摘要
目的:探讨针对老年糖尿病患者的临床有效干预措施和方法,为老年糖尿病患者的临床护理实践提供参考依据。方法:选取笔者所在医院2016年10月-2019年1月收治的老年糖尿病患者228例为研究对象,按照入院治疗顺序进行分组,奇数号患者为研究组,偶数号患者为对照组,各114例。对照组给予常规临床护理干预,研究组给予知信行护理模式。对两组糖化血红蛋白(HbA1c)、糖化血清蛋白(GSP)、空腹血糖(FBG)、餐后2 h血糖(2 h PG)、干预前后知信行评分及并发症发生率进行统计和比较。结果:研究组各项临床指标均明显优于对照组,差异均有统计学意义(P<0.05);干预前两组知识、信念、行为评分比较,差异均无统计学意义(P>0.05);干预后研究组知识、信念、行为评分均明显高于对照组,差异均有统计学意义(P<0.05);研究组发生并发症22例,并发症发生率为19.30%,显著低于对照组的61.40%,差异有统计学意义(P<0.05)。结论:将知信行护理模式应用于老年糖尿病患者的护理实践中,能够有效改善患者临床指标,合理控制血糖,提升康复效果,是临床护理干预老年糖尿病患者的理想方式之一。
Objective: To explore the clinical effective interventions and methods for elderly patients with diabetes, and to provide reference for clinical nursing practice of elderly patients with diabetes. Method: A total of 228 elderly patients with diabetes admitted to our hospital from October 2016 to January 2019 were chosen as the research object. According to the order of admission treatment, the patients with odd number were the study group, and the patients with even number were the control group, and 114 cases in each group. The control group was given routine clinical nursing intervention, and the study group was given Zhixinxing nursing mode. Glycosylated hemoglobin(HbA1 c), glycosylated serum protein(GSP), fasting blood glucose(FBG) and postprandial 2 h blood glucose(2 h PG), the scores of Zhixinxing before and after intervention, and the incidence of complications were taken for statistics and analysis. Result: The clinical indexes of the study group were significantly better than those of the control group, and the differences were significant(P<0.05). Before intervention, the scores of knowledge, belief and behavior were compared between the two groups, and the differences were not statistically significant(P>0.05). After intervention, the scores of knowledge, belief and behavior in the study group were significantly higher than those of the control group, and the differences were significant(P<0.05). In the study group,22 patients had complications, and the complications rate was 19.30%, which was significantly lower than 61.40% of the control group, and the difference was significant(P<0.05). Conclusion: Zhixinxing nursing mode application in the nursing practice of elderly patients with diabetes can effectively improve the clinical indicators of patients and reasonably control blood glucose, and improve the rehabilitation effect. It is one of the ideal ways for clinical nursing intervention for elderly patients with diabetes.
作者
谭红琼
TAN Hongqiong(People’s Hospital of Dangyang,Dangyang 444100,China)
出处
《中外医学研究》
2019年第31期97-99,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
