个性化护理模式在骨科糖尿病患者围手术期的应用效果研究.docVIP

个性化护理模式在骨科糖尿病患者围手术期的应用效果研究 （河北省承德医学院附属医院， 承德 067000） 【摘 要】 目的：探讨个性化护理模式在骨科糖尿病患者围手术期的应用效果。方法：选取骨科合并糖尿病的手术患者60例，随机分为试验组和对照组，对照组采用常规的宣教方式，试验组应用动机性访谈针对患者不同行为改变阶段的需求进行宣教。观察术后3个月、6个月两组血糖指标及糖尿病自护能力评分情况。结果：试验组的各项血糖指标较对照组下降明显，差异有统计学意义（p0.05）） of Personalized Nursing application for the Perioperation of Orthopaedics Patients with Diabetes Mellitus LI Shuying, Xu yinghua, REN Yanling,FANG Yaqun,ZHANG Yilong (Department of orthopaedics , The Affiliated Hospital of Chengde Medical College , Chengde 067000, China) 【Abstract】 Objective: To explore the effect of personalized nursing for the Perioperation of orthopaedics patients with diabetes mellitus. Method: 60 cases orthopaedics patients with diabetes mellitus were divided into experiment group and control group randomly. The conventional health education were adopted to the contol group,while,Motivational interviewing were underwent at different stage according to various behavior and requirement of patients. The blood glucose and self-care capacity were observed at 3 and 6 months after operations in both groups. Result: All the blood glucose detection levels were decreased obviously in experiment group, Theres significant difference (p0.05),And the self-care capacity in experiment group was obviously improved (p0.05). Conclusion: Patients self-management concept will be strengthened by personalized nursing of motivational interview, which can steadily maintain the blood glucose within the normal level ,improve patient,s self-care capacity. 【Key words】Diabetes mellitus；Motivational interviewing; Health education; Orthopaedic department随着社会的进步和生活水平的提高，世界疾病谱的格局也在不断的变化，目前糖尿病已成为继心脑血管疾病、肿瘤之后的第三大危害人类健康的疾病。据WHO统计[1]，至2000年全世界的糖尿病患者已超过1.7亿，而中国的糖尿病人数至2010年已超过9000万，成人患病率高达9.7%[2]。骨科也不乏此类的患者，如何让病人在最短的时间内获得最必要的最有价值的健康知识，提高自护能力，是医务工作者的义务与责任。为激发患者自我健康管理的动机，提高自护能力和增进手术效果，我科对合并糖尿病的患者实施以动机性访谈理论为指导的个性化护理，取得了较好的效果，现报告如下。 1 研究对象 选择2010年4月-2011年8月在骨外科住院并存2型糖尿病的手术患者60例。纳入标准：①符合WHO1999年2型糖尿病诊断标准[3]，糖尿病病史≥2年；②无合并重要脏器严重功能障碍；③无精神及语言沟通障碍；④居住承德市，能定期复诊；⑤