家庭訪視護(hù)理在社區(qū)老年糖尿病患者中的效果

1、    家庭訪視護(hù)理在社區(qū)老年糖尿病患者中的效果    江惠霞 繆雪娜【摘要】 目的：探討家庭訪視護(hù)理在提高社區(qū)老年糖尿病患者中的效果。方法：選取筆者所在醫(yī)院2017年1月-2018年3月收治的96例老年糖尿病患者為研究對(duì)象，按照隨機(jī)數(shù)字法分為兩組，對(duì)照組48例予以社區(qū)糖尿病疾病常規(guī)管理辦法，研究組48例加以提高自我效能為基礎(chǔ)的家庭訪視護(hù)理。比較兩組患者空腹血糖水平、糖尿病患者自我效能量表評(píng)分、家庭關(guān)懷度指數(shù)問卷評(píng)分。結(jié)果：兩組患者干預(yù)前空腹血糖水平、自我效能評(píng)分、家庭功能評(píng)分比較，差異均無統(tǒng)計(jì)學(xué)意義（p>0.05）;干預(yù)后研究組患者空腹血糖水平顯

2、著低于干預(yù)前及對(duì)照組，自我效能評(píng)分、家庭功能評(píng)分均顯著高于干預(yù)前及對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（p<0.05）。結(jié)論：以提高自我效能為基礎(chǔ)的家庭訪視護(hù)理在社區(qū)老年糖尿病患者中應(yīng)用可顯著控制患者血糖水平，提高患者自我效能水平及家庭功能評(píng)分，值得在臨床上推廣使用。【關(guān)鍵詞】 老年糖尿病患者; 家庭訪視護(hù)理; 自我效能; 家庭功能doi：10.14033/ki.cfmr.2019.18.031 b 1674-6805（2019）18-00-03【abstract】 objective：to explore the effect of home visit nursing in improving

3、elderly diabetic patients in community.method：ninety-six elderly patients with diabetes admitted to our hospital from january 2017 to march 2018 were selected as the research subjects.they were divided into two groups according to random number method.48 cases in the control group were given routine

4、 management of diabetes in community，and 48 cases in the research group were given home visit nursing based on self-efficacy improvement.the fasting blood glucose level，self-efficacy scale score of diabetic patients and family caring index questionnaire score were compared between the two groups.res

5、ult：there was no significant difference in fasting blood glucose level，self-efficacy score and family function score between the two groups before intervention（p>0.05）.after intervention，fasting blood glucose level in the research group was significantly lower than that before intervention and in the control group，and self-efficacy score and family function score were significantly higher than those before in