全面护理模式在糖尿病合并脑血管病变患者中的应用以及对血糖控制率的影响研究

The Application of Comprehensive Nursing Model in Patients with Diabetes Mellitus Complicated with Cerebrovascular Disease and Its Influence on Blood Glucose Control Rate

目的探讨在糖尿病合并脑血管病变患者中,实施全面护理模式的临床效果及对患者血糖控制率的影响。方法选择2020年3月—2021年2月该院收的治糖尿病合并脑血管病变患者82例,利用数字表格法分组,各41例,对照组予以常规护理,研究组实施全面护理模式干预,对比两组患者血糖水平、认知功能水平、疗效。结果研究组患者治疗有效率为95.12%、高于对照组的78.05%,差异有统计学意义(P<0.05)。研究组干预前糖化血红蛋白(HbAlc)、空腹胰岛素(FINS)、餐后2 h血糖(2 hPG)、空腹血糖(FPG)水平与对照组比较,差异无统计学意义(P>0.05);干预后,两组各项指标均降低,研究组患者各指标均明显低于对照组,差异有统计学意义(P<0.05)。两组患者干预前MMSE评分对比,差异无统计意义(P>0.05);干预后,两组患者MMSE评分均升高,研究组患者MMSE评分高于对照组,差异有统计学意义(P<0.05)。结论对糖尿病合并脑血管病变患者开展全面护理模式干预,可提高患者临床疗效,更好地控制患者血糖水平,且有利于改善患者认知水平,值得推广。

Objective To explore the clinical effect of implementing a comprehensive nursing model and its influence on the rate of blood glucose control in patients with diabetes and cerebrovascular disease. Methods From March 2020 to February 2021, 82 patients with diabetes and cerebrovascular disease were admitted to the hospital. They were divided into groups by using the digital table method, 41 cases in each group. The control group was given routine care, and the study group implemented comprehensive care model intervention, and compared the blood sugar level, cognitive function level,and curative effect between the two groups of patients. Results The effective rate of treatment in the study group was95.12%, which was higher than 78.05% in the control group, and the difference was statistically significant(P<0.05). The levels of glycosylated hemoglobin(HbAlc), fasting insulin(FINS), 2 h postprandial blood glucose(2 hPG) and fasting blood glucose(FPG) before intervention in the study group were not significantly different from those of the control group(P>0.05);after the intervention, the indexes of the two groups were reduced, and the indexes of the patients in the study group were significantly lower than the control group, the difference was statistically significant(P<0.05). There was no statistically significant difference in the MMSE scores of the two groups of patients before the intervention(P>0.05);after the intervention,the MMSE scores of the two groups of patients increased, and the MM SE scores of the patients in the study group were higher than those in the control group, and the difference was statistically significant(P<0.05). Conclusion Carrying out comprehensive nursing intervention for patients with diabetes and cerebrovascular disease can improve the clinical efficacy of the patients, better control the blood glucose level of the patients, and help improve the cognitive level of the patients,which is worthy of promotion.