首页|精细化护理对老年2型糖尿病合并重症肺炎患者血糖水平的影响

精细化护理对老年2型糖尿病合并重症肺炎患者血糖水平的影响

Effect of Refined Nursing on Blood Glucose Levels in Elderly Patients with Type 2 Diabetes Mellitus Complicated with Severe Pneumonia

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目的 探究精细化护理在老年2型糖尿病合并重症肺炎患者中的应用价值.方法 选取2022年2月—2023年11月建湖县人民医院收治的144例老年2型糖尿病合并重症肺炎患者为研究对象,按照护理方法不同分为两组,各72例.对照组采用常规护理,研究组采用精细化护理.比较两组空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2-hour postprandial plasma glucose,2 hPG)水平、负性情绪评分负性情绪(汉密尔顿焦虑量表、汉密尔顿抑郁量表)评分、并发症(低血糖、压力性损伤、下肢静脉血栓、感染)发生情况.结果 干预3个月,研究组FPG、2 hPG水平均低于对照组,差异有统计学意义(P均<0.05).研究组各项负性情绪评分均低于对照组,差异有统计学意义(P均<0.05).研究组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 精细化护理能够改善糖尿病合并重症肺炎患者血糖水平,并改善其负性情绪,且有助于降低并发症发生率.
Objective To explore the application value of refined nursing in elderly patients with type 2 diabetes and severe pneumonia.Methods A total of 144 elderly patients with type 2 diabetes mellitus complicated with severe pneumonia admitted to Jianhu People's Hospital from February 2022 to November 2023 were selected as the research objects.They were divided into two groups by different nursing methods,with 72 cases in each group.The control group was treated with routine nursing,and the study group was treated with refined nursing.The levels of fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2 hPG),negative emotion scores(Hamilton Anxiety Scale,Hamilton Depression Scale)and complications(hypoglycemia,stress injury,lower extremity venous thrombosis,infec-tion)were compared between the two groups.Results After 3 months of intervention,the levels of FPG and 2 hPG in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The negative emotion scores of the study group were lower than those of the control group,and the differences were statistically significant(both P<0.05).The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Refined nursing can improve the blood glucose level and negative emotion of diabetic patients with severe pneumonia,and help to reduce the inci-dence of complications.

Refined nursingType 2 diabetes mellitusSevere pneumoniaBlood glucose levelsNegative emotions

郑莹颖、徐俊蓉、李莉、汤婕

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建湖县人民医院老年医学科,江苏 盐城 224700

建湖县人民医院全科医学科,江苏 盐城 224700

精细化护理 2型糖尿病 重症肺炎 血糖水平 负性情绪

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)