摘要
目的 分析循证护理对糖尿病重症脑卒中患者血糖水平的改善作用,并对比患者出现压疮的几率.方法 选取该院2018年1—12月收治的46例糖尿病重症脑卒中患者,将其随机分为实验组和对比组,每组23例患者,实验组加用循证护理,对比组利用传统护理,比较两组血糖水平、压疮发生率等情况差异.结果 实验组压疮发病率13.04%,护理满意度100.00%,对比组压疮发病率30.43%,护理满意度78.26%,两组护理后空腹血糖、餐后2 h血糖、糖化血红蛋白、住院时间差异有统计学意义(P<0.05).结论 糖尿病重症脑卒中患者的疾病症状由于糖尿病影响,出现更大治疗压力,对所选患者进行循证护理,患者的护理效果更高,血糖控制效果稳定,压疮发生率降低.
Objective To analyze the effect of evidence-based nursing on the improvement of blood glucose levels in patients with severe diabetic stroke,and to compare the probability of pressure ulcers in patients.Methods 46 patients with severe diabetic stroke admitted to the hospital from January to December 2018 were randomly divided into an experimental group and a comparative group,with 23 patients in each group.The experimental group was supplemented with evidencebased nursing.The comparison group used traditional nursing to compare the difference in blood glucose level and pressure ulcer incidence between the two groups.Results The incidence of pressure ulcers in the experimental group was 13.04%,and the nursing satisfaction was 100.00%.The incidence of pressure ulcers in the control group was 30.43%,and the nursing satisfaction was 78.26%.The fasting blood glucose after the treatment,the blood glucose at 2 hours after the meal,the glycosylated hemoglobin,and the length of hospital stay.The difference was statistically significant(P<0.05).Conclusion The disease symptoms of diabetic patients with severe stroke are affected by diabetes,and there is greater treatment pressure.Evidence-based nursing is performed on the selected patients.The patient's nursing effect is higher,the blood glucose control effect is stable,and the incidence of pressure ulcers is reduced.
作者
黄巧云
HUANG Qiao-yun(Department of Emergency and Critical Care Medicine,Jinan District Hospital,Fuzhou,Fujian Province,350011 China)
出处
《糖尿病新世界》
2020年第11期135-136,139,共3页
Diabetes New World Magazine
关键词
糖尿病重症脑卒中
循证护理
血糖水平
压疮发生率
Severe diabetic stroke
Evidence-based nursing
Blood glucose levels
Incidence of pressure ulcers