糖尿病患者的社區(qū)護(hù)理干預(yù)探討

論文編號(hào):HL190  論文字?jǐn)?shù):12032.頁數(shù):23

論文題目：糖尿病患者的社區(qū)護(hù)理干預(yù)探討
摘　要
 
 目的   通過對(duì)糖尿病人生活方式社區(qū)護(hù)理干預(yù)，使患者建立健康的生活方式，延緩糖尿病慢性并發(fā)癥的發(fā)生和發(fā)展，提高其生活質(zhì)量。
 方法  從本社區(qū)健康普查發(fā)現(xiàn)確診的2型糖尿病者中隨機(jī)抽出糖尿病患者68例，年齡48~75歲，無嚴(yán)重急慢性并發(fā)癥，能進(jìn)行口頭及書面交流的病人，隨機(jī)分為干預(yù)組35例和對(duì)照組33例作為研究對(duì)象，糖尿病病程1~10年。兩組患者在年齡、體重、文化程度、生活環(huán)境、病程等方面無顯著性差異（p＞0.05），具有可比性。對(duì)干預(yù)組主要采取經(jīng)常性的健康教育（包括派發(fā)健康教育小冊(cè)子，集中授課、定期回訪、教會(huì)病人飲食控制、運(yùn)動(dòng)療法、藥物治療及血糖的監(jiān)測(cè)等），動(dòng)態(tài)觀察干預(yù)前后患者血糖。對(duì)照組不做其他干預(yù)，兩組患者均隨訪1年。
 結(jié)果  通過實(shí)施社區(qū)護(hù)理的糖尿病患者，防病意識(shí)明顯提高，經(jīng)測(cè)驗(yàn)，他們回答糖尿病病理知識(shí)和自我護(hù)理與保健常識(shí)的正確率大多在75%以上，血糖明顯下降，并發(fā)癥發(fā)生率顯著降低，生活不良方式明顯改善，使病情的發(fā)展得到很好的控制。
 結(jié)論  對(duì)糖尿病患者生活方式進(jìn)行護(hù)理干預(yù)．使患者轉(zhuǎn)變不良生活方式，有助于延緩糖尿病的發(fā)展及降低急慢性并發(fā)癥的發(fā)生。
 
 關(guān) 鍵 詞：糖尿��；     社區(qū)護(hù)理干預(yù)
 論文類型：應(yīng)用研究
 
  
 Thesis subject:  The community nursing interruption of diabetic inquires into
 Abstract
 
 purpose： approval interferes to the diabetic life style community nursing and make sufferer's establishment healthy life style, defer the occurrence and shape of diabetes chronic complications, raise it living mass.
    method ：The random extract diabetic is 68 from this community the healthy general investigation discover to confirm of 2 of diabeteses, the age is 48~75 years old, have no severity urgently chronic complications, can carry on the patient of oral communication and written swap, random is divided into 35 interruption set 33 as research objects, the course of illness of the diabetes is 1~10 years.Two sets of sufferers show Zhao discrepancy(p>0.05) and have comparability at the age, weight, cultural degree, living environment, and course of illness...etc. none.Mainly adopt usually sexual healthy education(including delivery health education brochure, concentrate teaching, terminal time visit, church patient food control, running therapy, medicine treatment and blood sugar of monitor etc.) to the interruption set, watch observation sufferer's blood sugar in the front and back of the interruption.The matched control doesn't make other interruptions, two sets of sufferers all with visit for a year
 .result：Pass the diabetic of carrying out the community nursing, consciousness that defends a disease is obvious to raise, through test, they answer back the correctness of diabetes pathologic knowledge and ego nursing and health care common sense mostly in above 75%, the blood sugar obviously descends, the complications incidence rate shows Zhao step - down and lives bad mode to obviously improve and make the shape of condition receive a good control.
 conclusion： carries on a nursing interruption to the diabetic life style. make the sufferer transform bad life style, contribute to the occurrence of the shape and step - down urgently chronic complications that defers diabetes.
 
 
 Keyword ：Diabetes;     The community nursing interferes
 Thesis type:Application study
 

 
目  錄

1 緒論 1
1.1背景及意義 1
1.2研究目的及目標(biāo) 2
1.3關(guān)鍵詞及定義 2
1.4文獻(xiàn)回顧 3
2 研究設(shè)計(jì) 5
2.1研究設(shè)計(jì) 5
2.2研究對(duì)象 5
2.3研究工具 5
2.4研究方法 5
2.5研究步驟 9
3 研究結(jié)果 10
3.1一般資料 10
3.2糖尿病社區(qū)護(hù)理干預(yù)前后療效比較 10
4 討論 12
4.1 連續(xù)性的健康教育是堅(jiān)持治療的關(guān)鍵 12
4.2 定期的社區(qū)訪視是保證正確用藥的措施 12
4.3 定期復(fù)診是使并發(fā)癥得以早診斷、早治療的有效方法 12
5.結(jié)論及建議 14
 5.1結(jié)論………………………………………………………………………………..14
 5.2建議………………………………………………………………………………..14
感   謝 15
參考文獻(xiàn) 16
附    錄 18