| 陈瑛,陈贤,曹迅.自我管理教育在肝移植术后糖尿病患者出院后血糖控制及长期生存中的作用[J].上海护理,2015,15(8): |
| 自我管理教育在肝移植术后糖尿病患者出院后血糖控制及长期生存中的作用 |
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| 投稿时间：2015-05-13 修订日期：2015-07-23 |
| DOI： |
| 中文关键词: 肝移植 病人教育 自我护理 血糖控制 长期生存 |
| 英文关键词:Liver transplantation Patient education Self-care Blood glucose monitoring long-term?survival |
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| 中文摘要: |
| 目的 总结自我管理教育在肝移植术后糖尿病（post-transplantation diabetes mellitus，PTDM）患者出院后血糖控制及长期生存中的作用。 方法 对357例肝移植术后患者进行自我管理教育，并采用疾病知识调查表及症状自评量表对患者进行了测评。 结果 通过自我管理教育，提高了患者疾病相关知识，增加自我保健意识，调动了患者及其亲属积极参与及学习自我管理血糖的主动性，有效改善了肝移植术后64例PTDM患者的血糖，降低长期并发症，使患者及其家属认识到患者及家属是出院后治疗、护理任务的主要承担者，而医护人员的作用是协助他们做到有效的自我管理。 结论 自我管理在设计上符合患者的健康需求，实施起来简单易行，所需费用低，成本效益好，可以由患者在接受训练后自己组织实施，易于普及推广。 |
| 英文摘要: |
| Objective To summarize the application of self-management education in blood glucose control and long-term survival of liver transplantation patients with (post-transplantation diabetes mellitus, PTDM)after discharge. Methods 357 cases of liver transplantation patients proceeded with self management education．The patients were evaluated with a questionnaire about the disease knowledge and symptom checklist. Results The serf-management education improved the patients’disease-related knowledge,attitude and behavior,enhanced their self-care awareness,motivated the patients’and relafives’initiative of participating and learning the skills of self-management,and thereby effectively improved the 64 cases of PTDM patients" blood glucose and reduce long-term complications after discharge．The self-management education made the patients and relatives realize that they were the main bearer of medical treatment and care．and the medical staff’s role was to help them to carry out effective self-management．Conclusion The design of self management meet the health needs of patients. It is easy to put in practice with low cost and better effectiveness,which can be implemented by the patients themselves after training,and is deserved to be carried out in liver transplant patients． |
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