摘要
【目的】对比研究糖尿病团队护理模式与常规护理模式对糖尿病患者护理质量及其疗效的影响。【方法】选择2010年2月至2013年2月本院糖尿病专科诊治的260例糖尿病患者为研究对象,随机分为观察组(134例)与对照组(126例)。对照组患者接受常规护理,包括血糖监测,药物治疗(包括口服降糖药和注射胰岛素)和健康宣教:如常规的用药指导、饮食控制、良好的生活方式等。观察组患者除基础常规护理外接受糖尿病团队护理模式干预。团队护理模式是团队成员对患者进行评估,制定个体化治疗和护理方案,根据患者的具体情况进行相关知识的健康宣教,有针对性地对患者一对一地进行指导。出院后第1、2周分别对患者进行电话回访,记录患者出院后的自我管理情况,并根据患者出院后的依从性和血糖值对患者进行药物、心理与行为指导,提高患者自我管理能力与遵医行为。比较两组干预前后血糖、血脂、糖化血红蛋白、遵医行为、护理质量的差别。【结果】与对照组相比,观察组干预后护理质量显著提高(P<0.05);干预后3个月观察组空腹血糖、糖化血红蛋白、胆固醇及甘油三脂显著优于对照组(P<0.05)。干预后观察组患者遵医行为优良率(99.3%)显著高于对照组(75.4%),差异有统计学意义(P<0.05)。【结论】糖尿病团队护理模式与常规护理模式比较可有效提高糖尿病患者护理质量及治疗效果。
【Objective】To explore the influence of team nursing mode compared with routing nursing mode on nursing quality and patient＇s condition in diabetes mellitus.【Methods】From February 2010 to February 2013, 260 cases with diabetes mellitus were selected as research subjects. All the subjects were randomly divided into control group and observation group. 126 cases of control group were given routine nursing, and 134 cases of observation group received team nursing. In the control group, patients were nursed by the routing methods, including monitoring blood glucose, pharmaco-therapy（drugs or insulin）and ordinary health education. In the observation group, the patients received team nursing： their condition was evaluated,individualized nursing and treatment projects were made, health education and one-to-one guildance was given based on their condition： including quantified diet, quantified exercises,and psychotherapy. Phone call consultations were given after 1 week and 2 weeks after discharge,self- management abilities were evaluated and instructions were given. Blood sugar, blood lipid, glycosylated hemoglobin, medical compliance behavior and nursing quality were compared between two groups.【Results】Comparison with control group, nursing quality greatly improved in observation group（P〈0.05）; Fasting blood-glucose, glycosylated hemoglobin, TC and TG on 3 months after intervention in observation group were superior to control group（P〈0.05）. The good and excellent rate of medical compliance behavior in observation group was much higher than that in control group with significant difference（99.3% vs 75.4%, P〈0.05）【Conclusion】Team nursing mode for diabetes mellitus can effectively improve nursing quality and treatment outcome.
出处
《武警后勤学院学报（医学版）》
CAS
2015年第11期883-885,893,共4页
Journal of Logistics University of PAP（Medical Sciences）
关键词
糖尿病
护理团队
护理质量
Diabetes mellitus
Team nursing mode
Nursing quality
