| Objective:To explore the effect of cluster nursing intervention program on blood glucose level,blood glucose monitoring awareness and compliance in patients with orthopedic diabetes,so as to provide theoretical and practical basis for the development of cluster nursing intervention program in patients with diabetes.Methods:From June 2019 to October 2019,120 patients with diabetes in a third-grade a hospital were selected as the study subjects.They were divided into an experimental group(n=60 cases)and a control group(n=60 cases)by random number table method.Routine nursing was used in the control group,while cluster nursing was used in the experimental group,including psychological nursing,blood glucose monitoring,fracture nursing,diet prescription,exercise prescription,etc.After one month of intervention,the incidence of 2h postprandial blood glucose(PBG),glycosylated hemoglobin(HbAlc),fasting blood glucose(FBG).and hypoglycemia after nursing were compared between the two groups.The self-management ability of blood glucose in the two groups was investigated by using the diabetes awareness questionnaire and the diabetes authorization scale.SPSS20.0 was used for statistical analysis of the research data.The measurement data were expressed as mean ±standard deviation,and the counting data as number of cases/percentage.The differences between groups were compared by independent sample Ttest,paired t-test was used for intra-group analysis,rank sum test was used for grade data,and chi-squared test was used for count data.Bilateral test was used to compare the differences of blood glucose level,blood glucose monitoring awareness,compliance and blood glucose self-management ability between the two groups.P<0.05 was considered statistically significant.Results:(1)FBG,PBG and HbAlc of the experimental group before intervention were(10.59±2.06)points,(12.70±2.00)points,(11.40± 1.73)points,FBG,PBG and HbAlc in the experimental group after the intervention were(6.23± 1.50)points,(7.29±1.28)points,(6.98± 1.35)points,all lower than the control group.The difference was statistically significant(P<0.05).(2)The score of glucose monitoring awareness in the cluster intervention group was(86.87±5.47),which was higher than that in the conventional control group(82.50±5.98),and the difference was statistically significant(P<0.001).(3)The compliance comparison between the two groups shows that the compliance of the test group is higher than that of the control group,and the difference is statistically significant(P=0.03).(4)In terms of self-management,the score of the cluster nursing group after intervention was 3.79±0.29,while the score of the control group was 3.67±0.27.The score of the cluster nursing group was higher than that of the conventional control group,and the difference was statistically significant(P=0.03).(5)In the satisfaction evaluation of the two groups,the satisfaction of the experimental group was 93.33%,while that of the control group was 76.67%,the difference was statistically significant(P=0.015).Conclusion:(1)cluster nursing can effectively reduce the blood glucose of orthopedic diabetes patients,reduce the incidence of hypoglycemia,maintain the stability of blood glucose.(2)Clustered nursing can improve the awareness of blood glucose monitoring in orthopedic diabetic patients,and improve the accuracy and enthusiasm of patients in self-monitoring blood glucose.(3)Cluster nursing can improve the compliance of patients with orthopedic diabetes and improve their compliance behavior.(4)Cluster nursing can improve the self-management ability and satisfaction of orthopedic diabetes patients. |
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