摘要
目的探讨基于奥马哈系统延续护理对2型糖尿病患者自我管理能力的影响。方法采用方便抽样法,选取广州市某三级甲等医院内分泌科2型糖尿病住院患者80例,采用随机数字表法分为对照组和观察组各40例。对照组给予常规出院指导和随访,观察组给予基于奥马哈系统延续护理。观察比较两组患者出院前3 d、出院1周末、出院1个月末自我管理能力得分情况。结果观察组自我管理能力得分高于对照组(F=13.705,P=0.000)。出院1周末、出院1个月末这两个时点两组患者自我管理能力得分比较差异有统计学意义(P<0.01)。观察组患者饮食、运动、血糖监测、足部护理各维度得分随干预时间延长均逐渐增高(P<0.01)。观察组患者出院1周末自我管理能力各维度得分高于出院前3 d(P<0.01),除血糖监测外,出院1个月末自我管理能力各维度得分均高于出院前3 d、出院1周末(P<0.05)。结论基于奥马哈系统延续护理能提高2型糖尿病患者饮食、运动、血糖监测、足部护理及总体自我管理能力。
Objective To explore the effects of Omaha System-based extending nursing no diabetic patients ’ self-care abilities. Methods With convenience sampling method, eighty newly-admitted diabetes patients were divided into experiment group （ n=40） and control group （n=40）. Patients in control group received normal discharge guidance and follow-up visits while those in experiment group received Omaha System-based extending nursing. Patients ’ scores of Summary of Diabetes Self-Care Activities questionnaire （SDSCA） before intervention, one week and one month after discharge were recorded. Results The experiment group’s score of SDSCA was higher than that of control group （F=13.705, P=0.000）. The scores of two groups indicated significant differences one week and one month after discharge （P〈0.01）. The scores of diet, exercises, blood glucose monitoring and foot care abilities of experiment group both increased with the extension of intervention time （P〈0.01）. Patients’ scores of each dimension of SDSCA one week after discharge were all significantly higher when compared with the scores at admission （P〈0.01）. Except the blood glucose monitoring ability, the scores of each dimension of SDSCA one month after discharge were all significantly higher than those at admission and one week after discharge （P〈0.05）. Conclusion The Omaha System-based extending nursing is effective for the improvement of diabetes patients’ diet, exercises, blood glucose monitoring, foot care abilities and self-care abilities.
出处
《护理学报》
2015年第10期34-39,共6页
Journal of Nursing（China）
基金
广东省科技计划资助项目(2011B031800337)
