| 宗雅妮,张兵,俞晓敏,葛燕萍,周怡.“医院-社区-虚拟家庭”三元联动管理模式在空巢老年2型糖尿病患者中的应用探讨[J].上海护理,2021,21(S1): |
| “医院-社区-虚拟家庭”三元联动管理模式在空巢老年2型糖尿病患者中的应用探讨 |
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| DOI： |
| 中文关键词: 空巢老人 糖尿病 医院-社区-虚拟家庭 管理模式 |
| 英文关键词:empty nesters diabetes Hospital community virtual family management model |
| 基金项目:上海市医院协会医院管理研究基金资助项目；上海市卫生健康委员会卫生行业临床研究专项 |
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| 中文摘要: |
| 目的 本研究拟探讨以“医院-社区-虚拟家庭”三元联动的管理模式运用于空巢老年2型糖尿病患者延续护理中的应用效果,以期有效控制患者血糖、改善营养状况、减少急性并发症的发生、提高患者生活质量及依从性,并证明该模式的有效性。方法 来自杨行社区与友谊社区的120例空巢老年2型糖尿病患者,每个社区60例,同社区患者随机分组,对照组30例,干预组30例,对照组给予常规护理,干预组给予以“医院-社区-虚拟家庭”三元联动管理模式。在进行3个月的研究后,比较两组相应指标的变化,判定 “医院-社区-虚拟家庭”三元联动的管理模式的有效性。结果 干预后,干预组患者的心理状况、依从性得分均高于对照组(P<0.05)；且干预后,干预组在空腹血糖、糖化血红蛋白较对照组有显著提高,差异有统计学意义(P<0.05)。对照组在干预后,糖化血红蛋白及BMI有明显提高,差异有统计学意义(P<0.05)。结论 对空巢老年2型糖尿病患者采取以“医院-社区-虚拟家庭”三元联动的管理模式可有效控制患者血糖、改善营养状况、减少急性并发症的发生、提高患者生活质量及依从性。 |
| 英文摘要: |
| Objective To explore the application effect of the "hospital community virtual family" three yuan linkage management mode in the continuous nursing of empty nest elderly patients with type 2 diabetes, in order to effectively control the blood glucose of patients, improve the nutritional status, reduce the occurrence of acute complications, improve the quality of life and compliance of patients, and prove the effectiveness of this mode. Methods 120 empty nest elderly patients with type 2 diabetes from Yangxing community and friendship community, 60 :cases in each community, were randomly divided into the control group (30 cases) and the observation group (30 cases). The control group was given routine nursing, and the observation group was given "hospital community virtual family" three yuan linkage management mode. After a three-month study, the changes of the corresponding indicators of the two groups were compared to determine the effectiveness of the "hospital community virtual family" ternary linkage management mode. Results After the intervention, the scores of psychological status and compliance in the intervention group were higher than those in the control group (P < 0.05); After the intervention, the fasting blood glucose and glycosylated hemoglobin of the intervention group were significantly higher than those of the control group, and the weight, waist circumference and BMI of the intervention group were significantly higher than those of the control group, the difference was statistically significant (P < 0.05). In the control group, glycosylated hemoglobin and BMI were significantly improved after the intervention (P < 0.05). Conclusion the management mode of "hospital community virtual family" for empty nest elderly patients with type 2 diabetes can effectively control blood glucose, improve nutritional status, reduce the occurrence of acute complications, and improve the quality of life and compliance of patients. |
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