延续性护理对老年糖尿病患者自护能力的影响

[摘要]目的探?对老年糖尿病患者实施延续性护理的临床效果,并研究其对患者自我护理能力的影响。方法选取我院2015年1月～2016年1月期间收治的89例老年糖尿病患者作为本次研究对象,将患者随机分组,行不同的护理方法。对照组(n=44)采取常论文网规护理措施与宣传教育,研究组(n=45)出院后在对照组护理基础上行延续性护理干预措施,对比分析两组患者住院时和出院1年后的自我护理状况,采取自我护理能力测定量表进行调查。结果研究组患者出院时自我护理能力总分。护理技能。护理责任感。自我概念。健康理论等ESCA的各项指标与对照组相比,差异无统计学意义(P>0。05),研究组出院1年后的自我护理能力总分。护理技能。护理责任感。自我概念。健康理论等ESCA的各项指标显著高于对照组,且研究组自我护理能力总分出院时为(104。32±9。93),出院1年后评分为(116。18±11。04);对照组自我护理能力总分出院时为(103。97±11。65),出院1年后评分为(101。91±10。14);两组比较有统计学意义(P<0。05)。结论延续性护理应用在老年糖尿病患者中效果明显,能够有效提高患者的自我护理能力,值得临床应用推广。

[中图分类号]R473。5[文献标识码]B[文章编号]1673-9701(2017)18-0151-03

Effectofcontinuingnursingonself-careabilityofelderlypatientswithdiabetesmellitus

LIXiuxia

DepartmentofInternalMedicine,ZaozhuangCityMaternalandChildHealthHospital,Zaozhuang277100,China

[Abstract]ObjectiveToexploretheclinicaleffectofcontinuingnursinginelderlypatientswithdiabetesmellitus,andtostudyitseffectonpatientsself-careability。MethodsAtotalof89elderlypatientswithdiabetesmellitusinourhospitalfromJanuary2015toJanuary2016wereenrolledinthisstudy。Thepatientswererandomlygroupedandtreatedwithdifferentnursingmethods。Thecontrolgroup(n=44)wasgivenroutinenursingmeasuresandhealtheducation。Thestudygroup(n=45)wasgivencontinuingnursinginterventionsbasedonthetreatmentofthecontrolgroupafterdischarge。Theself-carestatusbetweenthetwogroupsonadmissionandatoneyearafterdischargewascompared。Theself-careabilitymeasurementscalewasused。ResultsTherewerenosignificantdifferencesintheindicatorsofESCAincludingthescoresofself-careability,nursingskills,nursingresponsibility,self-conceptandhealththeorybetweenthestudygroupandthecontrolgroup(P>0。05)atdischarge。Thescoresofself-careability,nursingskills,nursingresponsibility,self-conceptandhealththeoryinthestudygroupweresignificantlyhigherthanthoseofthecontrolgroupatoneyearafterdischarge。Andthetotalscoreofself-careabilityinthestudygroupwas(104。32±9。93)atdischargeand(116。18±11。04)atoneyearafterdischarge。Thetotalscoreofself-careabilityinthecontrolgroupwas(103。97±11。65)atdischargeand(101。91±10。14)atoneyearafterdischarge。Therewassignificantdifferencebetweenthetwogroups(P<0。05)。ConclusionContinuingnursinghasanobviouseffectinelderlypatientswithdiabetesmellitus,whichcaneffectivelyimprovetheself-careabilityofpatientsandisworthyofclinicalapplication。综上所述,延续性护理能够有效提高老年糖尿病患者的自我护理能力,在实施期间,能够有效提高患者的自我护理能力,进而达到提高生活质量的目的,是一种有效的护理措施。

延续性护理对老年糖尿病患者自护能力的影响