综合护理干预在2型糖尿病骨质疏松患者中的应用及临床效果

Application and clinical effect of comprehensive nursing intervention in osteoporosis patients with type 2 diabetes mellitus

目的探讨2型糖尿病骨质疏松患者行综合护理干预的临床价值。方法46例2型糖尿病骨质疏松患者,以入院时间不同分为研究组和对照组,各23例。研究组行综合护理干预,对照组行基础干预指导。比较两组骨密度声速(SOS)值,病症认知和生活习惯情况,空腹血糖(FBG)、糖化血红蛋白(HbA1c)水平。结果研究组男性骨密度SOS值(4092.2±120.6)m/s、女性骨密度SOS值(3959.7±104.4)m/s均高于对照组的(3894.1±102.4)、(3808.8±100.5)m/s,差异均具有统计学意义(P<0.05)。研究组病症认知率91.3%高于对照组的65.2%,酗酒率4.3%、吸烟率0、高糖食物率0、不运动率8.7%均低于对照组的26.1%、17.4%、21.7%、34.8%,差异均具有统计学意义(P<0.05)。护理后,研究组FBG(6.56±2.11)mmol/L、HbA1c(6.82±1.55)%均低于对照组的(7.80±2.01)mmol/L、(7.88±1.83)%,差异均具有统计学意义(P<0.05)。结论将综合护理干预应用于2型糖尿病骨质疏松患者中,其血糖指标有所改善,同时骨密度指标也有所好转,临床推广意义可行。

Objective To discuss the clinical value of comprehensive nursing intervention in osteoporosis patients with type 2 diabetes mellitus.Methods A total of 46 osteoporosis patients with type 2 diabetes mellitus were divided into research group and control group by admission order,with 23 cases in each group.The research group received comprehensive nursing intervention,and the control group received basic intervention guidance.Comparison was made on speed of sound(SOS)of bone mineral density,disease cognition and lifestyle habits,fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c)levels between the two groups.Results The male and female SOS value of bone mineral density were(4092.2±120.6)and(3959.7±104.4)m/s respectively in the research group,which was higher than(3894.1±102.4)and(3808.8±100.5)m/s in the control group,and their difference was statistically significant(P<0.05).The disease cognitive rate 91.3%in the research group was higher than 65.2%in the control group,and alcoholism rate 4.3%,smoking rate 0,high-sugar food rate 0,no exercise rate 8.7%were lower than 26.1%,17.4%,21.7%and 34.8%in the control group.Their difference was statistically significant(P<0.05).After nursing,the FBG and HbA1c were(6.56±2.11)mmol/L and(6.82±1.55)%respectively in the research group,which was lower than(7.80±2.01)mmol/L and(7.88±1.83)%in the control group,and their difference was statistically significant(P<0.05).Conclusion Application of comprehensive nursing intervention in osteoporosis patients with type 2 diabetes mellitus can improve the the blood glucose index and bone mineral density index.It is worthy of clinical promotion.