基于Triangle模型的分层分级延续性护理对2型糖尿病患者血糖控制水平和自我管理能力的影响OA
Influence of Hierarchical and Graded Continuous Nursing based on the Triangle Model on the Blood Glucose Control Level and Self-management Ability of Patients with Type 2 Diabetes Mellitus
目的 探讨基于Triangle模型的分层分级延续性护理对 2 型糖尿病患者血糖控制水平和自我管理能力的影响.方法 选取2022 年11 月至2024 年11 月高安市人民医院收治的76 例2 型糖尿病患者,根据护理方式不同分为对照组和观察组,各38 例.对照组予以常规延续性护理,观察组采用基于Triangle模型的分层分级延续性护理.比较两组患者护理前后血糖指标[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2hPBG)],采用糖尿病自我护理行为评价量表(SDSCA)评估两组患者自我管理能力,并在护理前后采用糖尿病特异性生命质量量表(DSQL)评估两组患者生命质量的变化.结果 干预前,两组 HbAlc、FPG、2hPBG比较差异无统计学意义(P＞0.05);干预后,观察组HbAlc、FPG、2hPBG均低于对照组(P＜0.05).干预前,两组SDSCA评分比较差异无统计学意义(P＞0.05);干预后,观察组SDSCA评分高于对照组(P＜0.05).干预前,两组DSQL评分比较差异无统计学意义(P＞0.05);干预后,观察组DSQL评分低于对照组(P＜0.05).结论 基于Triangle模型的分层分级延续性护理用于 2 型糖尿病患者中具有良好的血糖控制效果,能够提升患者的自我管理能力,改善其生命质量.
Objective To explore the influence of stratified and graded continuous nursing based on the Triangle model on the blood glucose control level and self-management ability of patients with type 2 diabetes.Methods A total of 76 patients with type 2 diabetes mellitus admitted to Gao'an People's Hospital from November 2022 to November 2024 were selected and divided into a control group and an observation group according to different nursing methods,with 38 cases in each group.The control group was given conventional continuous care,while the observation group adopted stratified and graded continuous care based on the Triangle model.The blood glucose indicators[glycated hemoglobin(HbA1c),fasting plasma glucose(FPG),2-hour postprandial blood glucose(2hPBG)]of the two groups of patients before and after nursing were compared.The self-management ability of the two groups of patients was evaluated by using the Diabetes Self-Care Behavior Evaluation Scale(SDSCA).The Diabetes-specific Quality of Life Scale(DSQL)was used to evaluate the changes in the quality of life of the two groups of patients before and after the nursing care.Results Before the intervention,there was no statistically significant difference in HbAlc,FPG and 2hPBG between the two groups(P＞0.05).After the intervention,the levels of HbAlc,FPG and 2hPBG in the observation group were all lower than those in the control group(P＜0.05).Before the intervention,there was no statistically significant difference in the SDSCA scores between the two groups(P＞0.05).After the intervention,the SDSCA score of the observation group was higher than that of the control group(P＜0.05).Before the intervention,there was no statistically significant difference in the DSQL scores between the two groups(P＞0.05).After the intervention,the DSQL score of the observation group was lower than that of the control group(P＜0.05).Conclusion The stratified and graded continuous nursing based on the Triangle model has a good effect on blood glucose control in patients with type 2 diabetes,can enhance patients'self-management ability and improve their quality of life.
吴维;胡欢
高安市人民医院内分泌科,江西 宜春 330800高安市人民医院肾内科,江西 宜春 330800
医药卫生
2型糖尿病Triangle模型分层分级延续性护理血糖自我管理能力
Type 2 diabetes mellitusHierarchical and graded continuous nursingTriangle modelBlood glucoseSelf-management ability
《中国药物经济学》 2026 (1)
102-105,4
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