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基于微信平台的同伴教育护理模式对糖尿病患者疗效分析

Therapeutic effect of peer education nursing model based on Wechat plateform for diabetic patients

    摘要
  • 摘要:
    目的 探讨基于微信平台的同伴教育护理模式对糖尿病患者的血糖、生存质量及护理满意度的影响。
    方法 回顾性分析80例2型糖尿病患者的资料, 根据护理模式不同，将其分为同伴教育组(n=42)和传统护理组(n=38)。同伴教育组基于微信群同伴教育，采用多维度、全方位、一站式的预见性护理模式。传统护理组采用传统护理模式，比较2组患者出院后12个月时空腹血糖、餐后2 h血糖、糖化血红蛋白(HbA1c)、患者生活质量以及护理满意度。
    结果 出院后12个月，同伴教育组空腹血糖、餐后2 h血糖、HbA1c水平均低于传统护理组，差异有统计学意义(P < 0.001); 同伴教育组中文版世界卫生组织生存质量测定量表(WHOQOL-BREF)评分高于传统护理组，差异有统计学意义(P < 0.001); 同伴教育组护理满意度为97.62%, 高于传统护理组的78.95%, 差异有统计学意义(P < 0.05)。
    结论 基于微信群同伴教育护理模式能够有效平稳血糖水平，提高患者长期自我管理能力，从而提高患者生存质量及护理满意度。

     

    Abstract:
    Objective To explore the effects of nursing model of peer education based on Wechat platform on blood glucose, quality of life and nursing satisfaction of diabetic patients.
    Methods The data of 80 patients with type 2 diabetes mellitus were retrospectively analyzed and divided into peer education group(n=42)and traditional nursing group(n=38)according to different nursing modes. The peer education group was given peer education based on Wechat group, and a multi-dimensional, all-round and one-stop predictive nursing model was adopted. The traditional nursing group was treated with traditional nursing mode. Fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin (HbA1c), quality of life and nursing satisfaction of the two groups were compared 12 months after discharge.
    Results At 12 months after discharge, the levels of fasting blood glucose, 2 h postprandial blood glucose and HbA1c in the peer education nursing group were lower than those in the traditional nursing group (P < 0.001); the score of Quality of Life Questionnaire-short version (WHOQOL-BREF) in the peer education group was significantly higher than that in the traditional nursing group (P < 0.001); the nursing satisfaction of the peer education group was 97.62%, which was higher than 78.95% of the traditional nursing group (P < 0.05).
    Conclusion The nursing model of peer education based on Wechat group can effectively stabilize blood glucose level and improve the long-term self-management ability, thereby improving the quality of life and nursing satisfaction.

     

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