循证护理用于老年2型糖尿病患者护理效果分析

Analysis of the Effect of Evidence-based Nursing in Elderly Patients with Type 2 Diabetes

目的对老年2型糖尿病患者采用循证护理的效果进行探究。方法选取2018年6月—2020年7月该院收治的106例老年2型糖尿病患者纳入该次研究。通过随机数字表法对纳入对象实施分组处理,其中甲组53例,乙组53例。甲组患者接受常规护理,乙组患者在这个基础上接受循证护理。对比两组的血糖水平、并发症发生率、负性情绪以及护理满意度。结果护理前,甲组的血糖水平中空腹血糖(8.5±0.3)mmol/L、餐后2 h血糖(11.7±1.6)mmol/L与乙组空腹血糖(8.6±0.4)mmol/L、餐后2 h血糖(11.6±1.8)mmol/L比较,差异无统计学意义(t=1.456、0.302,P>0.05);护理后,乙组的空腹血糖水平(6.0±1.1)mmol/L、餐后2 h血糖(7.6±0.5)mmol/L水平明显低于甲组(7.5±1.4)mmol/L、(9.9±0.8)mmol/L,差异有统计学意义(t=6.133、17.748,P<0.05);乙组的并发症发生率1.9%明显低于甲组19.9%,差异有统计学意义(χ^(2)=9.397,P<0.05);护理前,甲组的负面情绪中焦虑情绪评分(57.8±4.9)分、抑郁情绪评分(67.3±4.8)分与乙组的焦虑情绪评分(58.1±4.7)分、抑郁情绪评分(67.5±4.9)分比较差异无统计学意义(t=0.322、0.212,P>0.05),护理后,乙组的负面情绪中焦虑情绪评分(35.4±3.6)分、抑郁情绪评分(38.2±3.6)分明显低于甲组的焦虑情绪评分(46.2±4.5)分、抑郁情绪评分(53.4±3.7)分,差异有统计学意义(t=13.643、21.435,P<0.05);乙组的护理满意度96.2%明显高于甲组79.2%,差异有统计学意义(χ^(2)=7.102,P<0.05)。结论在老年2型糖尿病的护理中,采用循证护理方法具有很好的效果,可以有效改善患者的血糖水平,缓解患者的焦虑和抑郁等负性情绪,降低其并发症发生率,提高其护理满意度。

Objective To explore the effect of evidence-based nursing in elderly patients with type 2 diabetes.Methods A total of 106 elderly patients with type 2 diabetes who were admitted to the hospital from June 2018 to July 2020 were included in the study.The included subjects were grouped by random number table method,including 53 cases in group A and 53 cases in group B.Patients in group A receive routine care,and patients in group B receive evidence-based care on this basis.The blood glucose level,complication rate,negative emotion and nursing satisfaction of the two groups were compared.Results Before nursing,the blood glucose level of group A included fasting blood glucose(8.5±0.3)mmol/L,2 h postprandial blood glucose(11.7±1.6)mmol/L,and group B fasting blood glucose(8.6±0.4)mmol/L,postprandial 2 h blood glucose(11.6±1.8)mmol/L,the difference was not statistically significant(t=1.456,0.302,P>0.05);after nursing,the fasting blood glucose level of group B(6.0±1.1)mmol/L,after meal the level of blood glucose(7.6±0.5)mmol/L at 2 h was significantly lower than that of group A(7.5±1.4)mmol/L and(9.9±0.8)mmol/L,the difference was statistically significant(t=6.133,17.748,P<0.05);the complication rate of group B(1.9%)was significantly lower than that of group A(19.9%),the difference was statistically significant(χ^(2)=9.397,P<0.05);before nursing,the anxiety score of group A’s negative emotions(57.8±4.9)points;the score of depression(67.3±4.8)points and the score of anxiety(58.1±4.7)points and the score of depression(67.5±4.9)points;there was no statistically significant difference compared with group B(t=0.322,0.212,P>0.05).After nursing,the anxiety score(35.4±3.6)points and depression score(38.2±3.6)points of group B's negative emotions were significantly lower than those of group A(46.2±4.5)points,depression emotion score(53.4±3.7)points,the difference was statistically significant(t=13.643,21.435,P<0.05);the nursing satisfaction of group B(96.2%)was significantly higher than that of group A 79.2%,the difference was statistically significant(χ^(2)=7.102,P<0.05).Conclusion In the nursing of elderly type 2 diabetes,the use of evidence-based nursing methods has a good effect.It can effectively improve the patient's blood glucose level,relieve the patient's anxiety and depression and other negative emotions,reduce the incidence of complications,and improve their nursing care satisfaction.