摘要
目的循证护理干预对高龄糖尿病合并脑梗塞患者的护理效果及ESS评分的影响分析。方法选取该院在2018年6月—2020年6月收治的高龄糖尿病合并脑梗塞患者,择取其中的66例作为研究样本,分别将其置入常规组和研究组,各33例。在这66例患者当中,所有患者均以病情发展的特点,落实临床标准护理。对于研究组患者,以此为基础,落实循证护理干预措施。分析对比两组患者实施护理后血糖水平、NIHSS评分、ESS评分、护理效果。结果在循证护理的应用下,研究组患者的空腹血糖以及餐后2 h血糖相比于常规组得到了显著好转,差异有统计学意义(t=29.389、18.840,P<0.05);研究组患者的NIHSS评分、ESS评分相比于常规组改善空间更大,差异有统计学意义(t=13.795、8.299,P<0.05);研究组者的护理效果优于常规组,差异有统计学意义(t=15.430、18.696、22.600、6.606,P<0.05)。结论在高龄糖尿病合并脑梗塞患者护理中实施循证护理,可结合患者病情发展情况予以针对性的护理措施,进而在应用期间内能够提升患者整体护理质量,不断优化护理工作实施期间存在的不足之处,使患者病情得以更好的稳定,提升患者的康复效果。
Objective To analyze the effect of evidence-based nursing intervention on the nursing effect and ESS score of elderly patients with diabetes complicated with cerebral infarction.Methods The elderly patients with diabetes and cerebral infarction who were admitted to the hospital from June 2018 to June 2020 were selected,66 of them were selected as the research samples,and they were placed into the routine group and the study group,each with 33 cases.Among these 66 patients,all patients had implemented clinical standard care based on the characteristics of their disease development.For patients in the study group,on this basis,implemented evidence-based nursing interventions.Analyzed and compared the blood glucose level,NIHSS score,ESS score,nursing effect of the two groups of patients after nursing.Results Under the application of evidence-based nursing,the fasting blood glucose and the blood glucose 2 h after a meal of the study group were significantly improved compared with the routine group,the difference was statistically significant(t=29.389,18.840,P<0.05);patients in the study group compared with the routine group,the NIHSS score and ESS score had more room for improvement,the difference was statistically significant(t=13.795,8.299,P<0.05);the nursing effect of the study group was better than that of the routine group,the difference was statistically significant(t=15.430,18.696,22.600,6.606,P<0.05).Conclusion The implementation of evidence-based nursing in the nursing of elderly patients with diabetes and cerebral infarction can provide targeted nursing measures based on the development of the patient’s condition,thereby improving the overall quality of patient care during the application period and continuously optimizing the shortcomings in the implementation of nursing work In this way,the patient's condition can be better stabilized and the patient's rehabilitation effect can be improved.
作者
陈梦玲
CHEN Mengling(Department of Neurology,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350005 China)
出处
《糖尿病新世界》
2021年第13期92-95,共4页
Diabetes New World Magazine
