摘要目的 探讨延续性远程护理模式对2型糖尿病患者的代谢值、自我管理能力、自我效能和情绪控制情况,观察临床上用延续性远程护理模式护理2型糖尿病患者的临床疗效,为临床上护理2型糖尿病患者提供资料.方法 选取180例2型糖尿病患者.随机分成干预组和对照组,各90例.实验开始前,180例患者进行生化检查,并填写有关问卷调查.干预组采用新型的护理模式延续性远程护理,对照组只采取普通的电话随访,实验周期为12个星期,实验结束后再次对两组患者进行相关的实验室检查和问卷调查,比较实验前后干预组和对照组的变化.结果 ①相关生化检查:干预组的患者的空腹血糖值( FPG)和糖化血红蛋白( HbAlc)两项指标改善效果优于对照组,差异均有统计学意义(均P<0.05) ;②自我管理:干预组患者的总分、饮食管理和血糖监测优于对照组,差异均有统计学意义(均P<0.05) ;③足部和运动管理:干预组和对照组干预前后比较,差异无统计学意义(P>0.05);④自我效能:干预组和对照组在坚持运动、判断病情、不影响生活这三方面比较,差异均无统计学意义(P>0.05),其他各项干预组均优于对照组,差异均有统计学意义(均P<0.05);⑤情绪控制:干预组在减少抑郁和焦虑方面优于对照组,差异均有统计学意义(P<0.05).干预组患者的空腹血糖、白蛋白、自我管理、多数自我效能、情绪控制均优于对照组,差异有统计学意义(均P<0.05) .结论 延续性远程护理模式比传统的电话回访更适合2型糖尿病患者.

abstractsObjective To explore the metabolic value, self-management, self-efficacy and emotional control of type 2 diabetes patients with continuous remote nursing. To observe the clinical efficacy of continuous remote nursing for patients with type 2 diabetes, and to provide data for clinical care of patients with type 2 diabetes. Methods A to-tal of 180 patients with type 2 diabetes were selected. They were randomly divided into the intervention group and the control group, 90 cases of each group. Before the experiment, 180 patients underwent biochemical tests and filled in relevant questionnaires. The intervention group adopted the new nursing mode of continuous remote nursing, while the control group only adopted the ordinary telephone follow-up. The experimental period was 12 weeks. At the end of the experiment, relevant laboratory tests and questionnaires were conducted again for the two groups of patients, and the changes of the intervention group and the control group before and after the experiment were compared. Results ①Re-lated biochemical examination: the improvement effect of FPG and HbAlc was better than that of the control group, and the difference was statistically significant (P<0.05). ②Self-management: the total score, diet management and blood glucose monitoring of the patients in the intervention group were better than those in the control group, and the differ-ences were statistically significant (P<0.05). ③Foot and movement management: there was no statistically significant difference between the intervention group and the control group before and after the intervention ( P>0.05) . ④self-effi-cacy: there were no statistically significant differences between the intervention group and the control group in three as-pects, namely, adherence to exercise, judgment of illness and non-impact on life ( P<0.05) . ⑤Emotional control:the intervention group was superior to the control group in reducing depression and anxiety, and the differences were sta-tistically significant (P<0.05). Fasting blood glucose, albumin, self-management, most of the self-efficacy and emo-tional control of the patients in the intervention group were superior to those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions The model of continuous remote nursing is more suitable for type 2 diabetes patients than the traditional telephone return visit.