急性脑梗死合并糖尿病的临床护理干预效果

Clinical Nursing Intervention Effect of Acute Cerebral Infarction Complicated with Diabetes Mellitus

目的针对急性脑梗死合并糖尿病患者临床护理方法进行探究,分析临床护理干预在患者疾病治疗与健康恢复中的应用效果。方法用红蓝球随机分组法将2018年10月—2020年10月安溪县中医院外三科收治的80例急性脑梗死合并糖尿病患者分成对照组(40例,行常规护理干预)和探究组(40例,行综合临床护理干预),分析两组干预效果。结果探究组护理后空腹血糖(6.22±0.93)mmol/L、糖化血红蛋白(7.54±0.26)%,明显低于对照组(7.71±0.48)mmol/L、(8.05±0.45)%,差异有统计学意义(t=9.004、6.206,P<0.05);探究组神经功能缺损评分(5.94±2.08)分低于对照组(9.77±2.54)分,Karnofsky功能状态评分(87.56±11.02)分高于对照组(79.91±11.65)分,差异有统计学意义(t=7.378、3.017,P<0.05);探究组焦虑评分(33.61±9.54)分、抑郁评分(32.25±9.76)低于对照组(40.35±9.78)分、(39.68±10.47)分,差异有统计学意义(t=3.120、3.283,P<0.05);探究组遵医行为中健康饮食、血糖监测、安全用药、规范作息、积极康复的依从性92.50%、95.00%、97.50%、90.00%、97.50%以及护理满意度95.00%,均高于对照组62.50%、77.50%、80.00%、72.50%、80.00%、77.50%,差异有统计学意义(P<0.05)。结论在急性脑梗死合并糖尿病患者临床治疗期间,为其实施综合临床护理干预能够有效控制患者血糖水平,改善患者生存质量,降低患者不良情绪,强化患者遵医行为,提高患者护理满意程度。

Objective To explore the clinical nursing methods of patients with acute cerebral infarction complicated with diabetes mellitus,and to analyze the application effect of clinical nursing intervention in the treatment and health recovery of patients.Methods A total of 80 patients with acute cerebral infarction complicated with diabetes mellitus who were admitted to the Third Department of Surgery,Anxi County Hospital of Traditional Chinese Medicine from October 2018 to October 2020 were randomly divided into groups.Divided into control group(40 cases,with routine nursing intervention)and exploration group(40 cases,with comprehensive clinical nursing intervention).The intervention effects of the two groups were analyzed.Results The fasting blood glucose(6.22±0.93)mmol/L and the glycosylated hemoglobin(7.54±0.26)%of the exploration group after nursing were significantly lower than the control group(7.71±0.48)mmol/L,(8.05±0.45)%,the difference was statistically significant(t=9.004,6.206,P<0.05).The score of neurological deficit(5.94±2.08)points of the exploration group was lower than that of the control group(9.77±2.54)points,and the score of Karnofsky functional status(87.56±11.02)points was higher than that of the control group(79.91±11.65)points,the difference was statistically significant(t=7.378,3.017,P<0.05).The anxiety score(33.61±9.54)points and depression score(32.25±9.76)points of the exploration group were lower than those of the control group(40.35±9.78)points and(39.68±10.47)points,the difference was statistically significant(t=3.120,3.283,P<0.05).The compliance of medical compliance behaviors in healthy diet,blood glucose monitoring,safemedication,standardized work and rest,active rehabilitation 92.50%,95.00%,97.50%,90.00%,97.50%,and 95.00%of nursing satisfaction of the exproration group were higher than the control group by 62.50%,77.50%,80.00%,72.50%,80.00%and 77.50%,the difference was statistically significant(P<0.05).Conclusion During the clinical treatment of patients with acute cerebral infarction complicated with diabetes mellitus,the implementation of comprehensive clinical nursing intervention can effectively control the blood glucose level of patients,improve the quality of life of patients,reduce the negative emotions of patients,strengthen patients'compliance behavior,and improve patients'nursing satisfaction.