Study on the effectiveness of integrated extended nursing care for elderly patients with type 2 diabetes
老年2型糖尿病患者施行一体化延伸护理的有效性研究

摘要

目的 探讨老年2型糖尿病患者施行一体化延伸护理的有效性。方法 选取本院诊疗的68例老年2型糖尿病患者（2024年6月-2026年1月），经随机数字表法将患者分为对照组和观察组，各34例。对照组根据疾病及血糖控制要求常规护理，观察组在对照组基础上，实施一体化延伸护理，观察两组出院后3个月血糖指标变化，并评估患者自我管理行为。结果 出院后3个月，观察组患者的各血糖指标水平均显著低于对照组（P<0.05），且自我管理行为评估显示观察组患者良好管理率（94.12%）显著高于对照组（70.59%）（P<0.05）。结论 一体化延伸护理可有效改善老年2型糖尿病患者的血糖控制水平，提高患者的遵医行为、自我管理行为及生存质量。

Abstract

Objective To explore the effectiveness of integrated extended nursing care for elderly patients with type 2 diabetes.
Methods 68 elderly patients with type 2 diabetes diagnosed and treated in our hospital (from June 2024 to January 2026) were randomly divided into a control group and an observation group, 34 cases in each group. The control group received routine care based on disease and blood glucose control requirements, while the observation group received integrated extended care on the basis of the control group. The changes in blood glucose indicators in both groups were observed for 3 months after discharge, and the patient’s self-management ability was evaluated.
Results Three months after discharge, the blood glucose indicators of the observation group were significantly lower than those of the control group (P<0.05). Additionally, the self-management behavior assessment showed that the good management rate in the observation group (94.12%) was significantly higher than that in the control group (70.59%) (P<0.05).
Conclusion   The integrated extended nursing care can effectively improve the level of blood glucose control in elderly patients with type 2 diabetes, improve the compliance behavior, self-management ability and quality of life of patients.