首页|预见性护理对老年糖尿病性冠心病患者血糖管理、并发症及生活质量的影响

预见性护理对老年糖尿病性冠心病患者血糖管理、并发症及生活质量的影响

Effects of Predictive Nursing on Blood Glucose Management,Complica-tions and Quality of Life in Elderly Patients with Diabetic Coronary Heart Disease

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目的 分析预见性护理对老年糖尿病性冠心病患者血糖管理、并发症及生活质量的影响.方法 回顾性选取2020年2月—2022年1月枣庄市立医院收治的82例老年糖尿病性冠心病患者的临床资料,以不同的护理方法分为两组,各41例.对照组采用常规护理,观察组在对照组基础上实行预见性护理.比较两组血糖水平(空腹血糖、餐后2 h血糖、糖化血红蛋白)、并发症发生情况(心绞痛、严重心律失常、心肌梗死、心力衰竭)发生情况及生存质量评分(心理领域、社会关系领域、生理领域、环境领域).结果 护理后,观察组餐后2 h血糖、空腹血糖和糖化血红蛋白水平均低于对照组,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).观察组生存质量测定简表评分均高于对照组,差异有统计学意义(P均<0.05).结论 预见性护理干预用于老年糖尿病性冠心病患者可取得较好的护理效果,可显著控制患者的血糖水平,降低并发症发生率,提高生活质量.
Objective To analyze the effect of predictive nursing on blood glucose management,complications and quality of life in elderly patients with diabetic coronary heart disease.Methods The clinical data of 82 elderly pa-tients with diabetic coronary heart disease treated in Zaozhuang Municipal Hospital from February 2020 to January 2022 were retrospectively selected and divided into two groups with 41 cases each by different nursing methods.The control group received routine nursing,and the observation group received predictive nursing on the basis of the con-trol group.The blood glucose levels(fasting plasma glucose,2-hour postprandial plasma glucose,glycated hemoglobin A1c),complications(angina pectoris,severe arrhythmia,myocardial infarction,heart failure)and quality of life scores(psychological field,social relationship field,physiological field,environmental field)were compared between the two groups.Results After nursing,2-hour postprandial plasma glucose,fasting plasma glucose and glycated hemoglobin A1c levels in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The World Health Organization Quality of Life-BREF scores in the observation group were higher than those in the control group,and the differences were statistically sig-nificant(all P<0.05).Conclusion Predictive nursing intervention can achieve better nursing effect in elderly patients with diabetic coronary heart disease,it can control the level of blood sugar,reduce the incidence of complications and improve the quality of life.

Predictive nursingDiabetic coronary heart diseaseBlood glucose levelComplicationsQuality of life

孙青、赵莉

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山东省枣庄市立医院急诊科,山东 枣庄 277100

预见性护理 糖尿病性冠心病 血糖水平 并发症 生活质量

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)