Application of continuity of care based on enhanced self-management in patients with early diabetic nephropathy (强化自我管理的延续性护理模式在早期糖尿病肾病患者中的应用)

Abstract

Objective To investigate the effect of continuity of care based on enhanced self-management for patients with early diabetic nephropathy. Methods Totally 54 patients with early diabetic nephropathy were randomly divided into the control group and observation group, with 27 cases in each group. All patients received integrated traditional Chinese and western treatment at outpatient visit. Patients in the control group received routine nursing interventions after discharge from the hospital, and those in the observation group were given continuity of care interventions based on enhanced self-management. The clinical outcome indexes were measured before and 6 months after intervention. Results Better clinical outcomes were observed at 6 months after intervention, and systolic pressure, urinary albumin creatinine ratio(UCAR), uric acid, fasting blood-glucose and glycosylated hemoglobin of patients in the observation were significantly lower than those in the control group, respectively(P＜0. 05). Conclusion Continuity of care based on enhanced self-management is potentially effective to reduce the systolic pressure, UCAR), uric acid, fasting blood-glucose and glycosylated hemoglobin of patients with early diabetic nephropathy. (目的 探讨强化自我管理的延续性护理模式在早期糖尿病肾病患者中的应用效果。方法 采用简单随机数字表法将符合纳入标准的54例早期糖尿病肾病患者随机分为对照组和观察组, 各27例。两组患者均接受中西医结合门诊治疗, 对照组采用常规院外护理措施, 观察组在入组当日即采用强化自我管理的延续性护理模式。分别在干预前和干预6月时收集两组患者生化指标并进行比较。结果 干预6个月时, 两组患者各项指标较干预前有下降趋势, 与对照组比较, 观察组较收缩压、尿微量白蛋白与尿肌酐比值(UACR)、血尿酸、空腹血糖及糖化血红蛋白指标更低, 改善更明显, 差异有统计学意义(P＜0. 05)。结论 强化自我管理的延续性护理模式能有效降低早期糖尿病肾病患者收缩压、UACR, 血尿酸、空腹血糖及糖化血红蛋白, 值得借鉴。)

Keywords

• enhanced self-management
• continuity of care
• early diabetic nephropathy
• health education
• 强化自我管理
• 延续性护理
• 早期糖尿病肾病
• 健康宣教