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目的探讨社区护理干预对提高糖尿病治疗依从性的效果。方法 240例糖尿病患者,按照随机数字表法分为对照组和观察组,各120例。两组住院期间均给予系统的对症治疗、健康教育和并发症护理等,对照组出院前给予出院指导,观察组出院前给予出院指导,出院后进行社区护理,对比两组患者6个月后血糖水平、血压水平、遵医行为各项指标。结果干预6个月后观察组空腹血糖(FBG)(5.14±2.58)mmol/L、餐后2 h血糖(2 h PBG)为(7.65±2.74)mmol/L均低于对照组的(7.12±3.26)、(9.05±3.84)mmol/L,差异具有统计学意义(P<0.05);观察组患者血压、药物依从性、合理饮食、定期运动均优于对照组,差异均有统计学意义(P<0.05)。结论个性化、人性化的社区护理干预可显著提高糖尿病患者治疗依从性。
Objective To explore the effect of community nursing intervention on improving the compliance of diabetes treatment. Methods 240 cases of diabetic patients were divided into control group and observation group according to random number table method, 120 cases in each. The two groups were given systematic symptomatic treatment, health education and complication care during the hospitalization period. The control group was given discharge guidance before discharge, the discharge group was given discharge guidance before discharge, community nursing was discharged after discharge, and the blood glucose Level, blood pressure level, compliance with various indicators of medical practice. Results The fasting blood glucose (FBG) (5.14 ± 2.58) mmol / L and 2 h PBG (7.65 ± 2.74 mmol / L) in the observation group after 6 months intervention were lower than those in the control group (7.12 ± 3.26) and (9.05 ± 3.84) mmol / L, respectively (P <0.05). The blood pressure, drug compliance, reasonable diet and regular exercise in the observation group were all better than those in the control group P <0.05). Conclusion Individualized and humanized community nursing intervention can significantly improve the treatment compliance of diabetic patients.