摘要
目的探讨采用综合护理方式对老年髋部骨折伴有糖尿病患者进行干预后获得临床效果。方法将该院2017年8月—2020年4月收治的64例老年髋部骨折伴有糖尿病患者进行数字奇偶法分组;综合护理组(32例):采用基础护理+综合护理方式完成疾病护理;基础护理组(32例):采用基础护理方式完成疾病护理;就组间不同时间段焦虑、抑郁自评量表评分、疼痛评分、血糖控制情况展开对比。结果护理前,综合护理组老年髋部骨折伴有糖尿病患者焦虑、抑郁自评量表评分(62.25±3.52)分、(62.31±4.52)分同基础护理组焦虑、抑郁自评量表评分(62.33±4.02)分、(62.45±4.99)分比较差异无统计学意义(P>0.05);护理后,综合护理组老年髋部骨折伴有糖尿病患者焦虑、抑郁自评量表评分(32.29±4.11)分、(33.06±4.15)分均低于基础护理组焦虑、抑郁自评量表评分(50.29±3.02)分、(51.31±4.13)分,差异有统计学意义(P<0.05)。护理前,综合护理组老年髋部骨折伴有糖尿病患者疼痛评分(7.62±1.13)分同基础护理组疼痛评分(7.59±1.15)分比较差异无统计学意义(P>0.05);护理后,综合护理组老年髋部骨折伴有糖尿病患者疼痛评分(1.59±0.25)分低于基础护理组疼痛评分(4.11±1.29)分,差异有统计学意义(P<0.05)。护理前,综合护理组老年髋部骨折伴有糖尿病患者空腹血糖(11.89±2.39)mmol/L、餐后2 h血糖(15.43±2.19)mmol/L以及糖化血红蛋白(8.39±2.27)%同基础护理组空腹血糖(11.81±2.33)mmol/L、餐后2 h血糖(15.13±3.99)mmol/L以及糖化血红蛋白(8.27±1.99)%比较差异无统计学意义(P>0.05);护理后,综合护理组空腹血糖(6.13±2.15)mmol/L、餐后2 h血糖(8.45±2.25)mmol/L以及糖化血红蛋白(6.86±1.16)%均低于基础护理组空腹血糖(8.99±2.49)mmol/L、餐后2 h血糖(11.26±2.86)mmol/L以及糖化血红蛋白(7.95±2.15)%,差异有统计学意义(P<0.05)。结论综合护理方式于老年髋部骨折伴有糖尿病护�
Objective To explore the clinical results obtained after intervention in elderly patients with hip fracture and diabetes mellitus by comprehensive nursing methods.Methods 64 elderly patients with hip fracture and diabetes mellitus who were admitted to the hospital from August 2017 to April 2020 were divided into groups by digital parity method;comprehensive nursing group(32 cases):basic nursing+comprehensive nursing was used to complete disease care;Basic nursing group(32 cases):basic nursing method was used to complete disease care;the anxiety/depression self-rating scale scores,pain scores,and blood glucose control status were compared in different time periods between the groups.Results Before nursing,the anxiety,depression self-rating scale score(62.25±3.52)points and(62.31±4.52)points of elderly patients with hip fracture and diabetes in the comprehensive care group was the same as the basic care group anxiety,depression self-rating scale score(62.33±4.02)points and(62.45±4.99)points,the difference was not statistically significant(P>0.05);after nursing,elderly patients with hip fracture and diabetes mellitus in the comprehensive nursing group had an anxiety,depression self-rating scale score(32.29±4.11)points and(33.06±4.15)points were lower than the basic nursing group anxiety and depression self-rating scale score(50.29±3.02)points and(51.31±4.13)points,the difference was statistically significant(P<0.05).Before nursing,elderly hip fractures in the comprehensive nursing group of the pain score of patients with diabetes(7.62±1.13)points was not significantly different from the pain score of the basic nursing group(7.59±1.15)points(P>0.05);after nursing,the pain score of elderly patients with hip fracture and diabetes in the comprehensive nursing group(1.59±0.25)points were significantly lower than the pain score(4.11±1.29)of the basic nursing group,the difference was statistically significant(P<0.05).Before nursing,fasting blood glucose(11.89±2.39)mmol/L in elderly patients with hip fracture a
作者
翁剑花
朱燕霞
郑信泽
WENG Jianhua;ZHU Yanxia;ZHENG Xinze(Department of Orthopedics,Putian Medical District,90th Hospital of Joint Logistics Support Force,Putian,Fujian Province,351100 China)
出处
《糖尿病新世界》
2021年第18期141-144,149,共5页
Diabetes New World Magazine
关键词
老年髋部骨折
糖尿病
焦虑/抑郁自评量表评分
疼痛评分
血糖控制情况
Elderly hip fracture
Diabetes
Anxiety/depression self-rating scale score
Pain score
Blood glucose control status
