预见性护理预防老年糖尿病低血糖发生率的效果及护理质量分析

Analysis of the Effect of Predictive Nursing in Preventing the Incidence of Senile Diabetes and Hypoglycemia and the Quality of Nursing

目的探讨老年糖尿病患者选用预见性护理预防低血糖的价值。方法纳入2018年5月—2020年10月老年糖尿病患者100例进行研究,按1:1比例分为对照组(n=50,选用常规护理)、观察组(n=50,选用预见性护理),统计两组低血糖发生率、遵医嘱行为优良率、血糖及血脂水平、依从性、护理质量。结果 (1)低血糖发生率:观察组(4.00%)低于对照组(20.00%),两组对比差异有统计学意义(P<0.05)。(2)遵医嘱行为优良率:观察组(98.00%)高于对照组(84.00%),两组对比差异有统计学意义(P<0.05)。(3)血糖及血脂水平:观察组FPG(6.22±1.54)mmol/L、2 hPG(9.35±2.92)mmol/L、HbA1c(3.02±0.98)%、TG(5.01±0.82)mmol/L、TC(1.79±0.61)mmol/L、LDL-C(2.21±1.08)mmol/L低于对照组,HDL-C(1.25±0.08)mmol/L高于对照组,两组对比差异有统计学意义(P<0.05)。(4)依从性:观察组高于对照组,两组对比差异有统计学意义(P<0.05)。(5)护理质量:观察组高于对照组,两组对比差异有统计学意义(P<0.05)。结论预见性护理在预防老年糖尿病低血糖中效果确切,可改善整体护理质量及血糖、血脂水平,亦可提高患者依从性及遵医嘱行为,值得借鉴。

Objective To explore the value of using predictive care to prevent hypoglycemia in elderly diabetic patients.Methods A study of 100 elderly diabetic patients from May 2018 to October 2020 was enrolled, and they were divided into a control group(n=50, using routine care) and an observation group(n=50, using predictive care) at a ratio of 1:1. The incidence of blood glucose, the rate of good and good behaviors in compliance with doctor’s advice, blood glucose and blood lipid levels, compliance, and quality of care were counted. Results 1.The incidence of hypoglycemia: the observation group(4.00%) was lower than the control group(20.00%), and the difference between the two groups was statistically significant(P<0.05). 2.The rate of good and good behavior in compliance with doctors’ orders: the observation group(98.00%) was higher than the control group(84.00%), and the difference between the two groups was statistically significant(P<0.05). 3.Blood glucose and blood lipid levels: observation group FPG(6.22 ±1.54)mmol/L, 2 hPG(9.35 ±2.92)mmol/L, HbA1 c(3.02 ±0.98)%, TG(5.01±0.82)mmol/L, TC(1.79±0.61)mmol/L, LDL-C(2.21±1.08)mmol/L was lower than the control group, HDL-C(1.25±0.08)mmol/L was higher than the control group, the difference between the two groups was statistically significant(P<0.05).4.Compliance: the observation group was higher than the control group, and the difference between the two groups was statistically significant(P<0.05). 5.Quality of care: the observation group was higher than the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion Predictive care has a definite effect in preventing senile diabetes and hypoglycemia. It can improve the overall quality of care and blood glucose and blood lipid levels,and it can also improve patient compliance and compliance with doctors. It is worth learning.