首页|综合性护理干预对冠心病合并糖尿病患者介入治疗的临床应用价值及生活质量的影响研究

综合性护理干预对冠心病合并糖尿病患者介入治疗的临床应用价值及生活质量的影响研究

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目的 分析在冠状动脉粥样硬化性心脏病(以下简称冠心病)合并糖尿病患者介入治疗中实施综合性护理干预的效果.方法 方便选取2022年3月—2023年2月滕州市中医医院心血管科接受治疗的68例冠心病合并糖尿病患者为研究对象,依据抽签规则划分成两组,各34例,对照组采用常规护理,观察组采取综合性护理,对比两组的血糖、血压、水平、生活质量和并发症发生情况.结果 护理后,观察组的舒张压为(83.24±1.47)mmHg、收缩压为(136.28±2.17)mmHg,优于对照组的(90.53±2.17)、(149.57±1.46)mmHg,差异有统计学意义(t=16.217、29.629,P均<0.05).观察组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组,差异有统计学意义(P均<0.05).观察组生活质量评分高于对照组,差异有统计学意义(P<0.05).观察组并发症发生率为2.94%,低于对照组的17.65%,差异有统计学意义(P<0.05).结论 综合性护理干预能够全面提升患者的生活质量,通过监测和管理心血管及血糖指标有效控制疾病进展,减少并发症风险,并通过教育和心理支持,提高患者自我管理能力,进一步改善生活质量.
Effect of Comprehensive Nursing Intervention on Clinical Application Value and Quality of Life of Patients with Coronary Heart Disease Compli-cated with Diabetes Mellitus
Objective To analyze the effect of comprehensive nursing intervention in interventional treatment of pa-tients with coronary atherosclerotic heart disease(coronary herat disease)complicated with diabetes.Methods Sixty-eight patients with coronary heart disease combined with diabetes who received treatment in the cardiovascular depart-ment of Tengzhou Hospital of Traditional Chinese Medicine from March 2022 to February 2023 were conveniently se-lected as the study objects,and were divided into two groups according to the lottery rule,with thirty-four cases each.The control group took routine nursing,the observation group took comprehensive nursing.The blood glucose,blood pressure,quality of life and complications were compared between two groups.Results After nursing,the diastolic blood pressure and systolic blood pressure of the observation group were(83.24±1.47)mmHg and(136.28±2.17)mmHg respectively,which were better than those of the control group(90.53±2.17)mmHg and(149.57±1.46)mmHg respectively,and the differences were statistically significant(t=16.217,29.629,both P<0.05).Fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin in observation group were lower than those in control group,the differences were statistically significant(all P<0.05).The quality of life scores of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of compli-cations in the observation group was 2.94%,which was lower than that in the control group(17.64%),and the differ-ence was statistically significant(P<0.05).Conclusion Comprehensive nursing intervention can comprehensively im-prove the quality of life of patients,effectively control disease progression through monitoring and management of car-diovascular and blood glucose indicators,reduce the risk of complications,and improve the self-management ability of patients through education and psychological support,and further improve the quality of life.

Comprehensive nursing interventionCoronary heart diseaseDiabetes mellitusInterventional therapyBlood glucoseBlood pressure

王翠萍

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滕州市中医医院心血管科,山东 枣庄 277599

综合性护理干预 冠心病 糖尿病 介入治疗 血糖 血压

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(17)