糖尿病合并高血压脑出血146例临床护理研究

Clinical Nursing of 146 Cases of Diabetes Complicated with Hypertensive Cerebral Hemorrhage

目的观察在临床上对糖尿病合并高血压脑出血患者进行护理所取得的效果。方法将2014年5月—2015年3月期间在该院接受治疗的146例糖尿病合并高血压脑出血患者以随机方式划为两组,即实验组和对照组,每组有73例,实验组患者所采取的是综合护理措施,对照组患者则进行了常规护理,全面观察两组的护理效果。结果经过护理干预,实验组患者的死亡率与肺部感染、压疮及消化性溃疡等并发症发生率数分别为12.32%、26.03%,明显低于对照组,两组患者死亡率与并发症发生率对比,差异有统计学意义(P<0.05)。对照组血糖指标为(7.11±0.92)mmol/L,实验组患者明显优于对照组,为(4.76±0.81)mmol/L,该两组患者的血糖指标控制情况对比,差异有统计学意义(t=6.119,P<0.05)。实验组护理满意度为100%(73/73),显著高于对照组(83.56%,61/73),两组患者的护理满意度对比,差异有统计学意义(χ2=6.204,P<0.05)。结论对糖尿病与高血压脑出血合并的患者采取有效的综合护理措施,可以使死亡率与并发症发生率的数值得到降低,能达到有效控制患者的血糖的目的。

Objective To observe the effect of nursing care on patients with diabetes complicated with hypertensive cerebral hemorrhage. Methods may 2014- 2015 years 3 months in the hospital accepted treatment of 146 cases of diabetes mellitus complicated with hypertension cerebral hemorrhage patients to randomly draw into 2 groups： experimental group and control group, each group has 73 cases. Patients in the experimental group adopted is the comprehensive nursing measures, the patients in the control group in the conventional care, the effect of the nursing effect of the two groups. Results after nursing intervention, the patients of mortality and pulmonary infection, pressure ulcer and peptic ulcer complication rate number12.32% and 26.03% respectively, significantly lower than the control group, the incidence of two group of patient mortality and complication rate compared, with significant difference（P〈0.05）, there is a statistically significant. The control group,the levels of blood glucose index for（7.11 ＋ 0.92） MMOL/L. Patients in the experimental group was significantly better than the control group,（476 ＋ 0.81） MMOL/L. The two groups of patients with control of blood sugar level comparison, also has significant difference（t=6.119, P 0.05）, there is statistical significance. The nursing satisfaction of the experimental group was 100%（73/73）, significantly higher than the control group（83.56%, 61/73）, the two groups of patients with nursing satisfaction, there were significant differences（χ2=6.204, P〈0.05）, with statistical significance. Conclusion diabetic and hypertensive intracerebral hemorrhage patients with take effective comprehensive nursing measures, can the mortality and complication rate of numerical reduced, can achieve the purpose of effectively control blood glucose.