摘要
目的 分析医养结合模式下护理干预对老年2型糖尿病患者血糖控制水平的影响。方法 选取某医养结合机构与某社区2023年6月至2025年6月期间管理的老年2型糖尿病患者共102人。根据接受护理方式的不同分为干预组（医养结合模式）与对照组（常规社区管理）。结果 干预组患者的HbA1c、FPG及2hPG水平均显著低于对照组，且血糖达标率明显更高（P<0.05）。两组低血糖事件发生率无统计学差异（P>0.05）。结论 医养结合模式护理干预能有效改善老年2型糖尿病患者的血糖控制水平。
关键词： 医养结合；2型糖尿病；老年；护理干预；血糖控制
Abstract
Objective To analyze the effect of nursing intervention in the mode of combination of medicine and nursing on the level of blood sugar control in elderly patients with type 2 diabetes. Methods A total of 102 elderly patients with type 2 diabetes who were managed by a medical and nursing institution and a community from June 2023 to June 2025 were selected. According to the different nursing methods received, they were divided into an intervention group (medical and elderly care combined model) and a control group (conventional community management). Results The HbA1c, FPG, and 2hPG levels in the intervention group were significantly lower than those in the control group, and the blood glucose compliance rate was significantly higher (P<0.05). There was no statistically significant difference in the incidence of hypoglycemic events between the two groups (P>0.05). Conclusion Nursing intervention in the mode of combination of medicine and nutrition can effectively improve the level of blood sugar control in elderly patients with type 2 diabetes.
Key words： Integration of medical care and elderly care; Type 2 diabetes; Old age; Nursing intervention; Blood glucose control
参考文献 References
[1] 中国老年2型糖尿病防治临床指南（2022年版）[J].中国糖尿病杂志,2022,30(01):2-51.
[2] 武晓慧,唐芳勇,于春华,等.个性化护理对冠心病合并2型糖尿病老年患者血糖控制改善作用分析[J].糖尿病新世界,2024,27(05):126-129.
[3] 孔亚杰.医养结合模式在老年2型糖尿病患者中的应用效果观察[J].基层医学论坛,2023,27(17):48-50.
[4] 马明霞,李冬梅.基于目标导向的护理措施在老年2型糖尿病患者中的应用分析[J].糖尿病新世界,2024,27(07): 136-139.
[5] 华晓萍.循证护理与常规护理对老年2型糖尿病患者护理效果的比较[J].中国医药指南,2021,19(07):168-169.
[6] 史冰.循证护理与常规护理对老年2型糖尿病患者护理差异分析[J].实用妇科内分泌电子杂志,2020,7(24):94-95.
[7] 陈芳华,杜洁,梁凯婷,等.基于医养结合模式健康管理对2型糖尿病老年人的影响研究[J].赣南医学院学报,2021, 41(07):721-724.
[8] 黄丽敏,谭雁仪,卢婉娜,等.医养结合模式下对2型糖尿病患者血糖控制分析[J].中国卫生标准管理,2023,14(07): 142-145.