以健康教练技术为核心的延续性护理对2型糖尿病老年患者的影响

邢晓菡; 陈殷钰; 陶海英

doi:10.16766/j.cnki.issn.1674-4152.001849

以健康教练技术为核心的延续性护理对2型糖尿病老年患者的影响

doi: 10.16766/j.cnki.issn.1674-4152.001849

台州市第一人民医院内分泌科，浙江台州 318020

基金项目:

浙江省基础公益研究计划项目 LY20H070001

详细信息

通讯作者:
陈殷钰，E-mail: 1982064413@qq.com

中图分类号: R473.5 R587.1
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- 文章访问数: 173
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- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2020-08-27
- 网络出版日期: 2022-02-19

The effect of continuous nursing with health coaching technique on the recovery of elderly patients with type 2 diabetes mellitus

Department of Endocrinology, Taizhou First People's Hospital, Taizhou, Zhejiang 318020, China

摘要

摘要: 目的探讨以健康教练技术为核心的延续性护理在2型糖尿病老年患者恢复中的应用效果。方法选择2019年1月—2020年1月于台州市第一人民医院住院治疗的2型糖尿病老年患者120例进行研究，使用随机数字表法将研究对象分为干预组和对照组，每组60例。2组患者在院期间均给予常规护理，对照组患者出院后按照科室规定进行常规延续护理，干预组患者则在此基础上实施以健康教练技术为核心的延续性护理。对比2组患者血糖指标变化情况(空腹血糖、早餐后2 h血糖)、糖尿病知识掌握情况、疾病自我管理能力以及对延续性护理的满意度情况。结果经过6个月的护理干预后，干预组患者血糖指标变化情况明显优于对照组(P < 0.05)；干预后，干预组患者糖尿病知识掌握情况也显著优于对照组(P < 0.05)；干预后，干预组患者疾病自我管理能力评分为(21.71±6.75)分，对照组患者为(14.46±6.51)分，干预组明显高于对照组(P < 0.05)；干预后，干预组患者对延续性护理的满意度为96.67%，对照组为75.00%，2组比较差异有统计学意义(P < 0.05)。结论以健康教练技术为核心的延续性护理可以有效提升2型糖尿病老年患者恢复情况。
- 健康教练技术 /
- 延续性护理 /
- 血糖指标 /
- 糖尿病知识
Abstract: Objective To explore the application effect of continuous nursing with health coaching technology as the core in the recovery of elderly patients with type 2 diabetes. Methods From January 2019 to January 2020, 120 elderly patients with type 2 diabetes who were hospitalized in Taizhou First People's Hospital were selected for the study. The subjects were divided into intervention group and control group by random number table method, with 60 patients in each group. The 2 groups of patients were given routine nursing during their stay in the hospital. The control group received routine continuing nursing after discharge according to the department regulations, while the intervention group received continuous nursing based on the health coach technology. The changes of blood glucose index (fasting blood glucose, 2 hours postpranational blood glucose), knowledge of diabetes, self-management ability of disease, and satisfaction with continuing nursing with health coaching technology as the core were compared between the two groups. Results After 6 months of nursing intervention, the changes in blood glucose indicators of the intervention group were significantly better than those of the control group (P < 0.05); after the intervention, the knowledge of diabetes in the intervention group was also significantly better than the control group (P < 0.05); after the intervention, The disease self-management ability score of patients in the intervention group was (21.71±6.75) points, and the score of patients in the control group was (14.46±6.51) points. The intervention group was significantly higher than the control group (P < 0.05); The satisfaction rate of core continuous care was 96.67%, which was significantly higher than 75.00% of the control group (P < 0.05). Conclusion Continuous nursing with health coaching technology as the core can effectively improve the recovery of elderly patients with type 2 diabetes.
- Health coaching technique /
- Continuing care /
- Blood glucose index /
- Knowledge of diabetes

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表 1 2组2型糖尿病患者血糖指标比较(x±s, mmol/L)

组别	例数	空腹血糖		早餐后2 h血糖
组别	例数	干预前	干预后	干预前	干预后
对照组	60	10.25±1.55	10.67±1.37	16.77±1.25	16.38±1.25
干预组	60	10.56±1.27	7.14±1.31	16.25±1.42	10.37±2.44
t值		1.198	14.425	2.129	16.981
P值		0.233	＜0.001	0.035	＜0.001

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表 2 2组2型糖尿病患者干预前后糖尿病知识掌握情况比较(x±s，分)

组别	例数	干预前	干预后	t值	P值
对照组	60	71.15±3.22	75.62±1.57	9.665	＜0.001
干预组	60	71.37±3.41	93.56±1.44	46.435	＜0.001
t值		0.363	7.490
P值		0.717	＜0.001

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表 3 2组2型糖尿病患者干预前后自我管理能力评分比较(x±s，分)

组别	例数	干预前	干预后	t值	P值
对照组	60	11.13±4.35	14.46±6.51	3.294	0.001
干预组	60	11.56±4.61	21.71±6.75	9.618	＜0.001
t值		0.525	5.988
P值		0.601	＜0.001

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表 4 2组2型糖尿病患者对延续性护理的满意度比较(例)

组别	例数	十分满意	满意	一般	不满意	满意度[例(%)]
对照组	60	25	20	10	5	45(75.00)
干预组	60	45	13	2	0	58(96.67)
注：2组护理满意度比较，χ²=11.582，P＜0.001。

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