连续性干预护理在老年糖尿病合并心律失常患者心脏起搏器置入术后的应用效果

Application Effect of Continuous Intervention Nursing in Elderly Patients with Diabetes Mellitus Complicated with Arrhythmia after Cardiac Pacemaker Implantation

目的探析在老年糖尿病合并心律失常患者心脏起搏器置入术后应用连续干预护理的效果。方法选取在该院2016年5月—2018年5月进行心脏起搏器置入术的老年糖尿病合并心律失常的患者51例,随机分为两组,其中对照组25例,采取常规护理;研究组26例,在对照组基础上,实行连续性干预护理。观察、对比两组患者的实验后FPG、2 hPG水平,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分等。结果研究组患者的SAS、SDS评分均优于对照组(P<0.05);研究组的FPG、2 hPG水平(4.02±0.62)mmol/L、(6.31±1.21)mmol/L明显优于对照组(6.13±0.44)mmol/L、(8.23±1.33)mmol/L,(P<0.05)。结论在老年糖尿病合并心律失常患者心脏起搏器置入术后应用连续干预护理,减少患者不良情绪的产生,改善血糖水平,值得临床推广。

Objective To investigate the effect of continuous intervention nursing in elderly patients with diabetes mellitus complicated with arrhythmia after cardiac pacemaker implantation. Methods A total of 51 patients with senile diabetes mellitus complicated with arrhythmia who underwent cardiac pacemaker placement in the hospital from May 2016 to May 2018 were randomly divided into two groups, including 25 patients in the control group, adopting routine nursing care; and 26 cases in the study group, continuous intervention nursing was carried out on the basis of the control group. The FPG, 2 hPG level, anxiety self-rating scale（SAS） and depression self-rating scale（SDS） scores were observed and compared between the two groups. Results The SAS and SDS scores of the study group were better than those of the control group（P〈0.05）. The FPG and 2 hPG levels of the study group（4.02±0.62）mmol/L,（6.31±1.21）mmol/L were significantly better than the control group（6.13±0.44）mmol/L,（8.23±1.33）mmol/L,（P〈0.05）. Conclusion Continuous intervention nursing is needed in elderly patients with diabetes and arrhythmia after cardiac pacemaker placement to reduce the generation of adverse emotions and improve blood glucose levels. It is worthy of clinical promotion.