循证护理干预对糖尿病合并消化性溃疡患者自护行为及治疗效果的影响

Influence of Evidence-based Nursing Intervention on Self-care Behavior and Treatment Effect of Patients with Diabetes Complicated with Peptic Ulcer

目的探讨循证护理干预对糖尿病合并消化性溃疡患者应用效果。方法选取2018年6月—2019年3月在该院就诊的96例糖尿病合并消化性溃疡患者,按随机数字表法分为两组,各48例。对照组给予常规护理,观察组采用循证护理干预。对比两组自护行为、治疗效果及用药依从性。结果观察组干预6个月空腹血糖(6.03±1.12)mmol/L、餐后2 h血糖(8.34±2.15)mmol/L,低于对照组的(6.84±1.20)mmol/L、(9.86±2.37)mmol/L,差异有统计学意义(P<0.05);干预前两组自护行为对比,差异无统计学意义(P>0.05),观察组干预6个月后自护行为评分为(117.32±6.82)分,高于对照组的(106.63±7.34)分,差异有统计学意义(P<0.05);观察组干预后消化性溃疡治疗有效率93.75%、用药依从性95.83%,高于对照组的79.17%、83.33%,差异有统计学意义(χ^(2)=4.360、4.019,P<0.05)。结论循证护理可降低改善糖尿病合并消化性溃疡患者血糖水平,提升自护行为及消化性溃疡治疗效果,并改善用药依从性。

Objective To explore the effect of evidence-based nursing intervention on patients with diabetes and peptic ulcer.Methods A total of 96 diabetic patients with peptic ulcer who were treated in the hospital from June 2018 to March 2019 were selected and divided into two groups according to the random number table method,with 48 cases in each group.The control group was given routine nursing care,and the observation group was given evidence-based nursing intervention.The self-care behavior,treatment effect and medication compliance of the two groups were compared.Results The observation group was intervened for 6 months fasting blood glucose(6.03±1.12)mmol/L,2 h postprandial blood glucose(8.34±2.15)mmol/L,lower than the control group(6.84±1.20)mmol/L,(9.86±2.37)mmol/L,the difference was statistically significant(P<0.05);the comparison of self-care behavior between the two groups before the intervention,the difference was not statistically significant(P>0.05),the self-care behavior score of the observation group after 6 months of intervention was(117.32±6.82)points higher than(106.63±7.34)points of the control group,and the difference was statistically significant(P<0.05);after intervention in the observation group,the effective rate of peptic ulcer treatment was 93.75%and medication compliance was 95.83%,which was higher than the control group's 79.17%,83.33%,the difference was statistically significant(χ^(2)=4.360,4.019,P<0.05).Conclusion Evidence-based nursing can reduce and improve the blood glucose level of patients with diabetes complicated with peptic ulcer,improve self-care behavior and the treatment effect of peptic ulcer,and improve medication compliance.