Integrated medical care and rehabilitation nursing for elderly diabetic patients: impact on health knowledge demand and glycemic control
医护一体化康复护理对老年糖尿病患者健康知识需求与血糖控制的影响

摘要

目的 探究医护一体化康复护理对老年糖尿病患者健康知识需求满足及血糖控制的影响。方法 收集2024年11月-2025年11月本院收治的老年2型糖尿病患者80例，随机分为对照组40例（常规糖尿病护理）和干预组40例（医护一体化康复护理）。比较干预前后患者血糖水平、健康知识掌握评分。结果 干预3个月后，两组患者空腹血糖（Fasting Plasma Glucose,FPG）、餐后2h血糖（2-hour Postprandial Plasma Glucose,2hPG）、糖化血红蛋白（Hemoglobin A1c,HbA1c）较干预前均呈明显下降趋势，且干预组下降幅度显著大于对照组（P＜0.05）；干预组患者健康知识掌握评分显著高于对照组（P＜0.05）。结论 医护一体化康复护理可有效满足老年糖尿病患者的健康知识需求，改善血糖控制水平，值得推广应用。

Abstract

Objective To explore the impact of integrated medical care and rehabilitation nursing on the satisfaction of health knowledge needs and glycemic control of elderly diabetic patients.
Methods A total of 80 elderly type 2 diabetic patients admitted to our hospital from November 2024 to November 2025 were collected and randomly divided into a control group of 40 cases (conventional diabetes care) and an intervention group of 40 cases (integrated medical care and rehabilitation nursing). The blood glucose levels and health knowledge mastery scores of patients before and after the intervention were compared.
Results After 3 months of intervention, the fasting blood glucose (FPG), 2-hour postprandial blood glucose (2hPG), and glycosylated hemoglobin (HbA1c) of both groups showed a significant downward trend compared with those before the intervention, and the decline in the intervention group was significantly greater than that in the control group (P < 0.05); The health knowledge mastery score of patients in the intervention group was significantly higher than that in the control group (P < 0.05).
Conclusion   Integrated medical care and rehabilitation nursing can effectively meet the health knowledge needs of elderly diabetic patients, improve glycemic control levels, and is worthy of promotion and application.