作者：卞雅金，高爽，张建茹，蒙娜，赵亮亮

单位：秦皇岛市第二医院 儿科，河北 秦皇岛 066600

Authors:  BIAN Yajin, GAO Shuang, ZHANG Jianru, MENG Na, ZHAO Liangliang

Unit:  Department of Pediatric, the 2nd Hospital of Qinhuangdao, Qinhuangdao 066600, Hebei, China

摘要：

目的   探讨循证护理联合微信平台对儿童糖尿病预后的影响。方法 随机选取2014年6月至2016年6月在秦皇岛市第二医院儿科诊治的糖尿病患儿进行前瞻性研究,分为观察组和对照组,各55例,对照组给予常规护理,观察组给予循证护理联合微信平台护理模式,两组患者均护理至出院后随访3个月,观察两组患者的血糖控制水平、自我效能评分、不良反应时间的发生情况以及患者的满意度。结果  护理前两组患者的血糖水平、自我效能评分比较差异无统计学意义,护理后两组患者的糖化血红蛋白、空腹血糖以及餐后2 h血糖水平均下降,且观察组下降更显著,差异有统计学意义(P<0.05),护理后两组患者的自我效能评分均升高,且观察组升高更显著,差异有统计学意义(P<0.05),观察组的不良事件发生率为8.33%,显著低于对照组(33.33%),观察组住院时间显著短于对照组,差异有统计学意义(P<0.05),观察组的总满意度为89.09%,对照组为54.55%,观察组显著高于对照组,差异有统计学意义(P<0.05)。结论  循证护理联合微信平台护理模式的临床上护理效果较好,可有效的改善患者的血糖水平,促进患者的恢复,减少并发症的发生,显著提高自我效能,并且患者满意度较高,在临床上可广泛使用。

关键词： 循证护理; 微信平台; 儿童糖尿病; 预后

Abstract：

Objective  To explore the effect of evidence-based nursing combined with Wechat platform on the prognosis of children with diabetes mellitus. Methods  A prospective study was conducted among children with diabetes who were treated in pediatrics department of Qinhuangdao Second Hospital from June 2014 to June 2016. They were divided into observation group and control group, 55 cases in each group. The control group were given routine nursing, while the observation group were given evidence -based nursing combined with Wechat platform nursing mode. The two groups were followed up for 3 months after discharge. Blood sugar control level, self-efficacy score, adverse reaction time and patient satisfaction were observed. Results  There was no significant difference in blood sugar level and self-efficacy score between the two groups before nursing (P>0.05). After nursing, the levels of fasting blood sugar, 2 h postprandial blood sugar and glycosylated hemoglobin decreased in both groups, and the decrease in the observation group was more significant (P<0.05). After nursing, the self-efficacy scores of both groups increased, and that of the observation group increased more significantly (P<0.05). The incidence of adverse events was 8.33% in the observation group and 33.33% in the control group. The hospitalization time of the observation group was significantly shorter than that of the control group (P<0.05). The total satisfaction rate of the observation group was 89.09% and that of the control group was 54.55%. The observation group was significantly higher than that of the control group (P<0.05). Conclusions Evidence-based nursing combined with Wechat platform nursing model has better clinical nursing effect. It can effectively improve patients'blood sugar level, promote patients' recovery, reduce complications, significantly improve self-efficacy, and patients' satisfaction is high. It can be widely used in clinical practice.

Key Words:  Evidence-based nursing; Wechat platform; Childhood diabetes mellitus; Prognosis