首页|循证护理对2型糖尿病合并老年股骨颈骨折患者血糖管理及术后并发症的影响

循证护理对2型糖尿病合并老年股骨颈骨折患者血糖管理及术后并发症的影响

Effect of Evidence-based Nursing on Blood Glucose Management and Post-operative Complications in Elderly Patients with Femoral Neck Fracture Complicated with Type 2 Diabetes Mellitus

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目的 观察循证护理对2型糖尿病合并老年股骨颈骨折患者血糖管理及术后并发症的影响.方法 回顾性选取2020年7月—2022年6月山东国欣颐养集团枣庄中心医院关节外科和急诊科收治的78例合并2型糖尿病老年股骨颈骨折患者的临床资料.按照护理方式的不同分为对照组和观察组,各39例.比较两组血糖水平(空腹血糖、餐后2 h血糖)、并发症(低体温、下肢静脉血栓、低血糖、压力性损伤)发生率及护理满意度.结果 护理后,观察组血糖水平优于对照组,差异有统计学意义(P均<0.05).观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).观察组患者满意度高于对照组,差异有统计学意义(P<0.05).结论 循证护理有利于控制患者血糖水平,降低术后并发症发生率,且患者对护理的满意度较高.
Objective To observe the effect of evidence-based nursing on blood glucose management and postopera-tive complications in elderly patients with femoral neck fracture complicated with type 2 diabetes mellitus.Methods The clinical data of 78 elderly patients with femoral neck fracture combined with type 2 diabetes mellitus who were admitted to the Department of Joint Surgery and Emergency Department of Shandong Guoxin Yiyang Group Zaozhuang Central Hospital from July 2020 to June 2022 were retrospectively selected.According to the different nursing meth-ods,they were divided into the control group and the observation group,with 39 cases in each group.The blood glu-cose levels(fasting plasma glucose,2-hour postprandial plasma glucose),the incidence of complications(hypother-mia,lower extremity venous thrombosis,hypoglycemia,pressure injury)and nursing satisfaction were compared be-tween the two groups.Results After nursing,the blood glucose levels of the observation group were better than that of the control group,and the differences were statistically significant(both P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The satisfaction of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing is beneficial to control the blood glucose level of patients,reduce the incidence of postoperative complications,and patients have higher satisfaction with nursing.

Evidence-based nursingType 2 diabetes mellitusFemoral neck fractureBlood glucose controlCom-plicationsSatisfaction

王智慧、张蕊

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山东国欣颐养集团枣庄中心医院急诊科,山东 枣庄 277800

山东国欣颐养集团枣庄中心医院关节外科,山东 枣庄 277800

循证护理 2型糖尿病 股骨颈骨折 血糖控制 并发症 满意度

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(10)