以结局为导向的前瞻性干预对老年2型糖尿病患者的应用效果分析

Analysis of application effects of outcome-oriented prospective intervention on elderly patients with type 2 diabetes mellitus

中文关键词: 老年  2型糖尿病患者  以结局为导向  前瞻性干预  血糖控制  自护能力  用药依从性

英文关键词: elderly  type 2 diabetes mellitus  outcome-oriented  prospective intervention  blood glucose control  self-care ability  medication compliance

中文摘要:

      目的 探究以结局为导向的前瞻性干预策略对老年2型糖尿病(T2DM)患者血糖控制、自护能力及用药依从性的影响,以期为该病的干预提供方法.方法 选自2024年1月—2025年1月于成都中医药大学附属医院收治的130例老年T2DM患者,随机分为观察组和对照组,每组65例.对照组患者予以常规护理干预,观察组患者在与对照组相同处理的基础上加用结局为导向的前瞻性干预.比较干预后2组老年T2DM患者的血糖变化、自我护理能力[采用老年人自我护理能力量表(SASE)评估]、依从性(用药、定时监测、饮食、运动、复诊依从性)、生活质量[采用2型糖尿病患者生活质量评定量表(DMQLS)评估].结果 干预后,2组患者空腹血糖、餐后2 h血糖水平及DMQLS量表评分降低(P＜0.05),且观察组患者空腹血糖水平、餐后2 h血糖水平、DMQLS量表评分低于对照组(P＜0.05);与同组干预前比较,干预后2组患者SASE量表评分升高(P＜0.05),观察组患者SASE量表评分高于对照组(P＜0.05);干预期间观察组患者用药、定时监测、饮食、运动及复诊依从率均高于对照组(P＜0.05).结论 以结局为导向的前瞻性干预策略有助于老年T2DM患者有效控制血糖,提升自护能力,增加用药依从性,提高生活质量,具有一定的临床应用价值.

英文摘要:

      Objective To investigate the effects of an outcome-oriented prospective intervention strategy on glycemic control,self-care ability,and medication compliance in elderly patients with type 2 diabetes mellitus(T2DM),and provide a method for the intervention of the disease.Methods 130 elderly T2DM patients admitted to Affiliated Hospital of Chengdu University of Traditional Chinese Medicine between January 2024 and January 2025 were selected and randomly divided into ob-servation group and control group,with 65 patients in each group.The control group received routine nursing intervention.The observation group received the outcome-oriented prospective intervention on the basis of the control group.The blood glucose changes,self-care ability[Self-care Ability Scale for the Elderly(SASE)],compliance(medication,regular monitoring,di-et,exercise and follow-up visits)and quality of life[Diabetes Mellitus Quality of Life Scale(DMQLS)]were compared be-tween the two groups after intervention.Results After Intervention,the levels of fasting blood glucose(FBG),2-hour post-prandial blood glucose(2 hPG)and DMQLS scores in the two groups decreased significantly(P＜0.05),and the observation group was significantly lower than the control group(P＜0.05);the SASE scores in the two groups increased significantly(P＜0.05),and the observation group was significantly higher than the control group(P＜0.05).During intervention,the compliance rates of medication,regular monitoring,diet,exercise and follow-up visit in the observation group were higher than those in the control group(P＜0.05).Conclusion The outcome-oriented prospective intervention strategy can help elderly T2DM patients effectively control blood sugar,improve self-care ability,increase medication compliance,and improve quality of life.It has certain clinical application value.