综合护理对糖尿病合并类风湿关节炎患者生活质量的影响

The Effect of Comprehensive Nursing Care on the Quality of Life of Patients with Diabetes Mellitus and Rheumatoid Arthritis

目的对糖尿病合并类风湿关节炎患者采用综合护理的效果进行探究。方法选择该院2018年3月—2020年8月收治的糖尿病合并类风湿关节炎患者120例纳入研究,按照患者病历单双号对其予以分组处理,单号为甲组,有60例,双号为乙组,有60例。在治疗期间,应用常规护理干预模式对甲组予以护理,在此基础上,应用综合护理干预对乙组予以护理。对比两组的血糖水平、负面情绪、生活质量以及护理满意度。结果护理前,两组空腹血糖水平、餐后2 h血糖水平对比,差异无统计学意义(P>0.05),护理后,乙组的空腹血糖水平(5.3±0.7)mmol/L、餐后2 h血糖水平(6.9±1.8)mmol/L明显低于甲组(6.8±0.9)、(8.5±2.3)mmol/L,差异有统计学意义(t=10.190、4.243,P<0.05);护理前,两组焦虑评分、抑郁评分对比,差异无统计学意义(P>0.05),护理后,乙组焦虑评分(25.8±3.3)分、抑郁评分(26.1±3.4)分明显低于甲组(39.4±3.1)分、(38.8±3.7)分,差异有统计学意义(t=23.266、19.577,P<0.05);护理前,两组的生活质量评分对比,差异无统计学意义(P>0.05),护理后,乙组生活质量评分(85.2±9.1)分明显高于甲组(70.8±6.6)分,差异有统计学意义(t=9.922,P<0.05);甲组的护理满意度为96.7%,乙组的护理满意度为80.0%,乙组护理满意度明显高于甲组,差异有统计学意义(χ^(2)=8.806,P<0.05)。结论在糖尿病合并类风湿关节炎患者期间,采用综合护理干预模式对其护理具有非常显著的效果,可以有效控制其血糖水平,消除其焦虑、抑郁等负面情绪,还能够提高其生活质量,而且患者的护理满意度更高。

Objective To explore the effect of comprehensive nursing care for patients with diabetes and rheumatoid arthritis.Methods Selected 120 patients with diabetes and rheumatoid arthritis admitted to this hospital from March 2018 to August 2020 to be included in the study.Patients were divided into groups according to the single and even numbers of the patients'medical records.The single number was group A,with 60 cases,and the double number was group B,with 60 cases.During the treatment period,the routine nursing intervention mode was used to care for group A,and on this basis,comprehensive nursing intervention was used to care for group B.The blood glucose levels,negative emotions,quality of life and nursing satisfaction of the two groups were compared.Results Before nursing,there was no statistically significant difference between the two groups of fasting blood glucose levels and 2 h postprandial blood glucose levels(P>0.05).After nursing,the fasting blood glucose level of group B was(5.3±0.7)mmol/L,and the blood glucose level of 2 h after meal(6.9±1.8)mmol/L was significantly lower than that of group A(6.8±0.9)mmol/L,(8.5±2.3)mmol/L,the difference was statistically significant(t=10.190,4.243,P<0.05).Before nursing,there was no statistically significant difference in anxiety and depression scores between the two groups(P>0.05).After nursing,the anxiety score(25.8±3.3)points and depression score(26.1±3.4)points of group B were significantly lower than those of group A(39.4±3.1)points,(38.8±3.7)points,the difference was statistically significant(t=23.266,19.577,P<0.05).Before nursing,there was no statistically significant difference in the quality of life scores between the two groups(P>0.05).After nursing,the quality of life score of group B(85.2±9.1)points was significantly higher than that of group A(70.8±6.6)points.The difference was statistically significant(t=9.922,P<0.05).The nursing satisfaction of group A was 96.7%,the nursing satisfaction of group B was 80.05%,the nursing satisfaction of group B was significantly higher than that of group A,the difference was statistically significant(χ^(2)=8.806,P<0.05).Conclusion During the period of diabetic patients with rheumatoid arthritis,the comprehensive nursing intervention model has a very significant effect on their nursing,which can effectively control their blood glucose levels,eliminate their anxiety,depression and other negative emotions,and can also improve their quality of life and the nursing satisfaction is higher.