预见性护理在老年糖尿病性冠心病患者护理中的应用效果

Application effects of predictive nursing in the nursing of patients with senile diabetic coronary heart disease

目的研究预见性护理在老年糖尿病性冠心病患者护理中的应用效果。方法选取2017年7月~2019年7月我院收治的70例糖尿病性冠心病老年患者开展项目研究,采用数字随机表法将其平均分成两组(研究组与对照组),每组35例。对照组运用常规护理,研究组运用预见性护理,对比两组患者接受不同护理手段的血糖、血脂、并发症等变化。结果干预前两组血糖、血脂对比无明显差异(P>0.05),干预后,研究组高密度脂蛋白胆固醇高于对照组,甘油三酯、低密度脂蛋白胆固醇、总胆固醇等指标均低于对照组,研究组干预后餐后2 h血糖与空腹血糖低于对照组,糖化血红蛋白高于对照组,研究组不良反应发生率为2.86%,相比于对照组的17.14%,前者优势显著,组间对比有统计学意义(P<0.05)。结论针对糖尿病性冠心病老年患者,在其临床护理过程中开展预见性护理干预,可有效稳定其临床各项生命体征,降低患者不良反应发生率,对促进患者预后恢复具有重要帮助,可予以广泛推广实施。

Objective To study the application effects of predictive nursing in the nursing of patients with senile diabetic coronary heart disease.Methods 70 elderly patients with diabetic coronary heart disease admitted and treated in our hospital from July 2017 to July 2019 to carry out project research.They were equally divided into two groups(study group and control group)by using the random number table method,with 35 patients in each group.The control group adopted routine nursing,while the study group adopted predictive nursing.The changes in blood glucose,blood lipid and complications were compared between the two groups of patients receiving different nursing means.Results Before intervention,there was no significant difference in blood glucose,blood lipid between the two groups(P>0.05).After intervention,the high-density lipoprotein cholesterol in the study group was higher than that in the control group,while the indexes such as triglyceride,low-density lipoprotein cholesterol,and total cholesterol were all lower than those in the control group.After intervention,the 2-hour postprandial blood glucose and fasting plasma glucose in the study group were lower than those in the control group,while the glycosylated hemoglobin was higher than that in the control group.The incidence of adverse reactions in the study group was 2.86%,which was significantly superior than that in the control group(17.14%),and the intergroup comparison was statistically significant(P<0.05).Conclusion For elderly patients with diabetic coronary heart disease,predictive nursing intervention in the clinical nursing process can effectively stabilize their clinical vital signs,reduce the incidence of adverse reactions in patients,which plays an important role in promoting prognosis recovery of patients and can be widely promoted and implemented.