个性化护理对截瘫合并糖尿病患者血糖控制水平及自我管理能力的影响

The Influence of Personalized Nursing on the Blood Glucose Control Level and Self-management Ability of Patients with Paraplegia and Diabetes

目的观察个性化护理对截瘫合并糖尿病患者血糖控制水平及自我管理能力的影响,为截瘫合并糖尿病患者的诊疗提供依据。方法选取2020年1—12月在该院收治的截瘫合并糖尿病康复的患者100例。对照组50例为2020年1—6月收治的患者,实施常规普通护理;观察组50例为2020年7—12月收治的患者,在对照组基础上加入个性化护理。对比两组患者护理前后血糖控制情况及两组患者自我管理能力。结果观察组患者护理后空腹血糖(6.03±0.30)mmol/L,糖化血红蛋白(4.33±0.31)%,平均血糖波动(1.12±0.16)mmol/L;对照组患者护理后空腹血糖(7.67±0.36)mmol/L,糖化血红蛋白(5.41±0.24)%,平均血糖波动(2.79±0.32)mmol/L,观察组患者血糖指标控制明显优于对照组,差异有统计学意义(P<0.05)。两组患者护理前自我管理量表评分知识分量表得分为(19.29±2.06)分、(18.98±2.21)分,态度分量表得分为(15.96±1.82)分、(15.87±1.46)分,行为分量表得分为(43.54±13.03)分、(41.27±13.21)分,两组对比差异无统计学意义(t=0.801、0.295、0.947,P>0.05)。两组患者护理后自我管理量表评分知识分量表得分为(11.91±3.98)分、(15.07±1.56)分,态度分量表得分为(8.47±2.71)分、(14.83±1.83)分,行为分量表得分为(50.31±10.08)分、(44.21±11.54)分,护理后两组自我管理能力均有提高,观察组提高更明显,差异有统计学意义(t=15.096、3.090、5.887,P<0.05)。结论个性化护理利于截瘫合并糖尿患者的血糖控制,利于患者自我管理能力的提高,值得推广。

Objective To observe the effect of personalized nursing on the blood glucose control level and self-management ability of patients with paraplegia and diabetes,and to provide evidence for the diagnosis and treatment of patients with paraplegia and diabetes.Methods 100 patients with paraplegia and diabetes who had recovered in the hospital from January to December 2020 were selected.The 50 cases in the control group were patients admitted from January to June 2020 and received routine general care.The 50 cases in the observation group were patients admitted from July to December 2020,and personalized care was added to the control group.The blood glucose control status of the two groups of patients before and after nursing and the self-management ability of the two groups of patients were compared.Results The observation group had fasting blood glucose(6.03±0.30)mmol/L,glycosylated hemoglobin(4.33±0.31)%,and average blood glucose fluctuation(1.12±0.16)mmol/L after nursing.In the control group,fasting blood glucose(7.67±0.36)mmol/L,glycosylated hemoglobin(5.41±0.24)%,and average blood glucose fluctuation(2.79±0.32)mmol/L after nursing.The blood glucose index control of the observation group was significantly better than that of the control group,and there were statistically significant differences between the two groups(P<0.05).Pre-care self-management scale score knowledge subscale(19.29±2.06)points,(18.98±2.21)points,attitude subscale(15.96±1.82)points,(15.87±1.46)points,behavior subscale(43.54±13.03)points,(41.27±13.21)points,there was no statistically significant difference between the groups(t=0.801,0.295,0.947,P>0.05).Self-management scale score knowledge subscale(11.91±3.98)points,(15.07±1.56)points,attitude subscale(8.47±2.71)points,(14.83±1.83)points,behavior subscale(50.31±10.08)points,(44.21±11.54)points,the self-management ability of the latter two groups improved,and the observation group improved more significantly,the difference was statistically significant(t=15.096,3.090,5.887,P<0.05).Conclusion Personalized nursing care is beneficial to the blood glucose control of patients with paraplegia and diabetes,and it is beneficial to improve the self-management ability of patients,and it is worthy of promotion.