Application of specialist nurse-led continuing care in self-management of elderly diabetic patients (专科护士主导的延续性护理在老年糖尿病患者自我管理中的应用)

Abstract

Objective To investigate the effect of specialist nurse-led continuing care on self-management skills and blood-glucose control in elderly diabetic patients. Methods Totally 80 elderly patients with type 2 diabetic mellitus were randomly divided into the study group and control group, with 40 cases in each group. All patients received community-based chronic disease management during follow-up, and those in the study group received the specialist nurse-led continuing care. The levels of HbA1c, Fasting Plasma Glucose (FPG), 2-hour postprandial blood glucose(2hPG), and scores of the Self-efficacy for Diabetes(SED) and Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) were compared between two groups after a 6-month follow-up. Results At 6-month follow-up, a better improvement in HbA1c, FPG and 2hPG were found in the study group compared with those in the control group (P＜0. 05). Scores of SED and SDSCA in study group were higher than those of control group at 6-month follow-up (P＜0. 01). Conclusion Specialist nurse-led continuing care is effective to enhance the self-management skills and blood-glucose control efficacy in elderly diabetic patients. (目的 探讨专科护士主导的延续性护理对老年糖尿病患者血糖控制和自我管理能力的影响。方法 将80例老年2型糖尿病患者按随机数字表分为干预组和对照组, 各40例。对照组按照社区医院对慢病患者相关随访要求进行随访; 干预组在对照组的基础上开展以糖尿病专科护士、中医专科护士主导的延续护理。随访6个月, 比较2组糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2hPG)、糖尿病患者自我效能问卷(SED)、自我管理活动问卷(SDSCA)分值。结果 6个月后, 干预组FPG、2hPG、HbA1c指标水平改善优于对照组, 差异有统计学意义(P＜0. 05)。干预6个月后, 干预组SED和SDSCA量表评分高于对照组, 差异有统计学意义(P＜0. 01)。结论 专科护士主导的延续性护理有利于强化老年糖尿病患者自我管理行为, 改善血糖控制效果。)

Keywords

• specialist nurse
• continuing care
• diabetes mellitus
• self-management
• blood glucose
• traditional chinese medicine nursing
• 专科护士
• 延续性护理
• 糖尿病
• 自我管理
• 血糖
• 中医护理