细节护理在肝炎合并糖尿病护理中的应用

Application of detailed nursing in hepatitis complicated with diabetes mellitus

目的评估细节护理干预在肝炎合并糖尿病(DM)护理中的价值。方法选取2015年1月~2019年1月大连市第六人民医院治疗的60例肝炎合并DM患者作为研究对象,采用抽签分组法将其分为对照组和实验组,每组各30例。对照组采用定期常规护理,实验组采用细节护理干预,并提供详细护理干预措施,比较两组的血糖控制、肝功能指标。结果两组护理前的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c);比较,差异无统计学意义(P>0.05)。实验组护理后的FPG为(6.2±1.4)mmol/L、2 h PG为(7.4±1.5)mmol/L、HbA1c为(5.9±1.0)%;对照组护理后的FPG为(8.2±1.6)mmol/L、2 h PG为(10.2±1.4)mmol/L、HbA1c为(8.1±1.6)%。实验组护理后的FPG、2 h PG、HbA1c低于对照组,差异均有统计学意义(P<0.05)。两组护理前的天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、总胆红素(TBil)L、清蛋白(ALB)比较,差异无统计学意义(P>0.05)。实验组护理后的AST为(52.2±18.3)U/L、ALT为(45.7±17.5)U/L、TBil为(20.6±9.9)μmol/L、ALB为(43.3±4.4)g/L,对照组护理后的AST为(77.7±17.6)U/L、ALT为(78.8±18.2)U/L、TBil为(38.7±9.6)μmol/L、ALB为(40.2±4.8)g/L。实验组护理后的AST、ALT、TBil低于对照组,ALB高于对照组,差异均有统计学意义(P<0.05)。结论在护理肝炎合并DM患者中,细节护理干预措施可控制血糖,显著改善肝功能,改善生活质量,可广泛在临床应用。

Objective To evaluate the value of detailed nursing intervention in the nursing of hepatitis complicated with diabetes mellitus(DM).Methods A total of Sixty patients with hepatitis and DM who treated in Dalian Sixth People′Hospital,Liaoning Province from January 2015 to January 2019 were selected as the research subjects.They were divided into the control group and the experimental group by drawing lottery method,wit 30 cases in each group.In the control group,regular routine nursing was used,and in the experimental group,detailed nursing intervention with specific nursing measures was adopted.The blood glucose control and liver function indicators of the two groups were compared.Results The fasting blood glucose(FPG),2-hour postprandial blood glucose(2 h PG)and glycosylated hemoglobin(HbA1c)before nursing of the two groups were compared,the difference had no statistical significance(P>0.05).The FPG of the experimental group after nursing was(6.2±1.4)mmol/L,the 2 h PG was(7.4±1.5)mmol/L,and the HbA1c was(5.9±1.0)%;the FPG of the control group after nursing was(8.2±1.6)mmol/L,2 h PG was(10.2±1.4)mmol/L,and HbA1c was(8.1±1.6)%.The FPG,2 h PG,and HbA1c of the experimental group after nursing were lower than those of the control group,and the differences were statistically significant(P<0.05).The aspartate aminotransferase(AST),the alanine aminotransferase(ALT),total bilirubin(TBil),and albumin(ALB)before nursing of the two groups were compared,;the difference had no statistical significance(P>0.05).After nursing,the AST of the experimental group was(52.2±18.3)U/L,ALT was(45.7±17.5)U/L,TBil was(20.6±9.9)μmol/L,and ALB was(43.3±4.4)g/L.After nursing,the AST of the control group was(77.7±17.6)U/L,ALT was(78.8±18.2)U/L,TBil was(38.7±9.6)μmol/L,and ALB was(40.2±4.8)g/L.After nursing,the AST,ALT and TBil of the experimental group were lower than those of the control group,and the ALB was higher than that of the control group,with statistical differences(P<0.05).Conclusion In nursing hepatitis patients combining with DM,detailed nursing intervention can help control blood glucose,remarkably improve liver function as well as the quality of life,which can be widely used in clinical practice.