针对性出院指导对2型糖尿病患者近期效果的影响(1)
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【摘要】 目的 探讨针对性出院指导对2型糖尿病患者及其家属的可行性与近期效果的影响。方法 将68例2型糖尿病患者及其家属按首次住院先后顺序分为研究组(34例)和对照组(34例),研究组实施针对性出院指导,对照组给与常规出院指导。分别于患者入院时和出院6个月时监测空腹血糖、餐后2 h血糖、糖化血红蛋白,并进行依从性和生活质量评定。结果 出院6个月时研究组血糖控制情况明显优于对照组(P<0.05或P<0.01);研究组患者依从性明显优于对照组(P<0.01);研究组生活质量在社会功能、生理问题对日常活动的限制、心理问题对社会活动的限制、心理健康、活力、疼痛、总体健康评价方面显著优于对照组(P<0.01)。结论 对2型糖尿病患者及其家属进行有针对性的出院指导是改善患者近期效果、提高生活质量行之有效的方法之一。
【关键词】出院指导;2型糖尿病;近期效果
Observation on curative effect of discharge instruction for patients with type 2 diabetes
ZHAO Zhu ling,ZHANG Xi lian,CUI Gui hua,et al.
Yidu Central Hospitalof Weifang City,Shandong Province 262500,China
【Abstract】 Objective To explore the feasibility and early results of discharge instruction for patients with type 2 diabetes and their family members.Methods 68 patients with type 2 diabetesand their family members were divided into two groups according to sequential in hospital for the first time,observation group(34)and control group(34).Special and general discharge instruction were given to the patients and their family members respectively.Observation was conducted for the two groups in the newly hospitalized and at 6 months after discharge from the hospital,investigating the clinical value of fasting plasma glucose(FPG),2 h postpradial plasma glucose(2 hPG)and glycated hemoglobin in patiets with type 2 diabetes,and evaluation of compliance and quality of life.Results The understanding on discharge instruction in observation group was better than that in control group at 6 months after discharge from the hospital(P<0.05 or P<0.01)).Compliance was obviously better than that in control group(P<0.01).Quality of life was obviously better than that in control group(P<0.01).Conclusion Discharge instruction for patients with type 2 diabetes and their family members can improve early results and improve quality of life.
【Key words】 Discharge instruction; Type 2 diabetes; Early results
糖尿病是一种慢性终身性疾病,其中2型糖尿病占糖尿病发病率的90%[1]。患者一经确诊,往往需要终生治疗,因此出院指导非常重要。为了探讨针对性出院指导对2型糖尿病患者及其家属的可行性与近期效果的影响,笔者对68例2型糖尿病患者及其家属进行了对照研究,现报告如下。
1 对象与方法
1.1 对象 选取2006年12月至2007年12月在本科首次入院治疗的2型糖尿病患者68例,其中男36例、女32例,年龄31~68岁,平均52.0岁。病程3~10年,平均3.6年。文化程度:大专及以上20例,中专及高中29例,初中及以下19例,平均住院日为18 ......
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