肺结核合并糖尿病患者舒适护理效果观察

The effect observation of comforting care of pulmonary tuberculosis patients with diabetes mellitus

目的研究肺结核合并糖尿病患者舒适护理效果。方法研究组52例患者皆在常规护理的基础上接受舒适护理措施;对照组52例患者接受常规护理。结果研究组血糖控制理想的患者比例明显高于对照组(P<0.01),且肺结核阴转率明显高于对照组(P<0.01)。研究组52例患者SAS评分低于对照组(P<0.01);研究组52例患者SDS评分低于对照组(P<0.01)。研究组患者FBG、2hBG、GSP等指标出院时皆低于入院时(分别t=6.4316,P=0.0000;t=8.3624,P=0.0000;t=49.6146,P=0.0000),且研究组患者出院时FBG、2hBG、GSP等指标皆低于对照组患者出院时的相应指标(分别t=2.3259,P=0.0220;t=2.0933,P=0.0388;t=28.3968,P=0.0000)。研究组患者低血糖发生率为13.5%(7/52),对照组患者低血糖发生率为36.5%(19/52),研究组低血糖发生率明显低于对照组(χ2=7.38,P<0.01)。结论在肺结核合并糖尿病患者治疗过程中实施动态血糖监测和舒适护理干预措施,其综合效价高于实施常规护理措施,值得临床广泛应用和推广。

Objective To study the effect of comforting care of pulmonary tuberculosis patients with diabetes mellitus. Methods The research group included 52 patients, who received comforting care on the basis of conventional nursing. The control group included 52 patients, who received conventional nursing care alone. Results The ideal blood sugar proportion of patients with diabetes mellitus in the research group was significantly higher than that in the control group （P 〈 0.01）. The positive-to-negative rate of tuberculosis in the research group was significantly higher than that in the control group （P 〈 0.01）. SAS scores of 52 patients in the research group were lower than that in the control group （P 〈 0.01）. SDS scores of 52 patients in the research group were lower than that in the control group （P 〈 0.01）. The levels of FBG, 2hBG and GSP of the patients with admission in the research group were lower than that of the re- search group discharging from hospital （t = 6.4316, P = 0.0000; t = 8.3624, P = 0.0000; t = 49.6146, P = 0.0000）, and the levels of FBG, 2hBG and GSP of the patients with discharging from hospital in the research group were lower than that of the control group discharging from hospital（t = 2.3259, P = 0.0220; t = 2.0933, P = 0.0388; t = 28.3968, P = 0.0000）. The incidence of hypoglycemia in the research group was 13.5% （7/52） significantly lower than that of the control group [36.5% （19/52）, X2 = 7.38, P 〈 0.01]. Conclusion The comprehensive effect of comforting care in- tervention measures, including dynamic blood sugar monitoring, in the process of treating pulmonary tuberculosis pa- tients with diabetes mellitus, is higher than that of conventional nursing measures. It is worth of clinical extensive ap- plication and promotion.