延续性护理对老年糖尿病患者自护能力的影响
时间：2018-02-18
目的 探讨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月至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（103.85±11.65），出院1年后评分为（101.91±10.14），差异具有统计学意义（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，能提高患者的自我护理能力，值得临床应用推广。
Effect of continuing nursing on sef-care abiity of edery patients with diabetes meitus
LI Xiuxia
Department of Interna Medicine， Zaozhuang City Materna and Chid Heath Hospita， Zaozhuang 277100， China
[Abstract] Objective To expore the cinica effect of continuing nursing in edery patients with diabetes meitus， and to study its effect on patients' sef-care abiity. Methods A tota of 89 edery patients with diabetes meitus in our hospita from January 2015 to January 2016 were enroed in this study. The patients were randomy grouped and treated with different nursing methods. The contro group（n=44） was given routine nursing measures and heath education. The study group（n=45） was given continuing nursing interventions based on the treatment of the contro group after discharge. The sef-care status between the two groups on admission and at one year after discharge was compared. The sef-care abiity measurement scae was used. Resuts There were no significant differences in the indicators of ESCA incuding the scores of sef-care abiity， nursing skis， nursing responsibiity， sef-concept and heath theory between the study group and the contro group（P>0.05） at discharge. The scores of sef-care abiity， nursing skis， nursing responsibiity， sef-concept and heath theory in the study group were significanty higher than those of the contro group at one year after discharge. And the tota score of sef-care abiity in the study group was（104.32±9.93） at discharge and（116.18±11.04）at one year after discharge. The tota score of sef-care abiity in the contro group was（103.97±11.65）at discharge and（101.91±10.14）at one year after discharge. There was significant difference between the two groups（P<0.05）. Concusion Continuing nursing has an obvious effect in edery patients with diabetes meitus， which can effectivey improve the sef-care abiity of patients and is worthy of cinica appication. 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。
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