以体检中心为主导的多学科延续护理对老年糖尿病体检患者血糖控制效果的影响OA
Effect of Multidisciplinary Continuing Care Led by Physical Examination Center on Blood Glucose Control in Elderly Patients with Diabetes Undergoing Physical Examination
目的:探讨以体检中心为主导的多学科延续护理对老年糖尿病体检患者血糖控制效果的影响.方法:选取 2024 年 1-12 月于徐州市中心医院体检中心进行健康体检的 88 例老年 2 型糖尿病(T2MD)患者,采用随机数表法分为常规组(常规护理,44例)和试验组(以体检中心为主导的多学科延续护理(44 例),护理 3 个月.比较两组护理前后的健康素养、自我管理行为及血糖水平.结果:护理后,两组健康素养问卷评分、糖尿病自我管理行为量表(SDSCA)评分高于护理前,且试验组高于常规组,差异有统计学意义(P<0.05).护理后,两组空腹血糖(GLU)、餐后 2 小时血糖(2hPG)、糖化血红蛋白(HbA1c)水平低于护理前,且试验组低于常规组,差异有统计学意义(P<0.05).结论:以体检中心为主导的多学科延续护理可提高老年糖尿病体检患者的健康素养,改善自我管理行为,有效控制血糖水平.
Objective:To explore the effect of multidisciplinary continuous nursing led by physical examination center on blood glucose control in elderly patients with diabetes undergoing physical examination.Method:88 elderly patients with type 2 diabetes(T2MD)who underwent physical examination in the Physical Examination Center of Xuzhou Central Hospital from January to December 2024 were selected and randomly divided into the test group(n=44)and the conventional group(n=44).The routine group received routine nursing care,while the experimental group received multidisciplinary continuing nursing care led by a physical examination center for 3 months.The health literacy,self-management behavior,and blood glucose levels of two groups of patients before and after nursing care were compared.Result:After nursing,the scores of health literacy questionnaire and diabetes self-management behavior scale(SDSCA)in the two groups were higher than those before nursing,and the test group was higher than the conventional group(P<0.05).After nursing,the fasting blood glucose(GLU),2-hour postprandial blood glucose(2hPG),and glycated hemoglobin(HbA1c)levels in both groups were lower than before nursing,and the experimental group was lower than the control group(P<0.05).Conclusion:The multidisciplinary continuing care led by the physical examination center can improve the health literacy of elderly patients with diabetes,improve their self-management behavior,and effectively control the blood sugar level.
周璠;张丹
徐州市中心医院健康体检中心 江苏 徐州 221000徐州市中心医院健康体检中心 江苏 徐州 221000
体检中心老年糖尿病患者多学科延续护理健康素养自我管理行为血糖水平
Physical examination centerElderly patients with diabetesMultidisciplinary continuity nursingHealth literacySelf-management behaviorBlood sugar level
《中外医学研究》 2026 (7)
161-164,4
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