The influence of outpatient continuous nursing on blood glucose control and self-management ability of diabetic patients
门诊延续护理对糖尿病患者血糖控制及自我管理能力的影响

摘要

目的 探讨门诊延续护理对2型糖尿病患者血糖控制、自我管理能力及生活质量的影响，为优化糖尿病管理模式提供依据；方法 选取2020年1月至2025年2月期间收治的100例2型糖尿病患者，随机分为实验组和对照组各50例。对照组接受常规门诊护理，实验组在此基础上实施为期5年的门诊延续护理干预。比较两组干预前后的血糖控制指标（空腹血糖、餐后2小时血糖、糖化血红蛋白）、自我管理能力（DSMS量表评分）及生活质量（DQOL量表评分），并分析组间差异的统计学意义；结果 干预后实验组空腹血糖（P<0.001）、餐后2小时血糖（P<0.001）及糖化血红蛋白（P<0.001）均显著低于对照组；DSMS量表总分及各维度评分（饮食控制、运动锻炼、血糖监测等）均显著高于对照组（P均<0.001）；DQOL量表总分及生理功能、心理状态、社会关系等维度评分均显著优于对照组（P均<0.001）；结论 门诊延续护理可显著改善2型糖尿病患者的血糖控制水平，提升自我管理能力，并全面优化生活质量，值得在临床中推广应用。

Abstract

Objective To explore the impact of outpatient continuous care on blood glucose control, self-management ability and quality of life of patients with type 2 diabetes, and to provide a basis for optimizing the diabetes management model; A total of 100 patients with type 2 diabetes mellitus admitted from January 2020 to February 2025 were selected and randomly divided into an experimental group and a control group, with 50 cases in each group. The control group received routine outpatient care, while the experimental group received a 5-year continuous outpatient nursing intervention on this basis. The blood glucose control indicators (fasting blood glucose, 2-hour postprandial blood glucose, glycated hemoglobin), self-management ability (DSMS scale score), and quality of life (DQOL scale score) before and after the intervention were compared between the two groups, and the statistical significance of the differences between the groups was analyzed.
Results After the intervention, the fasting blood glucose (P<0.001), 2-hour postprandial blood glucose (P<0.001), and glycated hemoglobin (P<0.001) in the experimental group were significantly lower than those in the control group. The total score of the DSMS scale and the scores of each dimension (such as diet control, exercise, blood glucose monitoring, etc.) were significantly higher than those of the control group (all P <0.001). The total score of the DQOL scale and the scores of dimensions such as physiological function, psychological state, and social relationship were all significantly better than those of the control group (all P <0.001).
Conclusion  s Outpatient continuous care can significantly improve the blood glucose control level of patients with type 2 diabetes, enhance their self-management ability, and comprehensively optimize their quality of life. It is worthy of promotion and application in clinical practice.