods: 75 elderly patients with diabetes treated in our hospital from June 2021 to January 2022 were selected as the research objects. All patients were hospitalized for treatment, and their clinical treatment data were analyzed retrospectively. To investigate the main factors affecting the medication compliance of elderly patients with diabetes, carry out targeted nursing intervention methods according to their characteristics, and compare and analyze the medication compliance and blood glucose control before and after nursing intervention.
Results: the main factors affecting the medication compliance of elderly hospitalized patients with diabetes included low level of education, insufficient knowledge of diabetes, incomplete nursing measures, poor memory, greater economic pressure, less exercise, poor self-management ability of patients, etc. Compared with before nursing, after nursing, the excellent and good rate of patients' medication compliance increased significantly, and the level of blood glucose control improved significantly(P<0.05).
Conclusion  : factors such as low level of education, insufficient knowledge about diabetes, poor memory, high economic pressure, incomplete nursing measures, less exercise and poor self-management ability of patients can affect the medication compliance of elderly inpatients. Targeted nursing intervention can effectively improve the medication compliance of patients, which is conducive to the control of blood glucose.