肺结核合并2型糖尿病患者实施整体护理干预效果观察

Application of integrated nursing interventions in patients with pulmonary tuberculosis complicated with type 2 diabetes

目的探讨整体护理干预对肺结核合并2型糖尿病患者临床康复效果的影响。方法 60例肺结核合并2型糖尿病患者作随机分为研究组和对照组,各30例。对照组实施常规护理,研究组在对照组基础上实施整体护理干预。观察2组血脂及血糖控制情况。结果实施护理干预后研究组糖化血红蛋白(Hb A1c)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)低于对照组,高密度脂蛋白胆固醇(HDL-C)高于对照组,差异有统计学意义(P<0.05);研究组空腹血糖和餐后2h血糖均低于对照组,差异有统计学意义(P<0.01)。结论对肺结核合并2型糖尿病患者实施整体护理干预,对稳定血糖、血脂水平意具有积极意义。

Objective To investigate the effect of integrated nursing interventions in patient with pulmonary tuberculosis complicated with type 2 diabetes. Methods A total of 60 patients with pulmonary tuberculosis complicated with type 2 diabetes were randomly divided into the study group and the control group, with 30 cases in each group. Both two groups received conventional nursing care and the integrated nursing interventions were carried out in the study group. The condition of blood glucose and lipids control was compared between two groups. Results Patients in the study group had a lower level of hemoglobin Ale （HbAlc） , total cholesterol （TC） , low density lipoprotein cholesterin （ LDL-C） and triglyceride （TG ） ,and higher level of high density lipoprotein cholesterol （HDL-C） compared with those in the control group after intervention （P 〈0. 05）. Levels of fasting blood-glucose （FBG） and 2-hour postprandial blood glucose （2h PBG） were lower in the study group than those of controls, with significant difference （P 〈0. 01） . Conclusion It is effective to carry out integrated nursing interventions in patients with pulmonary tuberculosis complicated with type 2 diabe-tes ,in order to improve the blood glucose and lipids control.