护理干预对老年糖耐量异常患者心血管危险因素的影响

Influence of nursing intervention on cardiovascular risk factors of elderly patients with impaired glucose tolerance

目的探讨护理干预对老年糖耐量异常患者的心血管危险因素的影响。方法选取2009年5月至2011年6月在我院门诊就诊的糖耐量异常（IGT）的老年患者216例，随机分为干预组和对照组各108例。对照组采用传统的常规护理，干预组在此基础上进行护理干预。随访6个月。收集2组患者基本状况，并检测2组患者随访前后的血压、血糖、总胆固醇（TC）、三酰甘油（TG）、高密度脂蛋白胆固醇（HDL．C）和低密度脂蛋白胆固醇（LDL—C）的变化。结果干预后2组患者血糖水平均有所下降，干预组下降水平高于对照组。结论对糖耐量异常的老年患者实施护理干预，有利于减少患者心血管危险因素。

Objective To explore the influence of nursing intervention in reducing cardiovascular risk factors in elderly patients with impaired glucose tolerance. Methods From May 2009 to June 2011, 216 cases of elderly patients in the clinic of our hospital with impaired glucose tolerance were randomly di- vided into the intervention group and the control group with 108 cases in each. The control group adopted traditional routine care, and the intervention group received nursing intervention. The duration of follow- up and intervention was six months. The collected data included basic situation, and tested blood pres- sure, blood sugar, total cholesterol （TC）, triglycerides （TG）, high-density lipoprotein cholesterol （HDL- C） and low density lipoprotein cholesterol （LDL-C） before and after follow-up. Results For both two groups of patients, blood sugar levels were decreased, the decreased level in the intervention group was higher than that of the control group. Conclusions Nursing intervention for the elderly patients with impaired glucose tolerance plays a significant role in reducing cardiovascular risk factors and improving IGT prognosis.