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目的观察老年糖尿病患者用药行为对血糖及生存质量的影响。方法选取梅州市第三人民医院2016年2-9月老年糖尿病患者86例根据数字随机表分用药指导组和常规指导组各43例。常规指导组实施常规护理;用药指导组在常规指导组基础上进行用药行为指导和护理。比较2组患者用药依从性;护理干预前后社会关系、心理、生理和治疗四个生存质量特异性量表维度评分;护理前后血糖水平。结果用药指导组患者用药依从率为97.67%,高于常规指导组的79.07%,差异有统计学意义(P<0.05)。干预前2组患者社会关系、心理、生理和治疗四个生存质量特异性量表维度评分相近,差异无统计学意义(P>0.05);干预后2组患者四个生存质量特异性量表维度评分均低于干预前,且用药指导组降低幅度大于常规指导组,差异均有统计学意义(P<0.05)。干预前2组患者血糖水平相近,差异无统计学意义(P>0.05);干预后2组患者血糖水平均降低,且用药指导组下降幅度大于常规指导组,差异均有统计学意义(P<0.05)。结论老年糖尿病患者用药行为对血糖及生存质量的影响较大,加强用药指导可有效提高患者用药依从性,降低血糖水平,改善其生存质量,值得推广和借鉴。
Objective To investigate the effect of medication behavior on blood glucose and quality of life in elderly patients with diabetes mellitus. Methods Totally 86 cases of elderly diabetic patients in the Third People’s Hospital of Meizhou from January to September in 2016 were enrolled according to the digital randomized table and 43 cases in each group. General guide group to implement routine care; medication guidance group on the basis of the conventional guidance group medication behavior guidance and care. The medication compliance was compared between the two groups. The scores of social quality, psychology, physiology and treatment before and after the intervention were graded as four dimensions of quality of life questionnaire. Results The medication compliance rate of the medication guide group was 97.67%, which was higher than 79.07% of the general guide group, the difference was statistically significant (P <0.05). There was no significant difference in the dimensions of social quality, psychology, physiology and treatment among the two groups before intervention (P> 0.05). After the intervention, the four quality of life-specific scales The score was lower than that before intervention, and the decrease rate of the medication guidance group was higher than that of the conventional guidance group, the difference was statistically significant (P <0.05). The blood glucose level of the two groups before intervention was similar, with no significant difference (P> 0.05). The blood glucose level of the two groups was decreased after intervention, and the decrease rate of the medication guidance group was greater than that of the routine guidance group (P < 0.05). Conclusion The medication behavior of elderly diabetic patients has a great influence on blood glucose and quality of life. To strengthen medication guidance can effectively improve compliance of patients, reduce blood sugar level and improve their quality of life, which is worth promoting and using for reference.