延续性护理对老年糖尿病患者自护能力的影响
[摘要] 目的 探?对老年糖尿病患者实施延续性护理的临床效果，并研究其对患者自我护理能力的影响。 方法 选取我院2015年1月～2016年1月期间收治的89例老年糖尿病患者作为本次研究对象，将患者随机分组，行不同的护理方法。对照组（n=44）采取常规护理措施与宣传教育，研究组（n=45）出院后在对照组护理基础上行延续性护理干预措施，对比分析两组患者住院时和出院1年后的自我护理状况，采取自我护理能力测定量表进行调查。 结果 研究组患者出院时自我护理能力总分、护理技能、护理责任感、自我概念、健康理论等ESCA的各项指标与对照组相比，差异无统计学意义（P>0.05），研究组出院1年后的自我护理能力总分、护理技能、护理责任感、自我概念、健康理论等ESCA的各项指标显著高于对照组，且研究组自我护理能力总分出院时为（104.32±9.93），出院1年后评分为（116.18±11.04）；对照组自我护理能力总分出院时为（103.97±11.65），出院1年后评分为（101.91±10.14）；两组比较有统计学意义（P<0.05）。 结论 延续性护理应用在老年糖尿病患者中效果明显，能够有效提高患者的自我护理能力，值得临床应用推广。
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）18-0151-03
Effect of continuing nursing on self-care ability of elderly patients with diabetes mellitus
LI Xiuxia
Department of Internal Medicine， Zaozhuang City Maternal and Child Health Hospital， Zaozhuang 277100， China
[Abstract] Objective To explore the clinical effect of continuing nursing in elderly patients with diabetes mellitus， and to study its effect on patients' self-care ability. Methods A total of 89 elderly patients with diabetes mellitus in our hospital from January 2015 to January 2016 were enrolled in this study. The patients were randomly grouped and treated with different nursing methods. The control group（n=44） was given routine nursing measures and health education. The study group（n=45） was given continuing nursing interventions based on the treatment of the control group after discharge. The self-care status between the two groups on admission and at one year after discharge was compared. The self-care ability measurement scale was used. Results There were no significant differences in the indicators of ESCA including the scores of self-care ability， nursing skills， nursing responsibility， self-concept and health theory between the study group and the control group（P>0.05） at discharge. The scores of self-care ability， nursing skills， nursing responsibility， self-concept and health theory in the study group were significantly higher than those of the control group at one year after discharge. And the total score of self-care ability in the study group was（104.32±9.93） at discharge and（116.18±11.04）at one year after discharge. The total score of self-care ability in the control group was（103.97±11.65）at discharge and（101.91±10.14）at one year after discharge. There was significant difference between the two groups（P<0.05）. Conclusion Continuing nursing has an obvious effect in elderly patients with diabetes mellitus， which can effectively improve the self-care ability of patients and is worthy of clinical application. 综上所述，延续性护理能够有效提高老年糖尿病患者的自我护理能力，在实施期间，能够有效提高患者的自我护理能力，进而达到提高生活质量的目的，是一种有效的护理措施。
