循证护理对老年糖尿病患者周围神经传导速度及足部并发症的影响

Influence of evidence-based nursing on peripheral nerve conduction velocity and foot complications of elderly diabetic patients

目的 探讨循证护理对老年糖尿病患者周围神经传导速度及足部并发症的影响.方法 选取2015年6月至2016年7月在我院接受治疗的老年糖尿病患者90例.采用随机数字表法分为观察组和对照组各45例,对照组患者给予常规护理,观察组患者给予循证护理,观察比较两组患者护理后神经传导速度变化情况、足部并发症、空腹血糖、餐后2 h血糖、护理效果和满意度情况.结果 护理后,两组患者的正中神经、腓总神经以及尺神经传导速度均有所提高,观察组高于对照组,两组比较差异具有统计学意义（P〈0.05）;两组患者的空腹血糖以及餐后2 h血糖均有所下降,观察组低于对照组,两组比较差异具有统计学意义（P〈0.05）;观察组患者护理后的总有效率为95.56%高于对照组的77.78%,两组比较差异具有统计学意义（P〈0.05）;护理后,观察组患者的满意率为88.89%高于对照组的68.89%,两组比较差异具有统计学意义（P〈0.05）;护理后,观察组患者脚痛、脚趾关节红肿以及红斑并发症发生率明显低于对照组,两组比较差异具有统计学意义（P〈0.05）.结论 对老年糖尿病患者给予循证护理,可以有效改善患者周围神经传导速度,减轻患者的临床症状,提高临床治疗效果.

Objective To explore the impact of evidence-based nursing on the peripheral nerve conduction velocity and foot complications of elderly diabetic patients.Methods A total of 90 patients with diabetes mellitus treated in our hospital from June,2015 to July,2016 were selected and were randomly divided into observation group and control group,45 cases in each group.The patients of the control group were given routine nursing,while the patients of the observation group were given the evidence-based nursing.The changes of nerve conduction velocity after nursing,foot complications,fasting blood glucose,postprandial two-hour blood glucose,nursing effect and satisfaction of the two groups after nursing were observed and compared.Results The conducting speed of median nerve,common peroneal nerve and ulnar nerve of the two groups were all improved after treatment,with（53.78±5.12）m/s,（43.58±5.02）m/s and（56.89±5.02）m/s for the observation group and（50.12±5.89）m/s,（38.78±3.98）m/s and（52.12±6.02）m/s for the control group,which showed that the conducting speed of the observation group was higher than that of the control group （P〈0.05）.The fasting blood glucose and postprandial blood glucose of the two groups were all decreased （P〈0.05）,and the fasting blood glucose and postprandial blood glucose of the observation group was higher than that of the control group,and the difference was statistically significant （P〈0.05）.The total effective rate of the observation group was （95.56%） higher than that of the control group （77.78%）,and the difference between the two groups was significant （P〈0.05）.After nursing,the satisfaction degree of the observation group was 88.89%,which was higher than the control group＇s 68.89%,and the difference was statistically significant （P〈0.05）.The foot pain,toe joint swelling and erythema of the observation group was lower than that of the control group,and the differences were statistically significant （P〈0.05）.Conclusion The evidence-based nursing for the elderly diabetic patients can improve the peripheral nerve conduction velocity,alleviate the clinical symptoms and improve the clinical therapeutic effect.