全程护理干预提高中老年糖尿病患者专科知识与生活质量的效果评价

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1、硕士学位论文EvaluationoftheNurseCaseManagementonImprovingRelatedKnowledgeandQualityofLifeofMid—-ElderlyDiabetesPatientsMaster：LiHuaSupervisor：LiYa-jieobjeetiveABSTRACTDM(DiabetesMellitus，DM)isachromclife-longdiseaseofwhichlatecomplicationsa陀seriouslyharmfultopeople’Sphysicalandmentalhealth．Highp

2、revalenceandlongerdurationcharacterizedtype2middle-agedandtheolddiabetespatients．Withpoorbloodglucosecontrol，itispronetoresultincomplicationsinheart,brain,kidney，eyes，greatvesselsandperipheralneuropathysystemsandSOon．Thesecomplicationsoftenleadtoadvancedkidneydiseases，lowerlimbamputationsa

3、ndblindness，whichseriouslyaffectthequalityoflifeofpatientswithDM．Inourcountry,DMpatients，particularlymidge—agedandtheelderlypatientsarelackofbasicknowledge，examinationandtreatmentandself-careknowledgeonDM，andtheircompliancebehaviorsarepoor．Generally，theirbloodglucoseiswellcontrolledinhospi

4、tal，whilepoorcontrolledafterdischarge．Ofcourse，thereareseveralreasonsleadingtothephenomenon,suchaslackofprofessionalsupervisionandguidance，aswellaslowautonomyofolderpeople．Poorglucosecontrolalwaysresultsinprematurechroniccomplicationsaffectingthequalityoflife．Therefore，theinterventionmanag

5、ememofelderlypatientswithDMshouldnotbestayedinhospital，butalsoextendedtothelobby．ABSTRACTInthepresentstudy,theelderlypatientsweresuppliedforentirenursingintervention,includingtheperiodinhospital，athomeandinoutpatientdepartment．Theinnovationofthestudywasthattheobjectivemiddle—agedandoldin-p

6、atientsWereservedinoutpatientnursingspecialistdepartmentafterdischarge．Theaimofthestudywastoexploreaneffective，feasible，scientificmanagementmodeltoimprovecomplianceofpatientsoutsidehospital，toincreasetheirknowledgeofDM，todelaytheoccⅧ骶m∞ofckomccomplicationsofDM，andeventuallytoimprovetheirqu

7、alityoflife．MethodsWimrandomizedcontrolledmethod,theobjectiveswereservedforentirenursinginterventionwhielacontainsthreestages-inpatientperiod,athomeandoutpatientnu璐especialistdepartmentstage．1．Nursinginterventionfortheelderly、析mDMinhospitalDuringJuly2004toDece