多元化护理干预对2型糖尿病并发脑梗死偏瘫的影响

Effect of Multiple Nursing Interventions on Hemiplegia Caused by Cerebral Infarction in Patients with Type 2 Diabetes

目的分析多元化护理干预对2型糖尿病并发脑梗死偏瘫的影响。方法选择该院在2018年10月—2019年10月收治的58例2型糖尿病并发脑梗死偏瘫患者,均分为两组,护理组:多元化护理干预,29例患者;常规组:一般性护理,29例患者。观察两组患者血糖状态及护理满意度。结果护理组患者空腹血糖水平为(6.01±0.94)mmol/L,糖化血红蛋白水平为(4.33±0.52)%,餐后2 h血糖水平为(7.26±1.01)mmol/L;常规组患者空腹血糖水平为(7.03±0.87)mmol/L,糖化血红蛋白水平为(5.47±0.68)%,餐后2 h血糖水平为(9.57±1.34)mmol/L,两组差异有统计学意义(P<0.05)。护理组患者很满意的共15例,较满意的共13例,不满意的共1例,护理满意率为96.55%(28例);常规组患者很满意的共11例,较满意的共12例,不满意的共6例,护理满意率为79.31%(23例),护理组护理满意率(96.55%)高于常规组(79.31%),差异有统计学意义(P<0.05)。结论将多元化护理干预应用于2型糖尿病并发脑梗死偏瘫患者的护理中,不仅能降低患者血糖水平,还能提升护理满意率,护理效果显著。

Objective To analyze the effect of multiple nursing interventions on hemiplegia caused by cerebral infarction in patients with type 2 diabetes.Methods A total of 58 patients with type 2 diabetes and cerebral infarction and hemiplegia treated in the hospital from October 2018 to October 2019 were selected and divided into two groups.Nursing group:diversified nursing intervention,29 patients;conventional group:general nursing,29 patients.Observe the blood glucose status and nursing satisfaction of the two groups of patients.Results The fasting blood glucose level of the patients in the nursing group was(6.01±0.94)mmol/L,the glycated hemoglobin level was(4.33±0.52)%,and the blood glucose level at 2 h after the meal was(7.26±1.01)mmol/L.The fasting blood glucose level of the patients in the conventional group was(7.03±0.87)mmol/L,the level of glycated hemoglobin was(5.47±0.68)%,and the blood glucose level at 2 h after the meal was(9.57±1.34)mmol/L.The difference between the two groups was statistically significant(P<0.05).A total of 15 patients in the nursing group were satisfied,13 patients were more satisfied,and 1 patient was dissatisfied.The nursing satisfaction rate was 96.55%(28 patients);11 patients in the conventional group were satisfied,and 12 patients were more satisfied.There were 6 cases of dissatisfaction,the nursing satisfaction rate was 79.31%(23 cases),the nursing satisfaction rate(96.55%)in the nursing group was higher than that in the conventional group(79.31%),and the difference was statistically significant(P<0.05).Conclusion The application of multiple nursing interventions in the care of patients with hemiplegia associated with cerebral infarction of type 2 diabetes can not only reduce the blood glucose level of patients,but also improve the satisfaction rate of care.The nursing effect is significant.