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  • 中文摘要:

    目的：探讨以专科护士为主导的糖尿病患者参与健康照护方案的效果。方法：采用便利抽样方法，选取2020年9月-2021年8月在盐城市某三级甲等医院内分泌科收治的230例2型糖尿病患者为研究对象，其中2020年9月-2021年2月收治的110例患者为对照组，2021年3月-2021年8月收治的120例患者为试验组。试验组采用以专科护士为主导的糖尿病患者参与健康照护方案，对照组采取传统的健康宣教方式。比较干预前后社区联络护士的理论成绩，2组患者的入院时、出院前、出院后6个月的自我管理能力，糖化血红蛋白值以及患者再次住院率。结果：干预后社区糖尿病联络护士的理论成绩显著提升（t=-7.03，P＜0.01）；与对照组比较，试验组的3个时间点的患者自我管理能力显著提升（均P＜0.01）；试验组患者6个月后的糖化血红蛋白显著低于对照组（t=-2.502，P＜0.05）；试验组患者的再次入院率低于对照组。结论：以专科护士为主导的糖尿病患者参与健康照护方案能够提高患者参与健康照护的积极程度，提升自我管理能力，可以推广至慢病管理。

  • 英文摘要:

    Objective：To evaluatethe effect of diabetes patients participating in health care programs led by specialist nurses. Methods：A total of 230 patients with type 2 diabetes were admitted to the study fromSeptember 2020 to August 2021 were selected as the study subjects by convenience samplingin a department of Endocrinology of a certain grade A tertiary hospital in Yancheng. 110 patients admitted from September 2020 to February 2021 were selected as the control group，120 patients admitted from March 2021 to August 2021 were included in the experimental group. The experimental group used specialized nurses as the leading diabetic patients to participate in the health care program，and the control group adopted the traditional health education. The theoretical scores of community liaison nurses before and after the intervention were compared. The self-management ability，hBA1c value and re-hospitalization rate of patients in the 2 groups at admission，before discharge and 6 months after discharge were compared. Results：Compared with the control group，the theoretical scores of community liaison nurses improved significantly after intervention（t=-7.03，P < 0.01）. The self-management ability of patients in the experimental group at 3 time points was significantly improved（all P < 0.01）. The hBA1c of experimental group was significantly lower than that of control group（t=-2.502，P＜0.05）. The readmission rate of experimental group was lower than that of control group. Conclusions：The participation of diabetic patients in the health care program led by specialist nurses can improve patients’ active participation in health care and self-management ability，which is conducive to further promotion to chronic disease management.

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