论文部分内容阅读
目的:探讨护理程序在慢性病患者防控中的实施体会。方法:选取2014年1月至2015年12月中山市疾病控制中心收治的慢性病防控病例180例,按随机临床对照试验分为对照组与观察组,每组90例。对照组患者在疾控慢性病管理中心按医嘱定期复诊,给予药物治疗、用药指导及常规的护理措施。观察组在进行药物治疗外,由专职护理人员按护理与管理程序进行干预。比较两组慢病患者干预前后(干预3个月后)血压、血糖、尿酸、日常生活能力量表(ADL)、抑郁自评量表(SDS)、社会功能缺陷筛选量表(SDSS)及生活质量评分量表(QOL)的变化情况。结果:两组患者干预前后血压、血糖、尿酸、ADL、SDS、SDSS、QOL比较,差异具有统计学意义(P<0.05)。观察组患者各项慢病指标明显优于对照组。结论:制订适合本中心护理工作特征的护理管理程序,能提高疾病控制中心的护理工作质量,有效改善慢病高血压、糖尿病、痛风患者的血压、血糖、尿酸水平,同时也提高慢病患者的日常生活能力、参与社会活动能力及生活质量的满意度。因此,制订适合疾病控制中心护理工作特征的护理与管理干预程序,对慢性病防控的管理效果显著。
Objective: To explore the implementation of nursing program in the prevention and control of chronic diseases. Methods: From January 2014 to December 2015, 180 cases of prevention and control of chronic diseases admitted to Zhongshan Center for Disease Control and Prevention were selected and divided into control group and observation group according to randomized clinical trial. Each group included 90 cases. The control group of patients in the CDC management center according to doctor’s regular referral, given drug therapy, medication guidance and routine care measures. Observation group in the treatment of drugs, full-time nursing staff by nursing and management procedures for intervention. Blood pressure, blood glucose, uric acid, ADL, SDS, SDSS and life expectancy were compared between two groups before and after intervention (intervention 3 months) Quality Rating Scale (QOL) changes. Results: There were significant differences in blood pressure, blood glucose, uric acid, ADL, SDS, SDSS and QOL between the two groups before and after intervention (P <0.05). Observation group patients with chronic disease indicators were significantly better than the control group. Conclusion: The development of nursing management procedures suitable for the nursing work characteristics of the center can improve the quality of nursing work in the CDC and effectively improve the blood pressure, blood sugar and uric acid levels in patients with chronic hypertension, diabetes and gout. Meanwhile, Daily living ability, ability to participate in social activities and quality of life satisfaction. Therefore, the formulation of nursing and management intervention programs that are suitable for the characteristics of nursing work in the CDC has a significant effect on the prevention and control of chronic diseases.