循证理论在糖尿病合并肺结核患者饮食护理中的应用

Application of Evidence Based Theory in the Diet Nursing of Patients with Diabetes Mellitus Complicated with Pulmonary Tuberculosis

目的分析循证理论在糖尿病合并肺结核患者饮食护理中的应用效果。方法选择2014年2月—2015年2月进入该院接受治疗的糖尿病合并肺结核患者60例,采用随机数字表法分为实验组和对照组,对照组采用常规饮食护理,实验组在饮食护理依据循证理论进行护理,比较两组护理效果。结果实验组治疗后空腹血糖(6.36±1.21)mmol/L、餐后2 h血糖(11.55±1.59)mmol/L明显低于对照组治疗后空腹血糖(9.32±1.23)mmol/L、餐后2 h血糖(14.19±1.33)mmol/L,实验组胸腔积液减少或吸收25例(83.33%)、病灶变化缩小或闭合20例(66.67%)明显高于对照组15例(50.00%)、16例(53.33%),实验组满意率达到93.33%明显高于对照组66.67%,差异有统计学意义(P<0.05)。结论在糖尿病合并肺结核患者饮食护理中采用循证理论能够有效降低患者血糖水平,提高肺结核治疗效果,对拉近护患关系有积极意义,值得临床推广使用。

Objective Analysis of the application effect of evidence-based theory in the diet nursing of patients with diabetes mellitus complicated with pulmonary tuberculosis. Methods From February 2015 to February 2014, 60 patients with diabetes mellitus complicated with pulmonary tuberculosis were randomly divided into experimental group and control group. The experimental group was treated with routine nursing, and the effect of two groups was compared. Results After treatment, fasting blood glucose（6.36±1.21） mmol/L, postprandial 2 h blood glucose（11.55±1.59） mmol/L were significantly lower than control group（9.32±1.23） mmol/L, postprandial 2 h blood glucose（14.19±1.33） mmol/L, 25 cases（66.67%） were significantly higher than control group（50%）, 15 cases（53.33%）, 66.67% cases（16）, the difference was statistically significant（P〈0.05）. Conclusion In the treatment of diabetes mellitus combined with pulmonary tuberculosis patients with the use of evidence-based theory can effectively reduce the level of blood glucose, improve the treatment effect of pulmonary tuberculosis, to close the relationship between patients with positive significance, it is worthy of clinical use.