循证护理在高血糖患者中的应用效果及对患者血糖和生存质量的影响

Application effect of evidence-based nursing in patients with hyperglycemia and its influence on patients′ blood glucose and quality of life

目的探讨循证护理对高血糖患者血糖水平及生存质量的影响。方法将该院自2016年1月至2019年1月收治的95例高血糖患者(空腹血糖水平在12~20mmol/L)作为研究对象,根据入院顺序,将所有患者分为研究组(49例)和对照组(46例)。对照组给予常规控制血糖治疗和常规护理干预,研究组在常规控制血糖治疗的基础上给予循证护理干预。观察两组患者血糖水平改善情况和生存质量。结果经治疗和护理后,两组患者空腹血糖水平均显著降低,差异有统计学意义(P<0.05),且与对照组比较,研究组患者空腹血糖水平、血糖降至正常水平所需时间及胰岛素使用量显著降低,而血糖降至正常水平患者数量显著增加,差异均有统计学意义(P<0.05);护理后两组患者生理维度、心理维度、社会维度、治疗维度评分及总评分均明显降低,差异有统计学意义(P<0.05),且与对照组干预后相比,研究组患者干预后生存质量相关指标评分及总评分均显著降低,差异有统计学意义(P<0.05)。与对照组相比,研究组患者的护理满意度显著增加,差异有统计学意义(P<0.05)。结论对高血糖患者在常规治疗的基础上实施循证护理能够明显提高患者的治疗效果,降低血糖水平,提高生存质量和护理满意度,效果显著,可推广使用。

Objective To investigate the effect of evidence-based nursing on blood glucose level and quality of life in patients with hyperglycemia.Methods F rom January 2016 to January 2019,95 patients with hyperglycemia(fasting blood glucose levels of 12-20 mmol/L)were enrolled in the study.All patients were divided into study according to the admission order.In the study group(n=49),evidence-based nursing intervention was given on the basis of routine control of blood glucose treatment and the control group(n=46)were.given routine control of blood glucose treatment and routine nursing intervention.The improvement of blood glucose level and quality of life in the two groups were compared.Results After treatment and nursing intervention,the fasting blood glucose level between the two groups decreased significantly,and the difference was statistically significant(P<0.05),and compared with the control group,the fasting blood glucose level,the time required for blood glucose to drop to normal level,and the amount of insulin used in the study group were significantly reduced or decreased,while the number of patients with normal blood glucose decreased significantly,and the differences were statistically significant(P<0.05).After the nursing intervention,the physiological dimension,psychological dimension,society dimension,treatment dimension and overall quality of life scores were significantly lower,and the differences were statistically significant(P<0.05).Compared with the control group,the scores of the quality of life-related indicators and the total scores of the study group,were significantly lower,and the differences were statistically significant(P<0.05).Compared with the control group,the nursing satisfaction of the study group was significantly increased,the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing on patients can significantly improve the treatment effect,reduce blood glucose level,as well as improve quality of life and satisfaction of nursing.It is an effective method and can be promoted and used.