综合护理干预在糖尿病合并肺结核患者治疗中的效果分析

Analysis of the effect of comprehensive nursing intervention in the treatment of diabetes mellitus patients with pulmonary tuberculosis

目的:分析综合护理干预模式在糖尿病合并肺结核患者治疗中的临床应用价值。方法:收集本院2017年1月至2018年12月收治的糖尿病合并肺结核患者80例,依据随机数字表法分为对照组和观察组,对照组实施常规护理模式,观察组实施综合护理干预模式,观察并比较两组患者血糖控制水平、肺结核病灶转归及痰检结核杆菌转阴率。结果:执行综合护理干预模式后,观察组空腹血糖(FPG)、餐后2h血糖(2hPG)及糖化血红蛋白(HbAlc)水平优于对照组;肺结核病灶吸收及痰菌转阴率分别为85.0%、77.5%,均优于对照组,两组差异有统计学意义(P<0.05)。结论:综合护理干预模式的应用,可提高糖尿病合并肺结核患者的临床治疗效果,值得临床推广应用。

Objective:To analyze the clinical application value of comprehensive nursing intervention model in the treatment of diabetes mellitus patients with pulmonary tuberculosis.Methods:80 patients with diabetes mellitus and pulmonary tuberculosis admitted to our hospital from January 2017 to December 2018 were divided into control group and observation group according to random number table method.The control group was given routine nursing mode,while the observation group was given comprehensive nursing intervention mode.The blood sugar control level,the outcome of tuberculosis focus and the negative rate of tuberculosis bacilli in sputum examination were observed and compared between the two groups.Results:After the implementation of comprehensive nursing intervention mode,the levels of fasting blood glucose(FPG),2-hour postprandial blood glucose(2hPG)and glycosylated hemoglobin(HbAlc)in the observation group were better than those in the control group;the rates of absorption of tuberculosis lesions and negative sputum bacteria were 85.0%and 77.5%respectively,which were better than those in the control group,with significant difference between the two groups(P<0.05).Conclusion:The application of comprehensive nursing intervention model can improve the clinical effect of diabetes mellitus patients with pulmonary tuberculosis,which is worthy of clinical application.