摘要
目的:探讨强化家庭护理干预对城乡接合部糖耐量减低(IGT)患者自我管理水平和糖脂代谢指标的影响。方法:将IGT患者280例采用随机数字表法分为观察组和对照组各140例,观察组给予强化家庭护理干预,对照组仅针对患者进行健康宣教。检测入组时和6个月后糖脂代谢指标变化,并进行比较。采用Deborah的糖尿病自我管理量表调查两组6个月后自我管理水平。结果:观察组总体自我管理水平高于对照组,其中饮食控制、运动依从性、血糖监测依从性及足部护理4个维度评分高于对照组(P<0.05);6个月后,观察组空腹血糖(FPG)、糖化血红蛋白(HbA_1c)、TG、TC及LDL-C较治疗前降低(P<0.05),对照组HbA_1c、TG、TC及LDL-C较治疗前降低(P<0.05),观察组FPG、HbA_1c及TC较对照组降低(P<0.05);观察组糖尿病、IGT转归率明显低于对照组(P<0.05,P<0.01),正常糖耐量(NGT)转归率明显高于对照组(P<0.01)。结论:强化家庭护理干预可以提高IGT患者的自我管理意识,在糖脂代谢指标和糖尿病发病率的控制方面具有明显的优势。
Objective：To explore the effect of intensive family nursing intervention on self management and glucose and lipid metabolism in patients with impaired glucose tolerance（IGT）.Methods：A total of 280 patients with IGT were randomly divided into the observation group and the control group（n=140）.The observation group was given intensive family nursing intervention,while the control group only received health education.The changes of glucose and lipid metabolism indexes of two groups were measured and compared at enrollment and 6 months after the intervention.The self-management scale of Deborah was used to investigate the self-management level of two groups after 6 months.Results：The observation group＇s overall self-management level was significantly higher than that in the control group,and 4 dimensions scores including diet control,exercise compliance,blood glucose monitoring and foot care compliance were significantly higher than those in the control group（P〈0.05）;6 months later,the observation group＇s fasting blood glucose（FPG）,glycosylated hemoglobin（HbA1c）,TG,TC and LDL-C were significantly lower than those before the intervention（P〈0.05）,and the control group＇s HbA1c,TG,TC and LDL-C were significantly lower than those before the intervention（P〈0.05）.The observation group＇s FPG,HbA1c and TC were significantly lower than those in the control group（P〈0.05）.The conversion rate of diabetes and IGT in the observation group were significantly lower than those in the control group（P〈0.05,P〈0.01）,and the observation group＇s conversion rate of normal glucose tolerance（NGT）was significantly higher than that of the control group（P〈0.01）.Conclusion：Intensive family nursing intervention can improve the self-management consciousness of patients with IGT,and have obvious advantages in the control of glucose and lipid metabolism and the incidence of diabetes.
出处
《齐鲁护理杂志》
2017年第9期27-29,共3页
Journal of Qilu Nursing
基金
佛山市医学类科技攻关项目(编号:0015450120608036)
关键词
家庭护理干预
城乡接合部
糖耐量减低
自我管理
Family nursing intervention
Rural-urban fringe zone
Impaired glucose tolerance
Self-management
