门诊护理干预对提高老年糖尿病患者生活质量的效果评价

Evaluation on Effect of Outpatient Nursing Intervention on the Improvement of Quality of Life of Senile Diabetes Patients

目的探讨门诊护理干预对提高老年糖尿病患者生活质量的效果。方法抽取2017年10月—2018年5月该院门诊收治的270例糖尿病患者资料,以均衡原则为基准,分成2组,对照组施以常规护理,观察组施以门诊护理干预,评估2组干预前后血糖水平变化、干预后生活质量评分、并发症状况。结果干预后观察组与对照组的空腹血糖分别为(6.85±2.45)mmol/L、(8.80±2.50)mmol/L,餐后2 h血糖分别为(10.20±2.20)mmol/L、(13.15±2.55)mmol/L。干预后观察组显著低于对照组(t=3.20、5.03,P<0.05)。干预后观察的躯体功能、总体健康、精力、情感职能、社会功能、精神健康生活质量评分分别为(89.42±5.72)分、(89.67±5.51)分、(91.62±5.77)分、(91.25±5.81)分、(91.33±5.75)分、(90.28±5.63)分,对照组分别为(82.11±4.05)分、(81.35±4.11)分、(83.56±4.47)分、(82.41±4.58)分、(82.36±4.63)分、(81.44±4.77)分,观察组显著高于对照组,差异有统计学意义(t=5.21、6.05、5.52、5.97、6.07、5.99,P<0.05)。观察组并发症发生率3例(2.22%),显著低于对照组14例(10.37%),差异有统计学意义(χ~2=7.596,P<0.05)。结论对老年糖尿病患者施以门诊护理干预,可显著改善患者临床血糖水平,提高生存质量,减少并发症状况,临床效果颇为明显,因此,可以广泛实践与应用。

Objective To study the effect of outpatient nursing intervention on the improvement of quality of life of senile diabetes patients.Methods 270 cases of diabetes patients admitted and treated in our hospital from October 2017 to May 2018 were selected and divided into two groups,the control group used the routine nursing,while the observation group used the outpatient nursing intervention,and the changes of blood glucose level,quality of life score after intervention and complications before and after intervention were evaluated.Results After intervention,the fasting blood glucose levels in the observation group and in the control group were respectively(6.85±2.45)mmol/L,(8.80±2.50)mmol/L,and the postpradial 2h blood glucose levels were(10.20±2.20)mmol/L,(13.15±2.55)mmol/L,after intervention,the indicators in the observation group were obviously lower than those in the control group(t=3.20,5.03,P<0.05),after intervention,the somatic function,total health,energy,emotional function,social function and mental health quality of life scores in the observation group and in the control group were respectively(89.42±5.72)points,(89.67±5.51)points,(91.62±5.77)points,(91.25±5.81)points,(91.33±5.75)points,(90.28±5.63)points and(82.11±4.05)points,(81.35±4.11)points,(83.56±4.47)points,(82.41±4.58)points,(82.36±4.63)points,(81.44±4.77)points,and the indicators in the observation group were obviously higher than those in the control group,with statistical significance(t=5.21,6.05,5.52,5.97,6.07,5.99,P<0.05),the incidence of complications in observation group was lower than that of control group[3 cases(2.22%)vs 14 cases(10.37%)]with statistical significance(χ^2=7.596,P<0.05).Conclusion The outpatient nursing intervention in senile patients can obviously improve the clinical blood glucose level,improve the quality of life,reduce the complications,and the clinical effect is obvious,therefore,it can be widely used and applied.