糖尿病并发阿尔茨海默病患者的临床干预措施

Clinical nursing intervention of old diabetes patients with Alzheimer disease

目的：研究护理干预对糖尿病并发阿尔茨海默病患者的临床意义。方法研究筛选138例患者，按随机数字表法分为干预组和对照组，干预组采用治疗辅导、饮食控制、心理辅导以及基本生活作息指导等护理干预措施来观察各项措施的疗效情况。结果在治疗半个月和1个月后，干预组的餐后2 h血糖和空腹血糖与对照组比较均明显下降，且两组间比较差异有统计学意义（ t分别为-2．890，-2．971，-2．822，-2．819；P＜0．05）。同时，干预组患者对护理人员的满意度比例高于对照组，差异有统计学意义（69．57％比46．38％；Z＝-2．966，P＜0．05）。结论护理干预对于并发阿尔茨海默病的糖尿病患者能够很好地促进其病情趋于良好转归，增加其依从性。

Objective To study the clinical significance of nursing intervention in the treatment of diabetes patients with Alzheimer disease .Methods We screened 138 patients, who were randomly divided into intervention group and control group .Therapeutic counseling , diet control , psychological counseling and basic lifestyle guidance and other nursing interventions were applied in treatment of intervention group patients . Results After half and one month of intervention , the two hours postprandial blood glucose and fasting blood glucose in the intervention group were significantly decreased , compared with the control group （ t=-2.890,-2.971, -2.822, -2.819, respectively;P〈0.05）.Meanwhile, the nursing satisfaction in the intervention group was significantly higher than that in the control group （69.57% vs 46.38%;Z=-2.966,P〈0.05）. Conclusions Nursing intervention for diabetes patients with Alzheimer disease can promote patients ’ condition and increase their compliance .