The curative effect of individualized health management in patients with diabetes
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摘要:
目的探讨个体化健康管理模式对糖尿病患者疗效的影响。 方法选取300例糖尿病患者，随机分为干预组和对照组，对照组仅给常规门诊护理，干预组给予个体化健康管理，六个月后比较两组患者血糖水平、体质量、并发症、治疗依从性及满意度。 结果个体化健康管理模式可有效控制糖尿病患者血糖水平及体质量，降低并发症发生率，提高患者治疗依从性及护理满意度，与传统门诊护理干预相比差异显著（P＜0.05）。 结论个体化健康管理模式有利于提高糖尿病患者疗效，改善生活质量，值得临床推广使用。 Abstract:ObjectiveTo valuate the curative effect of individualized health management in patients with diabetes. Methods300patients with diabetes were randomly divided into two groups. Individualized health management was used in interventiongroup and routine nursing was used in control group. The blood sugar, weight, complication, treatment compliance andsatisfaction were compared between the two groups. ResultsThe blood sugar, weight, complication, treatment complianceand satisfaction of intervention group were significantly better than control group. The difference was statistically significant(P < 0.05). ConclusionUsing individualized health management in patients with diabetes can enhance curative effect, improvethe quality of life, worth clinical promotion. -
Key words:
- diabetes /
- individualized health management /
- treatment compliance
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表 1 两组患者干预前后相关指标比较($\bar x \pm s$,n=150)
组别 护理前 护理后 空腹血糖(mmol/L) 糖化血红蛋白(%) 体质量(kg) 空腹血糖(mmol/L) 糖化血红蛋白(%) 体质量(kg) 对照组 8.65±1.45 9.64±1.89 75.34±5.87 7.24±1.35 7.98±1.43 68.38±4.57 干预组 8.67±1.32 9.66±1.75 75.83±5.42 6.87±0.86 7.44±1.01 60.13±3.52 t 0.125 0.095 0.748 2.831 3.778 17.516 P >0.05 >0.05 >0.05 ＜0.05 ＜0.05 ＜0.05 
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表 2 两组患者干预前后依从性比较[n=150,n(%)]
组别 护理前 依从性 护理后 依从性 优 良 差 优 良 差 对照组 45(30.0) 20(13.3) 85(56.7) 43.3% 55(36.7) 30(20.0) 65(43.3) 56.7% 干预组 40(26.7) 30(20.0) 80(53.3) 46.6% 75(50.0) 55(36.7) 20(13.3) 86.6% χ2 0.337 33.242 P >0.05 ＜0.05
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表 3 两组患者并发症发生率比较[n=150,n(%)]
组别 低血糖 高渗性昏迷 酮症酸中毒 总发生率 对照组 25（16.7） 15（10.0） 10（6.7） 33.3% 干预组 10（6.7） （3.3） 0（0.0） 10.0% χ2 24.059 P ＜0.05
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