摘 要
糖尿病作为一种慢性代谢性疾病，患病率逐年升高且并发症多，严重影响患者生活质量，优化综合护理干预措施对改善糖尿病患者预后意义重大。本研究旨在探索优化糖尿病患者综合护理干预措施的有效方案，以提高患者自我管理能力、控制血糖水平并减少并发症发生。选取某医院内分泌科收治的200例糖尿病患者作为研究对象，按照随机数字表法分为观察组和对照组各100例，对照组采用常规护理模式，观察组在常规护理基础上实施优化后的综合护理干预，包括个性化健康教育、饮食运动指导、心理支持以及出院后延续性护理等多方面内容。经过为期6个月的干预，结果显示观察组患者空腹血糖、餐后2小时血糖、糖化血红蛋白水平均显著低于对照组，差异有统计学意义（P 0.05），同时观察组患者的糖尿病知识知晓率、自我管理行为评分明显高于对照组（P 0.05），并且观察组患者低血糖发生率、并发症发生率低于对照组（P 0.05）。结论为优化后的综合护理干预措施能够有效提高糖尿病患者的自我管理能力，更好地控制血糖水平，降低并发症风险，相较于传统护理模式具有创新性，主要贡献在于构建了涵盖多个维度的综合护理体系，为临床护理工作提供了新的思路与方法，有助于提升糖尿病患者的整体护理质量。
关键词：糖尿病综合护理；血糖控制；自我管理能力；并发症预防；个性化健康教育
Abstract
Diabetes mellitus, as a chronic me tabolic disease, has seen an increasing prevalence along with multiple complications that significantly impair patients' quality of life. Optimizing comprehensive nursing interventions is crucial for improving patient outcomes. This study aimed to explore effective strategies for optimizing comprehensive nursing interventions in diabetes patients to enhance self-management capabilities, control blood glucose levels, and reduce the incidence of complications. A total of 200 diabetes patients admitted to the endocrinology department of a hospital were selected as research subjects and divided into observation and control groups of 100 patients each using a random number table method. The control group received conventional nursing care, while the observation group underwent optimized comprehensive nursing interventions based on conventional care, including personalized health education, dietary and exercise guidance, psychological support, and post-discharge continuity of care. After a 6-month intervention period, results showed that fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels were significantly lower in the observation group compared to the control group (P 0.05). Additionally, the observation group exhibited higher rates of diabetes knowledge awareness and self-management behavior scores (P 0.05), along with lower incidences of hypoglycemia and complications (P 0.05). In conclusion, the optimized comprehensive nursing intervention effectively improved diabetes patients' self-management abilities, better controlled blood glucose levels, and reduced complication risks. Compared to traditional nursing models, this approach is innovative, primarily contributing by establishing a multidimensional comprehensive nursing system that provides new ideas and methods for clinical nursing work, thereby enhancing overall nursing quality for diabetes patients.
Keywords：Diabetes Comprehensive Nursing；Blood Glucose Control；Self-Management Ability；Complication Prevention；Individualized Health Education
目 录
引 言 1
第一章 糖尿病患者护理现状分析 2
1.1 现行护理模式评估 2
1.2 患者需求调研结果 2
1.3 护理难点问题剖析 3
第二章 综合护理干预体系构建 5
2.1 干预目标设定原则 5
2.2 多学科协作机制 5
2.3 个性化护理方案设计 6
第三章 关键护理措施优化策略 8
3.1 血糖监测技术改进 8
3.2 饮食管理方案优化 8
3.3 运动指导模式创新 9
第四章 护理效果评价与持续改进 11
4.1 疗效评估指标体系 11
4.2 患者满意度调查分析 11
4.3 护理质量持续提升路径 12
结 论 13
参考文献 14
致 谢 15
糖尿病作为一种慢性代谢性疾病，患病率逐年升高且并发症多，严重影响患者生活质量，优化综合护理干预措施对改善糖尿病患者预后意义重大。本研究旨在探索优化糖尿病患者综合护理干预措施的有效方案，以提高患者自我管理能力、控制血糖水平并减少并发症发生。选取某医院内分泌科收治的200例糖尿病患者作为研究对象，按照随机数字表法分为观察组和对照组各100例，对照组采用常规护理模式，观察组在常规护理基础上实施优化后的综合护理干预，包括个性化健康教育、饮食运动指导、心理支持以及出院后延续性护理等多方面内容。经过为期6个月的干预，结果显示观察组患者空腹血糖、餐后2小时血糖、糖化血红蛋白水平均显著低于对照组，差异有统计学意义（P 0.05），同时观察组患者的糖尿病知识知晓率、自我管理行为评分明显高于对照组（P 0.05），并且观察组患者低血糖发生率、并发症发生率低于对照组（P 0.05）。结论为优化后的综合护理干预措施能够有效提高糖尿病患者的自我管理能力，更好地控制血糖水平，降低并发症风险，相较于传统护理模式具有创新性，主要贡献在于构建了涵盖多个维度的综合护理体系，为临床护理工作提供了新的思路与方法，有助于提升糖尿病患者的整体护理质量。
关键词：糖尿病综合护理；血糖控制；自我管理能力；并发症预防；个性化健康教育
Abstract
Diabetes mellitus, as a chronic me tabolic disease, has seen an increasing prevalence along with multiple complications that significantly impair patients' quality of life. Optimizing comprehensive nursing interventions is crucial for improving patient outcomes. This study aimed to explore effective strategies for optimizing comprehensive nursing interventions in diabetes patients to enhance self-management capabilities, control blood glucose levels, and reduce the incidence of complications. A total of 200 diabetes patients admitted to the endocrinology department of a hospital were selected as research subjects and divided into observation and control groups of 100 patients each using a random number table method. The control group received conventional nursing care, while the observation group underwent optimized comprehensive nursing interventions based on conventional care, including personalized health education, dietary and exercise guidance, psychological support, and post-discharge continuity of care. After a 6-month intervention period, results showed that fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels were significantly lower in the observation group compared to the control group (P 0.05). Additionally, the observation group exhibited higher rates of diabetes knowledge awareness and self-management behavior scores (P 0.05), along with lower incidences of hypoglycemia and complications (P 0.05). In conclusion, the optimized comprehensive nursing intervention effectively improved diabetes patients' self-management abilities, better controlled blood glucose levels, and reduced complication risks. Compared to traditional nursing models, this approach is innovative, primarily contributing by establishing a multidimensional comprehensive nursing system that provides new ideas and methods for clinical nursing work, thereby enhancing overall nursing quality for diabetes patients.
Keywords：Diabetes Comprehensive Nursing；Blood Glucose Control；Self-Management Ability；Complication Prevention；Individualized Health Education
目 录
引 言 1
第一章 糖尿病患者护理现状分析 2
1.1 现行护理模式评估 2
1.2 患者需求调研结果 2
1.3 护理难点问题剖析 3
第二章 综合护理干预体系构建 5
2.1 干预目标设定原则 5
2.2 多学科协作机制 5
2.3 个性化护理方案设计 6
第三章 关键护理措施优化策略 8
3.1 血糖监测技术改进 8
3.2 饮食管理方案优化 8
3.3 运动指导模式创新 9
第四章 护理效果评价与持续改进 11
4.1 疗效评估指标体系 11
4.2 患者满意度调查分析 11
4.3 护理质量持续提升路径 12
结 论 13
参考文献 14
致 谢 15
