多样性护理对糖尿病合并冠心病患者血糖及心功能的改善效果

Clinical Effect of Diversified Nursing in Improving Blood Glucose Level and Cardiac Function in Patients with Diabetes and Coronary Heart Disease

目的探讨多样性护理对糖尿病合并冠心病患者血糖水平和心功能状态的改善效果。方法选取我院2017年5月至2020年5月收治的260例糖尿病合并冠心病患者作为研究对象,采取随机数字表法分为观察组和对照组,每组130例。对照组给予常规护理,观察组在常规护理基础上给予多样化护理干预。对比两组患者护理前后的心功能指标和血糖水平,并评价两组患者的护理满意度。结果护理前,两组患者的心率和左室射血分数对比,差异无统计学意义(P>0.05);护理后,两组患者的心率和左室射血分数均优于护理前,且观察组心率低于对照组,左室射血分数高于对照组,组间差异均有统计学意义(P<0.05)。护理前,两组患者的血糖水平比较,差异无统计学意义(P>0.05);护理后,两组患者的血糖水平均较护理前改善,且观察组血糖水平改善效果优于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度为93.85%,对照组为73.85%,差异有统计学意义(P<0.05)。结论给予糖尿病合并冠心病患者多样性护理干预能够改善其血糖水平,提升心功能状态,临床效果显著。

Objective To explore the clinical effects of diversified nursing in improving blood glucose levels and cardiac function in patients with diabetes and coronary heart disease.Methods A total of 260 patients with diabetes and coronary heart disease admitted to our hospital from May 2017 to May 2020 were selected as the research objects,and they were divided into observation group and control group by random number table method,with 130 cases in each group.The control group was given routine nursing.On the basis of routine nursing,the observation group provided diversified nursing interventions.The indicators of cardiac function status and blood glucose level before and after nursing were compared between the two groups,the care satisfaction of the two groups of patients was evaluated.Results Before nursing,there was no significant difference in heart rate and left ventricular ejection fraction between the two groups of patients(P>0.05);after nursing,the heart rate and left ventricular ejection fraction of the two groups of patients were better than those before nursing,and the heart rate of patients in the observation group after nursing was lower than that of the control group,and the left ventricular ejection fraction was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).Before nursing,the blood glucose levels of the two groups was not statistically significant(P>0.05);after nursing,the blood glucose level indicators of the two groups were improved than that before nursing,and the blood glucose indicators of the observation group improved better than the control group,and the difference was statistically significant(P<0.05).The total satisfaction of the observation group was 93.85%,and the control group was 73.85%,the difference was statistically significant(P<0.05).Conclusion Diversified care for patients with diabetes and coronary heart disease can improve blood glucose levels and improve cardiac function.The clinical effect is significant.