精神分裂症与躁狂症伴发糖尿病的临床护理要点分析

Analysis of Clinical Nursing Points of Schizophrenia and Mania with Diabetes

目的分析精神分裂症伴发糖尿病(SWDM)和躁狂症伴发糖尿病(MDCDM)的临床护理要点。方法研究主体是2017年4月—2020年5月间来院治疗的94例SWDM与MDCDM患者。以随机法为基准,A组48例予以综合护理,B组46例予以常规护理。对比护理效果。结果护理后,A组的空腹血糖(FPG)水平为(5.69±1.32)mmol/L,B组为(6.34±1.36)mmol/L,差异有统计学意义(t=2.350,P=0.021);A组的餐后2 h血糖(2 hPG)水平为(8.40±1.59)mmol/L,B组为(9.27±1.64)mmol/L,差异有统计学意义(t=2.610,P=0.011)。A组的规范饮食评分为(86.57±4.62)分,B组为(80.15±4.21)分,差异有统计学意义(t=7.033,P<0.001);A组的适度运动评分为(82.36±4.16)分,B组为(73.46±4.11)分,差异有统计学意义(t=10.430,P<0.001);A组的遵医嘱服药评分为(88.67±4.58)分,B组为(80.49±4.42)分,差异有统计学意义(t=8.805,P<0.001);A组的配合护理操作评分为(84.47±3.16)分,B组为(76.49±3.22)分,差异有统计学意义(t=12.126,P<0.001)。A组的不良事件概率统计为4.17%,B组统计为19.57%,差异有统计学意义(χ^(2)=4.003,P=0.045)。A组的精神障碍评分低于B组,差异有统计学意义(P<0.05)。结论为精神分裂症与躁狂症伴发糖尿病患者实行综合护理可改善其血糖指标,缓解精神障碍,且能提升依从性,减少不良事件发生率。

Objective To analyze the main points of clinical nursing for schizophrenia with diabetes mellitus(SWDM)and mania with diabetes mellitus(MDCDM).Methods The subjects of the study were 94 patients with SWDM and MDCDM who came to the hospital for treatment from April 2017 to May 2020.Based on the random method,48 patients in group A were given comprehensive care,and 46 patients in group B were given routine care.Compare the effect of care.Results After nursing,the fasting blood glucose(FPG)level of group A was(5.69±1.32)mmol/L,and group B was(6.34±1.36)mmol/L,the difference was statistically significant(t=2.350,P=0.021);The 2 h postprandial blood glucose(2 hPG)level of group A was(8.40±1.59)mmol/L,and group B was(9.27±1.64)mmol/L,the difference was statistically significant(t=2.610,P=0.011).The standard diet score of group A was(86.57±4.62)points,group B was(80.15±4.21)points,the difference was statistically significant(t=7.033,P<0.001);the moderate exercise score of group A was(82.36±4.16)points,and group B was(73.46±4.11)points,the difference was statistically significant(t=10.430,P<0.001);The score of medication compliance in group A was(88.67±4.58)points,and group B was(80.49±4.42)points,the difference was statistically significant(t=8.805,P<0.001);The score of cooperative nursing operation in group A was(84.47±3.16)points,and group B was(76.49±3.22)points,the difference was statistically significant(t=12.126,P<0.001).The probability of adverse events in group A was 4.17%,and in group B was 19.57%,the difference was statistically significant(χ^(2)=4.003,P=0.045).The mental disorder score of group A was lower than that of group B,the difference was statistically significant(P<0.05).Conclusion Comprehensive care for diabetic patients with schizophrenia and mania can improve their blood glucose indicators,relieve mental disorders,and can improve compliance and reduce the incidence adverse events.