糖尿病(DM)合并慢阻肺患者行系统化运动护理方案对FBG、肺功能的效果分析

Analysis of the Effect of Systematic Exercise Nursing Program on FBG and Pulmonary Function in Patients with Diabetes Mellitus(DM)Complicated with Chronic Obstructive Pulmonary Disease

目的分析糖尿病(DM)合并慢阻肺(COPD)患者应用系统化运动护理方案对空腹血糖(FBG)、肺功能的临床效果。方法选取2018年10月—2020年2月该院接诊的88例DM合并COPD患者作为研究对象,依照随机数表法分为对照组和观察组,各44例,对照组采取常规护理,观察组采取系统化运动护理,分析两组患者的护理效果和对FBG、肺功能的影响。结果护理前,两组患者FBG、PBG水平对比,差异无统计学意义(t=0.107、0.062,P>0.05);护理后,观察组的FBG和PBG水平均低于对照组,差异有统计学意义(t=13.614、6.278,P<0.05)。护理前,两组患者的FVC、FEV1和FEV1/FVC指标对比,差异无统计学意义(t=0.507、0.141、0.620,P>0.05);护理后,观察组的FVC、FEV1和FEV1/FVC指标均高于对照组,差异有统计学意义(t=4.208、3.199、2.581,P<0.05)。相比对照组,观察组护理满意度更高(97.73%>81.82%),差异有统计学意义(χ^(2)=4.456,P<0.05)。结论应用系统化运动方案有效改善DM并COPD患者的血糖水平,恢复肺功能,提升护理满意度。

Objective To analyze the clinical effect of systematic exercise nursing program on fasting blood glucose(FBG)and pulmonary function in patients with diabetes mellitus(DM)complicated with chronic obstructive pulmonary disease(COPD).Methods A total of 88 patients with DM and COPD admitted to the hospital from October 2018 to February 2020 were selected as the observation objects.They were divided into the control group and the observation group according to the random number table method,44 cases in each group.The control group received routine nursing,and the observation group received systematic exercise nursing.The nursing effect and the effect on FBG and pulmonary function of the two groups of patients were analyzed.Results Before nursing,the difference FBG and PBG levels in the two groups was not statistically significant(t=0.107,0.062,P>0.05).After nursing,the levels of FBG and PBG in the observation group were lower than those in the control group,and the difference was statistically significant(t=13.614,6.278,P<0.05).Before nursing,the difference of FVC,FEV1 and FEV1/FVC in the two groups was not statistically significant(t=0.507,0.141,0.620,P>0.05).After nursing,the indexes of FVC,FEV1 and FEV1/FVC in the observation group were higher than those in the control group,and the differences were statistically significant(t=4.208,3.199,2.581,P<0.05).Compared with the control group,the nursing satisfaction of the observation group were higher(97.73%>81.82%),the difference was statistically significant(χ^(2)=4.456,P<0.05).Conclusion The application of systematic exercise program can effectively improve the blood glucose level,restore lung function,and improve nursing satisfaction in patients with DM and COPD.