1.Effect of omni-directional health education on self management level and blood glucose control in type 2 diabetic patients
Yuanying WENG ; Danhong ZHANG ; Qiao LIN ; Qiuyue CHEN ; Minghua HU
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care 2018;25(1):81-84
Objective To explore the effect of omni-directional health education on self-management level and blood glucose control in patients with type 2 diabetes mellitus. Methods A total of 100 diabetic patients admitted to the department of neurology of Taizhou Central Hospital from January to December 2016 were randomly divided into an observation group and a control group, 50 cases in each group. All patients were given conventional medication according to their systemic conditions, the control group used conventional nursing care, while the observation group was supplemented with omni-directional health education (including diet control therapy, exercise therapy, blood glucose control, hypoglycemic drug use and observation, foot care, blood glucose self monitoring) on the basis of routine nursing;the course of treatment was 2 weeks in the two groups. The differences in self-management level and the effect of blood glucose control were compared between the two groups. Results On the return visits, the self-management scores were significantly higher in both groups than those before education (the control group was 35.2±9.2 vs. 30.1±5.2, the observation group was 78.6±11.5 vs. 29.8±5.4, all P < 0.05), fasting blood glucose [FBG (mmol/L): the control group was 8.8±2.5 vs. 14.8±2.9, the observation group was 6.1±1.6 vs. 15.1±2.7, both P < 0.05) and 2 hours postprandial blood glucose [2 h PBG (mmol/L): the control group was 12.5±3.4 vs. 22.5±3.8, the observation group was 9.1±2.2 vs. 21.9±3.6) were obviously lower than those before education (all P < 0.05), the degrees of improvement of the observation group were more significant than those of the control group [self management score: 78.6±11.5 vs. 35.2±9.2, FBG (mmol/L): 6.1±1.6 vs. 8.8±2.5, 2 hours PBG (mmol/L): 9.1±2.2 vs. 12.5±3.4, all P < 0.05]. Conclusion Omni-directional health education can improve the self-management level of diabetic patients, and the patient's blood glucose control is relatively better.
2.Application of evidence-based nursing in patients with indwelling urethral catheterization
Yuanying WENG ; Minghua HU ; Lin ZHANG ; Sufang YIN
Chinese Journal of Modern Nursing 2014;20(5):525-528
Objective To explore the influence of evidence-based nursing on the comfort level of patient with indwelling urethral catheterization.Methods Total of 300 patients with indwelling urethral catheterizationwere divided into control group and observation group according to random number table method,with 150 patients in each group,respectively.Common nursing method wasadoptedto the control group,while evidence-based nursing interventionwas applied for observation group.Relevant literature was retrieved to select the optimal nursing evidence according to the clinical experience and patients' demand,to develop specific nursing planand assess the comfort level of the patients in the two groups according to pain level,frequent urination,urgent urination,micturition desire.Results In the control group,5 patients' comfort was in level 0 ; 65 patients' comfort was in level Ⅰ; 80 patients' comfort was in level Ⅱ; 0 patients' comfort was in level Ⅲ.In the observation group,69 patients' comfort was in level 0; 47 patients' comfort was in level Ⅰ; 34 patients' comfort was in level Ⅱ; 0 patients' comfort was in level Ⅲ.The difference of comfort level of the patients in the two groups had statistical significance (U =7.42,P < 0.01).Conclusions The application of evidence-based nursing intervention can improve the comfort level of patient in indwelling urethral catheterization during the retention period.