摘要
目的 分析社区慢性病护理管理对2型糖尿病老年患者的影响。方法 将本社区中心于2023.09月-2024.09月接收的84例老年2型糖尿病患者作为研究对象，通过随机数字表法分为对照组与观察组，每组各42例。对照组应用常规护理，观察组应用析社区慢性病护理管理（包括创建健康管理档案、健康教育、精细化饮食指导、合理运动训练、心理护理、用药护理、并发症护理等），对比两组血糖水平、健康知识掌握评分、生活质量评分、并发症发生率。结果 （1）观察组血糖水平显著低于对照组，组间对比明显（P＜0.05）。（2）观察组健康知识掌握评分显著高于对照组，组间对比明显（P＜0.05）。（3）观察组生活质量评分显著高于对照组，组间对比明显（P＜0.05）。（4）观察组并发症发生率显著低于对照组，组间对比明显（P＜0.05）。结论 社区慢性病护理管理在2型糖尿病老年患者中效果显著，可有效控制患者血糖稳定，并提升其健康知识掌握程度，从而促进其生活质量的提升。
关键词： 社区慢性病护理管理；2型糖尿病；老年患者
Abstract
Objective To analyze the impact of community chronic disease nursing management on elderly patients with type 2 diabetes. Methods A total of 84 elderly patients with type 2 diabetes admitted to our community center from September, 2019 to September, 2019 were divided into control group and observation group by random number table method, with 42 cases in each group. The control group was treated with routine nursing, and the observation group was treated with community chronic disease nursing management (including creation of health management files, health education, refined diet guidance, reasonable exercise training, psychological nursing, medication nursing, complication nursing, etc.). The blood glucose level, health knowledge mastery score, quality of life score and complication rate were compared between the two groups. Results (1) The blood glucose level of the observation group was significantly lower than that of the control group, and the comparison between the groups was obvious (P < 0.05). (2) The health knowledge score of the observation group was significantly higher than that of the control group, and the comparison between the groups was obvious (P＜0.05). (3) The quality of life score of the observation group is significantly higher than that of the control group, and the comparison between the groups is obvious (P＜0.05). (4) The complication rate of the observation group is significantly lower than that of the control group, and the comparison between the groups is obvious (P＜0.05). Conclusion Community chronic disease care management is effective in elderly patients with type 2 diabetes mellitus, which can effectively control the stability of patients' blood glucose and enhance their health knowledge, thus promoting the improvement of their quality of life.
Key words： Community chronic disease nursing management; Type 2 diabetes; Elderly patients
参考文献 References
[1] Padilla I B ,Granados E ,Corsino L .Patients' and Providers' Perspectives of the Transition of Care from Hospital to Community for Hispanic/Latino Adults with Diabetes.[J].Hispanic health care international : the official journal of the National Association of Hispanic Nurses, 2024,15404153241269473.
[2] 于静.慢性病管理护理与健康教育在社区老年2型糖尿病患者中的应用价值[J].慢性病学杂志,2021,22(07):1063-1065.
[3] Porth K A ,Seidler Y ,Long A P , et al.Putting person-centred psychosocial diabetes care into practice: two psychosocial care pathways based on outcome preferences of people with diabetes and healthcare professionals.[J].BMJ mental health,2024,27(1):
[4] Akyirem S ,Wagner J ,Chen N H , et al.Recommendations to Address Barriers to Patient Portal Use Among Persons With Diabetes Seeking Care at Community Health Centers: Interview Study With Patients and Health Care Providers. [J] .JMIR diabetes,2024,9e58526.
[5] 刘春杰.健康教育与慢性病管理护理在社区老年糖尿病患者中的作用分析[J].糖尿病新世界,2020,23(08):123-124+127.
[6] Esteve A M L ,Padilla I B ,Lowden P A , et al.A pilot study testing a new transition of care model from hospital to the community for Hispanic/Latino adults with diabetes to reduce emergency department visits and hospital re-admissions. [J].Pilot and feasibility studies,2024,10(1):122.
[7] Manov A ,Haddadin R ,Chauhan S , et al.Retrospective, Longitudinal, One-Group Study on the Implementation of Continuous Glucose Monitoring To Improve Quality of Care for Patients With Type I or II Diabetes Mellitus in an Internal Medicine Residency Continuity Community Clinic.[J]. Cureus,2024,16(7):e64594.
[8] 李秀爽.慢性病管理护理在社区糖尿病患者中的作用研究[J].继续医学教育,2021,35(04):71-73.
[9] 林小华.健康教育与慢性病管理护理对社区糖尿病患者自我管理能力的影响[J].中国医药指南,2024,22(14):169-171.
[10] 王桂英.社区慢性病护理管理对2型糖尿病老年患者干预效果[J].糖尿病天地,2024,21(5):180-181.