基于NNN-链接的护理模式对2型糖尿病患者健康知识和行为及血糖的影响

苏巧丹; 王俊; 屠昕

doi:10.16766/j.cnki.issn.1674-4152.003653

基于NNN-链接的护理模式对2型糖尿病患者健康知识和行为及血糖的影响

doi: 10.16766/j.cnki.issn.1674-4152.003653

绍兴市人民医院内分泌代谢科，浙江绍兴 312000

基金项目:

浙江省医药卫生科技计划项目 2022RC274

浙江省中医药科技计划项目 2022ZB363

详细信息

通讯作者:
苏巧丹，E-mail: suqiaodan2022@163.com

中图分类号: R587.1 R473.58
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出版历程
- 收稿日期: 2024-02-18
- 网络出版日期: 2024-11-19

Effect of NNN-link-based care model on health knowledge and behavior and blood glucose in patients with type 2 diabetes

Department of Endocrinology and Metabolism, Shaoxing People ' s Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的探讨NNN-链接在2型糖尿病(T2DM)患者护理中的应用效果，旨在为临床护理提供理论参考。方法选择2023年1—8月在绍兴市人民医院内分泌代谢科诊疗的T2DM患者94例，采用随机数字表法将患者分为2组，对照组(47例)开展常规护理，观察组(47例)开展NNN-链接护理，比较2组健康知识和行为水平、血糖情况及皮肤和黏膜组织完整性、下肢灌注及焦虑自我控制情况。结果观察组护理后糖尿病管理知识评分为(89.11±7.21)分，高于对照组的(74.22±6.12)分(P＜0.05)，健康管理行为除“规律运动”项外其余均优于对照组(P＜0.05)；观察组空腹血糖[FPG，(7.20±1.42)mmol/L]、糖化血红蛋白[HbA1c，(6.99±1.17)%]、餐后2 h血糖[2hPG，(9.68±2.12)mmol/L]均低于对照组的(8.54±2.16)mmol/L、(8.10±2.13)%、(11.77±2.04)mmol/L(P＜0.05)；皮肤和黏膜组织完整性、下肢灌注和焦虑自我控制评分均高于对照组(P＜0.05)。结论给予T2DM患者NNN-链接的护理模式有利于提高患者健康知识和行为水平，控制血糖，保持皮肤和黏膜组织完整性，改善下肢灌注，减轻焦虑。
- 2型糖尿病 /
- NNN-链接 /
- 血糖 /
- 自我管理
Abstract: Objective To explore the application of NNN-linking in the nursing care of patients with type 2 diabetes mellitus (T2DM), aiming to provide theoretical reference for clinical nursing. Methods A total of 94 T2DM patients diagnosed and treated in the Department of Endocrinology and Metabolism of Shaoxing People ' s Hospital from January to August 2023 were selected. The patients were divided into 2 groups by random number table method. The control group (47 cases) received routine care, and the observation group (47 cases) received NNN-linked care. The levels of health knowledge and behavior, blood glucose, skin and mucous tissue integrity, lower limb perfusion and anxiety self-control were compared between the two groups. Results The score of post-nursing diabetes management knowledge in the observation group was (89.11±7.21) points, which was higher than that in the control group [(74.22±6.12)points, P < 0.05]. Additionally, the health management behavior in the observation group was better than that in the control group except for "regular exercise" (P < 0.05). Fasting plasma glucose [FPG, (7.20±1.42)mmol/L], glycated hemoglobin A1c[HbA1c, (6.99±1.17)%], 2 h postprandial glucose [2hPG, (9.68±2.12) mmol/L] was lower than that of control group [(8.54±2.16) mmol/L, (8.10±2.13)%, (11.77±2.04) mmol/L, P < 0.05]. Furthermore, the scores of skin and mucosal tissue integrity, lower limb perfusion and anxiety self-control were higher in the observation group compared to those of control group (P < 0.05). Conclusion NNN-linked nursing mode in T2DM patients can improve the health knowledge and behavior level of patients, control blood glucose, maintain the integrity of skin and mucous tissue, improve lower limb perfusion, and alleviate anxiety.
- Type 2 diabetes mellitus /
- NNN-link /
- Blood glucose /
- Self-management

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表 1 2组T2DM患者一般资料比较

Table 1. Comparison of general data between the two groups of T2DM patients

组别	例数	性别(男/女，例)	年龄(x±s，岁)	BMI(x±s)	病程(x±s，年)	吸烟(例)	饮酒(例)	合并其他疾病(是/否，例)
对照组	47	27/20	60.23±5.19	21.09±3.22	4.12±1.21	10	29	10/37
观察组	47	23/24	60.77±8.14	21.37±4.19	3.90±0.93	12	30	15/32
统计量		0.684^a	0.383^b	0.363^b	0.988^b	0.237^a	0.046^a	1.362^a
P值		0.408	0.702	0.717	0.327	0.626	0.831	0.243
注：^a为χ²值，^b为t值。

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表 2 2组T2DM患者护理前后健康知识评分比较(x±s，分)

Table 2. Comparison of health knowledge scores between the two groups of T2DM patients before and after care (x±s, points)

组别	例数	护理前	护理后
对照组	47	60.23±5.67	74.22±6.12^b
观察组	47	60.44±8.10	89.11±7.21^b
统计量		0.146^a	15.671^c
P值		0.885	＜0.001
注：^a为t值，^c为F值；与同组护理前比较，^bP＜0.05。

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表 3 2组T2DM患者护理前后自我管理行为比较(例)

Table 3. Comparison of self-management behaviors between the two groups of T2DM patients before and after care(cases)

组别	例数	时间点	开展自我血糖监测	记录血糖日记	规范用药	规律运动	按医嘱饮食	每周足部检查
对照组	47	护理前	7	9	30	27	33	11
		护理后	11	15	35	29	36	15
观察组	47	护理前	8	7	34	25	34	10
		护理后	28^a	25^a	45^a	35^a	44^a	26^a
Waldχ_组间²			30.123	23.431	27.212	15.231	19.091	30.912
P值_组间			< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001
Waldχ_时间²			90.231	77.231	67.321	44.562	66.431	92.231
P值_时间			< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001
Waldχ_交互²			43.211	30.456	43.123	20.091	32.341	44.721
P值_交互			< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001
注：与护理前比较，^aP＜0.05。

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表 4 2组T2DM患者护理前后血糖水平比较(x±s)

Table 4. Comparison of blood glucose levels between the two groups of T2DM patients before and after care (x±s)

组别	例数	FPG(mmol/L)		HbA1c(%)		2hPG(mmol/L)
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后
对照组	47	10.11±2.15	8.54±2.16^b	9.33±2.03	8.10±2.13^b	15.88±3.70	11.77±2.04^b
观察组	47	9.97±2.37	7.20±1.42^b	9.56±2.51	6.99±1.17^b	15.75±3.22	9.68±2.12^b
统计量		0.300^a	17.554^c	0.488^a	20.047^c	0.182^a	19.870^c
P值		0.765	0.001	0.626	0.003	0.856	＜0.001
注：^a为t值，^c为F值；与同组护理前比较，^bP＜0.05。

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表 5 2组T2DM患者护理前后皮肤和黏膜组织完整性、下肢灌注及焦虑自我控制评分比较(x±s，分)

Table 5. Comparison of skin and mucosal tissue integrity, lower limb perfusion, and anxiety self-control scores between the two groups of T2DM patients before and after care (x±s, points)

组别	例数	皮肤和黏膜组织完整性		下肢灌注		焦虑自我控制
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后
对照组	47	40.22±4.58	41.34±5.67	50.67±3.45	50.94±7.43	52.44±5.78	52.83±6.45
观察组	47	40.37±5.79	43.80±6.11^b	50.88±6.23	54.36±8.12^b	53.12±8.17	54.90±7.32^b
统计量		0.139^a	19.341^c	0.202^a	17.341^c	0.467^a	12.157^c
P值		0.890	0.046	0.840	0.036	0.642	0.034
注：^a为t值，^c为F值；与同组护理前比较，^bP＜0.05。

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