Effect of NNN-link-based care model on health knowledge and behavior and blood glucose in patients with type 2 diabetes
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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。 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. -
Key words:
- 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 0.684a 0.383b 0.363b 0.988b 0.237a 0.046a 1.362a 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。 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±6.12b 观察组 47 60.44±8.10 89.11±7.21b 统计量 0.146a 15.671c 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。 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 28a 25a 45a 35a 44a 26a 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。 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) 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±2.16b 9.33±2.03 8.10±2.13b 15.88±3.70 11.77±2.04b 观察组 47 9.97±2.37 7.20±1.42b 9.56±2.51 6.99±1.17b 15.75±3.22 9.68±2.12b 统计量 0.300a 17.554c 0.488a 20.047c 0.182a 19.870c 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。 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 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±6.11b 50.88±6.23 54.36±8.12b 53.12±8.17 54.90±7.32b 统计量 0.139a 19.341c 0.202a 17.341c 0.467a 12.157c 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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