肝源性糖尿病患者自我护理行为的调查研究(1)
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[摘要] 目的：研究肝源性糖尿病患者自我护理行为应用方法与效果。方法：将64例肝源性糖尿病患者随机分为干预组和对照组，每组各32例。干预组在治疗的同时实施自我护理行为干预，对照组只进行常规的治疗与护理。结果：干预组不良生活的改变情况(合理饮食、合理运动、合理用药和心理健康)明显好于对照组(P<0.05)，不良生活方式改变率分别为62.5%、81.3%、81.3%和71.9%。同时经过自我护理干预后，干预组的空腹血糖[FPG，(6.45±0.26) mmol/L]、餐后2 h血糖[2 h PG，(8.95±0.26) mmol/L]、谷丙转氨酶[ALT， (36.52±1.85) U/L]、谷草转氨酶[AST，(38.01±2.16) U/L]指标与对照组比较，差异有统计学意义(P<0.05)，达到了正常标准。结论：对肝源性糖尿病患者实施自我护理行为干预，可以改变其不良生活方式，促进肝功能及血糖水平的改善，提高生活质量，促进疾病恢复。
[关键词] 自我护理行为；护理干预；肝源性糖尿病
[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210(2011)07(a)-108-02
The investigation research on self-nursing behaviors of hepatic diabetes patients
ZHAO Xinxian
Renji Hospital affiliated to Shanghai Jiaotong University, Shanghai 200127, China
[Abstract] Objective: To research the apply methods and effects of self-nursing behaviors on hepatic diabetes patients. Methods: 64 patients with hepatic diabetes were randomly divided into the intervention group and the control group, each group had 32 cases. The control group was treated by the routine treatment and nursing, the intervention group was added to use the elf-nursing behavioral intervention based on the routine treatment and nursing. Results: The changes of proper diet, reasonable exercise, rational drug use and mental health in the intervention group were significantly better than the control group (P<0.05). The lifestyle change rate were over 50%, were 62.5%, 81.3%, 81.3% and 71.9% respectively. After self-nursing behaviors, the fasting plasma glucose [FPG, (6.45±0.26) mmol/L], postprandial 2 h plasma glucose [2 h PG, (8.95±0.26) mmol/L], alanine aminotransferase [ALT, (36.52±1.85) U/L], aspartate aminotransferase [AST, (38.01±2.16) U/L] indicators of the intervention group were better than that of the control group with significant difference (P<0.05), they reached the normal standard. Conclusion: Self-nursing behaviors on hepatic diabetes patients can change the patients′ lifestyle, improve quality of life, and promote disease recovery.
[Key words] Self-nursing behaviors; Nursing intervention; Liver diabetics ......
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