护理风险干预在胃溃疡合并糖尿病患者内镜检查中的护理效果

Nursing Effect of Nursing Risk Intervention in Endoscopic Examination of Patients with Gastric Ulcer and Diabetes

目的研究护理风险干预在胃溃疡合并糖尿病患者内镜检查中的应用。方法选取对该院2018年1—12月在该院消化内科和内分泌科住院的胃溃疡合并糖尿病患者100例,根据实施方案的不同分为两组:2018年7—12月的住院患者50例为观察组实施护理风险评估,2018年1—6月住院患者50例为对照组,实施内镜检查患者护理常规。对比两组患者的血糖控制情况及两组患者耐受性及不良反应。结果干预后,观察组患者血糖达标时间、平均血糖波动明显低于对照组,差异有统计学意义(P<0.05),干预前两组患者FPG、HbA1c、2 hPG差异无统计学意义(P>0.05),干预后观察组FPG、HbA1c、2 hPG分别明显低于对照组,差异有统计学意义(P<0.05)。观察组低血糖发生率及高渗性昏迷发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组患者耐受性明显高于对照组,而不良反应明显低于对照组,差异有统计学意义(P<0.05)。结论护理风险干预用于胃溃疡合并糖尿病患者内镜检查中,利于患者血糖的控制,提高患者的耐受力,降低不良反应。

Objective To study the application of nursing risk intervention in endoscopy in patients with gastric ulcer and diabetes.Methods Selected 100 patients with gastric ulcer and diabetes who were hospitalized in the gastroenterology and endocrinology department of the hospital from January to December 2018,and divided them into two groups according to the different implementation schemes:50 hospitalized patients from July to December 2018 were the observation group implements nursing risk assessment,and the control group has 50 hospitalized patients from January to June 2018 as the control group,and the routine care of patients undergoing endoscopy.The blood sugar control status of the two groups of patients and the tolerance and adverse reactions of the two groups were compared.Results After the intervention,the observation group’s blood glucose reaching standard time and average blood glucose fluctuation were significantly lower than those of the control group,the difference was statistically significant(P<0.05).There was no significant difference in FPG,HbA1c,2 hPG between the two groups of patients before the intervention(P>0.05).After the intervention,the observation group FPG,HbA1c,2 hPG were significantly lower than the control group,the difference was statistically significant(P<0.05).The incidence of hypoglycemia and hyperosmolar coma in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The tolerability of the observation group was significantly higher than that of the control group,and the adverse reactions were significantly lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Nursing risk intervention is used in endoscopy of patients with gastric ulcer and diabetes,which is conducive to the control of blood glucose,improves patient tolerance,and reduces adverse reactions.It is worthy of promotion.