针对性护理对糖尿病出血性脑卒中患者干预效果的分析

Analysis of Intervention Effect of Targeted Nursing on Diabetic Hemorrhagic Stroke Patients

目的评价对糖尿病出血性脑卒中患者给予针对性护理的效果。方法选取医院神经外科在2019年6月—2021年6月期间收治的60例糖尿病出血性脑卒中患者,根据随机数表法进行分组,每组30例,对照组提供常规护理,观察组提供针对性护理,将两组患者的干预效果进行比较。结果观察组空腹血糖(6.14±2.32)mmol/L、餐后2 h血糖(7.35±2.21)mmol/L低于对照组(7.82±2.33)、(8.93±2.86)mmol/L,差异有统计学意义(P<0.05)。观察组并发症(再出血、静脉血栓和肺部感染)发生率(3.33%)低于对照组(26.67%),差异有统计学意义(P<0.05)。观察组护理满意度(100.00%)高于对照组(80.00%),差异有统计学意义(P<0.05)。观察组GOS评分(3.66±0.42)分、QLQ-C30评分(77.63±5.15)分均高于对照组(2.46±0.36)分、(63.56±5.46)分,差异有统计学意义(P<0.05)。结论糖尿病出血性脑卒中患者采取针对性护理可以改善患者的预后,有利于降低并发症发生率,改善患者生活质量,值得在临床护理中推广。

Objective To evaluate the effect of targeted nursing in diabetic hemorrhagic stroke patients.Methods A total of 60 patients with diabetic hemorrhagic stroke admitted to the Department of Neurosurgery in the hospital from June 2019 to June 2021 were selected.Grouped according to random number table method,each group with 30 cases.The control group was provided with routine care,and the observation group was provided with targeted care.The intervention effects of the two groups were compared.Results The fasting blood glucose(6.14±2.32)mmol/L and the 2-hour postprandial blood glucose(7.35±2.21)mmol/L of the observation group were lower than those of the control group(7.82±2.33)mmol/L,(8.93±2.86)mmol/L,the difference was statistically significant(P<0.05).The incidence of complications(rebleeding,venous thrombosis and pulmonary infection)in the observation group(3.33%)was lower than that in the control group(26.67%),the difference was statistically significant(P<0.05).The nursing satisfaction in the observation group(100.00%)was higher than that in the control group(80.00%),the difference was statistically significant(P<0.05).The GOS score(3.66±0.42)points and QLQ-C30 score(77.63±5.15)points of the observation group were higher than those of the control group(2.46±0.36)points and(63.56±5.46)points,the difference was statistically significant(P<0.05).Conclusion Targeted nursing for diabetic hemorrhagic stroke patients can improve the prognosis of patients,help reduce the incidence of complications,and improve the quality of life of patients,which is worthy of promotion in clinical nursing.