老年肺结核伴糖尿病患者在抗结核药物治疗期间的护理分析

Nursing Strategies for Elderly Pulmonary Tuberculosis Patients with Diabetes during Treatment with Anti-tuberculosis Drugs

目的老年肺结核伴糖尿病患者在抗结核药物治疗期间的护理对策。方法选择该院2019年12月-2020年12月收治的88例老年肺结核伴糖尿病患者为研究对象,依据随机双盲法以对照组、观察组进行区分,各44例患者;对照组患者接受基础护理,观察组基于对照组接受全面护理;比较分析两组患者的肺结核治疗有效率以及护理前后的血糖水平、生活质量。结果观察组的肺结核治疗有效率为86.36%,与对照组的54.55%比较,差异有统计学意义(χ^(2)=10.699,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),护理后观察组空腹血糖(6.27±1.02)mmol/L、餐后2 h血糖(10.86±1.33)mmol/L水平均低于对照组(8.13±1.93)、(13.21±2.38)mmol/L,差异有统计学意义(t=5.652、5.717,P<0.05);且护理前两组生活质量方面的各项评分比较,差异无统计学意义(P>0.05),而护理后观察组生活质量方面的身体功能评分(82.54±2.46)分、情绪功能评分(83.16±3.18)分、认知功能评分(83.79±3.28)分、角色功能评分(83.42±2.87)分、社会功能评分(81.51±3.75)分均高于对照组,差异有统计学意义(t=29.095、19.113、12.591、19.149、11.665,P<0.05)。结论老年肺结核伴糖尿病患者在抗结核药物治疗期间可接受全面护理,不仅可以提高肺结核治疗效果,还能有效调节血糖水平,对患者生活质量改善有良好的促进作用。

Objective Nursing strategies for elderly patients with pulmonary tuberculosis and diabetes during treatment with anti-tuberculosis drugs.Methods The 88 elderly pulmonary tuberculosis patients with diabetes mellitus admitted in the hospital between December 2019 and December 2020 were selected as the study cases,and the control group and the observation group were distinguished according to the random double-blind method,with 44 patients in each.The control group received basic nursing care,and the observation group received comprehensive care based on the control group.The effective rate of tuberculosis treatment,blood glucose level and quality of life before and after care were compared and analyzed between the two groups.Results The effective rate of pulmonary tuberculosis treatment in the observation group was 86.36%,compared with 54.55%in the control group,and the difference was statistically significant(χ^(2)=10.699,P<0.05).There was no significant difference in blood glucose levels between the two groups before nursing(P>0.05),and after nursing,fasting blood glucose(6.27±1.02)mmol/L and postprandial 2 h blood glucose(10.86±1.33)mmol/L in the observation group were lower than those in the control group(8.13±1.93)mmol/L and(13.21±2.38)mmol/L,and the difference was statistically significant(t=5.652,5.717,P<0.05).Compared the scores of quality of life in the two groups before nursing,the difference was not statistically significant(P>0.05).The physical function score(82.54±2.46)points,emotional function score(83.16±3.18)points,cognitive function score(83.79±3.28)points,role function score(83.42±2.87)points and social function score(81.51±3.75)points in the observation group were higher than those in the control group,the difference was statistically significant(t=29.095,19.113,12.591,19.149,11.665,P<0.05).Conclusion Elderly pulmonary tuberculosis patients with diabetes can receive comprehensive care during the anti-tuberculosis drug treatment,which can not only improve the treatment effect of pulmonary tuberculosis,but also effectively regulate the blood glucose level,which has a good promoting effect on the improvement of the patients'quality of life.