摘要
目的探讨院外跟踪护理对肺结核合并糖尿病患者自我管理水平的影响价值体会。方法选择2017年1月至2018年5月本院收治的肺结核合并糖尿病患者58例予以分组,依据抽签法分为两组,对照组与研究组各29例,分别予以常规护理和院外追踪护理,对两组自我管理水平的差异进行比较。结果研究组自我效能评分(32.3±2.6)分高于对照组(28.5±2.1)分,SAS、SDS评分(38.8±3.8)分、(39.7±3.5)分低于对照组(42.1±3.9)分、(44.6±3.6)分,差异有统计学意义(P<0.05);研究组自律运动、正确监测血糖、良好控制饮食、并发症有效预防、定期复诊等自护行为达标率89.7%、86.2%、86.2%、82.8%、89.7%均高于对照组65.5%、55.2%、58.6%、51.7%、65.5%,差异有统计学意义(P<0.05)。研究组痰菌转阴率为69.0%,高于对照组的41.4%,差异有统计学意义(P<0.05)。结论肺结核合并糖尿病患者实施院外追踪护理有利于提高自我管理水平和自护行为,具有临床使用和推广意义。
Objective To investigate the value of out-of-hospital follow-up care on the self-management level of pulmonary tuberculosis patients with diabetes mellitus. Methods From January 2017 to May 2018, 58 patients with pulmonary tuberculosis and diabetes mellitus admitted to our hospital were divided into two groups according to the lottery method. 29 patients in the control group and the study group were given routine nursing and out-of-hospital follow-up care. Compare the differences in self-management levels between the two groups. Results The self-efficacy score of the study group (32.3±2.6) was higher than that of the control group (28.5±2.1), SAS and SDS scores (38.8±3.8) and (39.7±3.5) were lower than the control group (42.1±3.9).(44.6±3.6) points, the difference was statistically significant (P<0.05);the study group self-discipline exercise, correct monitoring of blood glucose, good diet control, effective prevention of complications, regular follow-up and other self-protection behavior compliance rate of 89.7%, 86.2% 86.2%, 82.8%, and 89.7% were higher than the control group 65.5%, 55.2%, 58.6%, 51.7%, and 65.5%, and the difference was statistically significant (P<0.05). The conversion rate of sputum in the study group was 69.0%, which was higher than that in the control group (41.4%), and the difference was statistically significant (P<0.05). Conclusion The implementation of out-of-hospital follow-up care for patients with pulmonary tuberculosis and diabetes is conducive to improving self-management and self-care behavior, and has clinical use and promotion significance.
作者
谭彩萍
周慧敏
赖冬梅
黄茶英
Tan Caiping;Zhou Huimin;Lai Dongmei;Huang Chaying(Department Of Cardiology, Jiangxi Chest Hospital, Nanchang, Jiangxi, 330000, China)
出处
《当代医学》
2019年第16期95-97,共3页
Contemporary Medicine
关键词
肺结核
糖尿病
院外跟踪护理
自我管理水平
Pulmonary tuberculosis
Diabetes
Out-hospital follow-up care
Self-management level
