糖尿病护理中个案管理应用效果评价

Evaluation of Application Effect of Case Management in Diabetes Care

摘要: 目的：探讨个案管理在糖尿病护理中的应用效果。方法：选取2020年12月~2021年8月到我院接受治疗的2型糖尿病患者100例作为研究对象，按照随机数字法分为对照组和观察组，各50例，对照组行常规护理，观察组行个案管理护理干预。分别于干预前和干预3个月对比分析两组患者血糖相关指标、自我管理能力指标以及生活质量指标。结果：干预前两组患者FPG、2hPBG、HbAlc等血糖指标差异均不具备统计学意义(P > 0.05)；经干预3个月后，两组患者FPG、2hPBG、HbAlc等血糖指标差异均具备统计学意义(P < 0.05)。干预前两组患者健康饮食、规律运动、足部护理、血糖监测等自我管理能力指标差异均不具备统计学意义(P > 0.05)；经干预3个月后，两组患者健康饮食、规律运动、足部护理、血糖监测等自我管理能力指标差异均具备统计学意义(P < 0.05)。干预前两组患者生活质量指标差异均不具备统计学意义(P > 0.05)；经干预3个月后，两组患者生活质量指标差异均具备统计学意义(P < 0.05)。结论：利用个案管理护理干预可改善患者血糖相关指标，提升患者的自我管理能力及患者生活质量。

Abstract: Objective: To explore the application effect of case management in diabetes nursing. Methods: 100 patients with type 2 diabetes who received treatment in our hospital from December 2020 to August 2021 were selected as the research object, and were divided into control group and observation group according to random number method, with 50 cases in each group. The control group received routine nursing, and the observation group received case management nursing intervention. Blood glucose related indicators, self-management ability indicators and quality of life indicators of patients in the two groups were compared before and 3 months after intervention. Results: Before intervention, there were no significant differences in FPG, 2hPBG, HbAlc and other blood glucose indexes between the two groups (P > 0.05). After 3 months of intervention, there were statistically significant differences in FPG, 2hPBG, HbAlc and other blood glucose indicators between 2 groups (P < 0.05). Before intervention, there was no statistical significance in healthy diet, regular exercise, foot care, blood glucose monitoring and other self-management indicators between the two groups (P > 0.05). After 3 months of intervention, there were statistically significant differences in self-management ability indicators such as healthy diet, regular exercise, foot care and blood glucose monitoring between 2 groups (P < 0.05). Before intervention, there was no statistical significance in quality of life indicators between the two groups (P > 0.05). After 3 months of intervention, there were statistically significant differences in quality of life indicators between 2 groups (P < 0.05). Conclusion: Using case management nursing intervention can improve patients’ blood glucose related indicators, improve patients’ self-management ability and quality of life.