摘要
目的探讨个体化饮食护理干预在肺结核合并糖尿病患者中的应用效果。方法选取2011年10月—2014年10月同济大学附属上海市肺科医院收治的肺结核合并糖尿病患者224例,分为观察组111例和对照组113例,观察组在常规护理基础上实施个体化饮食护理干预,包括制定个体化饮食方案及出院后定期随访,干预时间6个月。比较两组患者血糖变化幅度、药物不良反应发生情况、肺部影像学资料及咯血发生率。结果出院3个月后,观察组患者24 h血糖波动幅度低于对照组,两组患者药物不良反应发生率无明显差异,观察组药物不良反应的反应期短于对照组,差异有统计学意义。出院6个月后,观察组患者肺部空洞闭合率好于对照组,咯血发生率低于对照组,差异有统计学意义。结论个体化饮食干预能稳定肺结核合并糖尿病患者的血糖、缩短药物不良反应期、促使肺部空洞闭合、降低咯血率,从而促进疾病康复。
Objective To study the application of dietary nursing intervention in the patients with pulmonary tuberculosis complicated with diabetes mellitus. Methods A total of 224 cases of pulmonary tuberculosis complicated with diabetes in Shanghai Pulmonary Hosprtol,Tongji University from October 2011 to October2014 were randomly divided into the observation group（ n = 111） and the control group（ n = 113）. The control group received conventional nursing care for six months,and the observation group received additional dietary nursing intervention based on conventional nursing care for six months. The changes in blood glucose,occurrence of adverse drug reactions,pulmonary imaging data and incidence of hemoptysis between the two groups were compared. Results Three months after hospital discharge,the observation group had less changes in 24-hour blood glucose than the control group. There was no significant difference in the incidence of adverse drug reactions between the two groups. The period of adverse drug reactions in the observation group was significantly shorter than that in the control group. Six months after hospital discharge,the observation group had higher cavity closure rate and lower incidence of hemoptysis than the control group,with significant differences. Conclusion Dietary nursing intervention can stabilize the blood glucose of patients with pulmonary tuberculosis complicated with diabetes,shorten the period of adverse drug reactions,promote the cavity closure,reduce the rate of hemoptysis,and promote disease rehabilitation.
出处
《上海护理》
2016年第2期24-26,共3页
Shanghai Nursing
基金
同济大学附属上海市肺科医院院级课题(fk1226)
关键词
肺结核
糖尿病
饮食护理
个体化
Pulmonary tuberculosis
Diabetes mellitus
Dietary nursing
Individual
