整体护理对糖尿病伴脑梗死患者预后的影响

The Influence of Holistic Nursing Care on the Prognosis of Patients with Diabetes and Cerebral Infarction

目的评估糖尿病伴脑梗塞患者应用整体护理对于改善预后的效果。方法应用双盲法将该院2019年5月—2020年5月期间就诊的90例糖尿病伴脑梗死患者平均分为两组,每组45例,对照组给予常规护理,观察组给予整体护理,将两组糖尿病伴脑梗死患者的预后情况进行对比。结果观察组护理后的空腹血糖(6.12±1.02)mmol/L、餐后2 h血糖(8.79±1.20)mmol/L和糖化血红蛋白(6.05±1.01)%均小于对照组,差异有统计学意义(P<0.05)。观察组的不良反应发生率(4.44%)小于对照组,差异有统计学意义(P<0.05)。观察组护理后的神经功能缺损评分(11.26±1.85)分小于对照组,差异有统计学意义(P<0.05)。观察组社会关系领域(71.52±6.28)分、生理领域(71.64±4.21)分、心理领域(71.99±5.21)分和环境领域(71.64±5.06)分均高于对照组,差异有统计学意义(P<0.05)。结论糖尿病伴脑梗塞患者行整体护理的效果显著,对于降低血糖值,改善脑梗具有重要效果,可以更好地改善患者预后,值得在临床上进行推广。

Objective To evaluate the effect of holistic care on improving the prognosis of patients with diabetes and cerebral infarction.Methods Using double-blind method,90 diabetic patients with cerebral infarction in the hospital from May 2019 to May 2020 were equally divided into two groups,45 cases/group,the control group was given routine care,and the observation group was given holistic care,to compare the prognosis of the two groups of patients with diabetes and cerebral infarction.Results The fasting blood glucose(6.12±1.02)mmol/L,2 h postprandial blood glucose(8.79±1.20)mmol/L and glycosylated hemoglobin(6.05±1.01)%of the observation group after nursing were all lower than those of the control group,the differences was statistically significant(P<0.05);The incidence of adverse reactions in the observation group(4.44%)was lower than that in the control group,the differences was statistically significant(P<0.05).The neurological deficit score(11.26±1.85)points of the observation group after nursing was lower than that of the control group,the differences was statistically significant(P<0.05).The observation group’s scores in social relations(71.52±6.28)points,physiology(71.64±4.21)points,psychology(71.99±5.21)points and environmental(71.64±5.06)points were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The effect of holistic care for patients with diabetes and cerebral infarction is significant,which has important effects on lowering blood glucose levels and improving cerebral infarction,and can better improve the prognosis of patients.It is worthy of clinical promotion.