延续护理对老年糖尿病患者疗效的影响

    The influence of continuity care on elderly patients with diabetes

    • 摘要: 目的:探讨延续护理对老年糖尿病患者临床疗效的影响。方法:选取2012年6月至2014年2月完成院内治疗的老年糖尿病患者82例,随机分为对照组42例和观察组40例。对照组给予常规随访,观察组同时进行延续护理,观察2组患者在饮食、运动、用药和血糖监测等方面的依从性,分别比较出院后12周、24周2组糖化血红蛋白水平和医疗费用。结果:观察组和对照组分别有40例和36例患者完成随访,观察组出院后12周和24周运动、用药和血糖监测依从性均优于对照组(P<0.01),2组患者出院后12周饮食依从性差异无统计学意义(P>0.05)。出院后1~12周,观察组患者耗材费用高于对照组,而保健品费用低于对照组(P<0.01);出院后12~24周,观察组保健品费用仍低于对照组(P<0.01),2组药品和耗材费用差异均无统计学意义(P>0.05)。结论:糖尿病患者出院后给予延续护理,能够有效提高患者的治疗依从性,维持血糖稳定。

       

      Abstract: Objective:To investigate the effects of continuity care on elderly patients with diabetes.Methods:From June 2012 to February 2014,82 elderly diabetic patients were randomly divided into the control group(42 cases) and observation group(40 cases).The control group and observation group were routinely followed up and continuity care based on the routine following up,respectively.The compliances of diet,exercise,treatment and blood glucose monitoring in two groups were observed.The glycosylated hemoglobin and medical expenses between two groups were compared after 12 weeks and 24 weeks of discharge.Results:Forty cases in observation group and 36 cases in control group were followed-up.The compliances of exercise,medication and blood glucose monitoring in observation group were better than those in control group after 12 weeks and 24 weeks of discharge(P<0.01).The difference of the compliance of diet between two groups was not statistically significant after 12 weeks of discharge(P>0.05).The material cost in observation group was higher than that in control group after discharge for 1 to 12 weeks(P<0.01).After discharge for 1 to 24 weeks,the health care cost in observation group was lower than that in control group(P<0.01).The differences of drug and material between two groups were not statistically significant(P>0.05).Conclusions:The continuity care can improve the compliance of treatment and maintain stable blood glucose of elderly patients with diabetes after discharge.

       

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