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目的 通过对比分析常规护理模式和医院-社区互动护理模式对于管理糖尿病患者的临床效果，探讨医院-社区互动护理模式在糖尿病患者中的运用效果。方法 选取自2013年1月至2015年1月在我院内科住院或门诊治疗的2型糖尿病患者200例，根据护理模式的不同分为对照组和观察组2组，每组各100例患者，其中对照组患者采取常规护理模式，观察组患者采取医院-社区互动护理模式，3个月后比较两组患者的糖化血红蛋白、糖尿病知识知晓率和护理满意度。结果 观察组患者的糖化血红蛋白明显低于对照组（6.6%对7.8%），差异有统计学意义（P<0.05）；观察组患者的糖尿病知识知晓率明显高于对照组患者（99%对88%），差异有统计学意义（P<0.05）；观察组患者的护理满意度明显高于对照组患者（98%对85%），差异有统计学意义（P<0.05）。结论 医院-社区互动护理模式不仅能够提高糖尿病患者的糖尿病相关知识水平，有利于患者本人对自身糖尿病的管理，还能提高糖尿病患者的护理满意度，从而提高依从性，反过来有利于医护人员对患者的管理，保持患者的血糖稳定。
Objective To compare and analyze the clinical effect of routine nursing model and hospital-community interactive nursing model for the management of diabetic patients and to explore the application effect of hospital-community interactive nursing model in patients with diabetes. Methods From January 2013 to January 2015 in our hospital medical department inpatient or outpatient treatment of type 2 diabetic patients 200 cases, divided into control group and observation group according to different modes of care two groups of 100 patients in each group , And the control group patients took the routine nursing mode. The observation group patients took the hospital-community interactive nursing mode. The levels of HbA1c, knowledge of diabetes awareness and nursing satisfaction were compared between the two groups after 3 months. Results The HbA1c in the observation group was significantly lower than that in the control group (6.6% vs 7.8%, P <0.05). The awareness rate of diabetes in the observation group was significantly higher than that in the control group (99% vs 88 %), The difference was statistically significant (P <0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group (98% vs 85%), the difference was statistically significant (P <0.05). Conclusion The hospital-community interactive nursing model can not only improve diabetes-related knowledge of diabetes, help patients to manage their own diabetes, but also improve the satisfaction of patients with diabetes care, thereby enhancing compliance, which in turn is conducive to health care workers on Patient management, to keep the patient's blood sugar stable.