摘要
目的:探究循证护理对老年糖尿病失眠患者血糖及睡眠质量的影响。方法:选取2020年9月至2023年2月福建中医药大学附属人民医院收治的老年糖尿病失眠患者90例作为研究对象,按照随机数字表法分为观察组和对照组,每组45例。观察组行常规护理联合循证护理,对照组行常规护理,对比2组患者护理前后血糖水平、睡眠质量、自我效能水平差异。结果:护理前2组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白、匹兹堡睡眠质量指数各维度及总分、自我效能评分组间比较,差异无统计学意义(P>0.05),护理后观察组患者空腹血糖、餐后2 h血糖以及血红蛋白水平均显著低于对照组患者,匹兹堡睡眠质量指数各维度及总分低于对照组患者,自我效能评分高于对照组,差异均有统计学意义(均P<0.05)。结论:对老年糖尿病失眠患者开展循证护理有助于改善患者睡眠质量,降低患者血糖水平,同时还可以提高患者的自我效能水平,具有较好的临床推广应用价值。
Objective:To explore the effect of evidence-based nursing on blood glucose and sleep quality in elderly patients with diabetes and insomnia.Methods:A total of 90 elderly patients with diabetes and insomnia who were admitted to the People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from September 2020 to February 2023 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 45 cases in each group.The observation group received routine nursing combined with evidence-based nursing,while the control group received routine nursing.The differences in blood sugar levels,sleep quality,and self-efficacy levels between the two groups of patients before and after nursing were compared.Results:There was no statistically significant difference in fasting blood glucose,2-hour postprandial blood glucose,glycosylated hemoglobin,dimensions and total scores of the Pittsburgh Sleep Quality Index,and self-efficacy score between the two groups before nursing(P>0.05).The fasting blood glucose,2-hour postprandial blood glucose,and glycosylated hemoglobin levels of the observation group were significantly lower than those of the control group,while the dimensions and total scores of the Pittsburgh Sleep Quality Index were lower than those of the control group,the self-efficacy score was higher than that of the control group,and the differences were statistically significant(P s<0.05).Conclusion:Evidence-based nursing for elderly diabetic patients with insomnia can help to improve the sleep quality of patients,reduce the blood glucose level of patients,and improve the level of self-efficacy of patients,which has good clinical application value.
作者
陈彬
陈斌颖
陈玲
CHEN Bin;CHEN Binying;CHEN Ling(Department of Endocrinology and Metabolism,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China)
出处
《世界睡眠医学杂志》
2023年第7期1534-1536,共3页
World Journal of Sleep Medicine
关键词
循证护理
老年糖尿病失眠
血糖
睡眠质量
自我效能
Evidence-based nursing
Elderly patients with diabetes and insomnia
Blood glucose
Sleep quality
Self efficacy
