基于风险因素的前瞻性护理在长期卧床高龄糖尿病患者并发症防治中的应用

Application of Risk Factor-based Prospective Nursing in Prevention and Treatment of Complications in Long-term Bedridden Elderly Patients with Diabetes

目的 探讨基于风险因素的前瞻性护理在长期卧床高龄糖尿病患者并发症防治中的应用价值。方法 选取2020年1—6月联勤保障部队第900医院收治的长期卧床高龄糖尿病患者93例为研究对象,采用随机数字表法将其分为护理组与对照组,对照组47例住院期间接受常规糖尿病护理干预,护理组46例则接受基于风险因素的前瞻性护理干预,对比两组血糖水平、生活质量及并发症发生情况。结果 护理后,护理组患者生活质量各维度评分明显高于对照组,差异有统计学意义(P<0.05);护理后,护理组患者FPG、2 hPG以及HbA1c指标均明显低于对照组,差异有统计学意义(P<0.05);护理组患者住院期间风险事件及并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 对于长期卧床的高龄糖尿病患者住院治疗期间积极开展基于风险因素的前瞻性护理干预,能够有效预防诸多住院风险事件与相关并发症的发生,同时有助于患者血糖的控制及生活质量的改善,具有应用及推广价值。

Objective To explore the application value of risk factor-based prospective nursing in the prevention and treatment of complications in long-term bedridden elderly patients with diabetes.Methods A total of 93 bedridden elderly diabetic patients admitted to 900 th Hospital of the Joint Logistics Support Force from January to June2020 were selected as the research subjects.They were divided into a nursing group and a control group by random number table method.47 patients in the control group received routine diabetes nursing intervention during hospitalization,and 46 patients in the nursing group received prospective nursing intervention based on risk factors.The blood glucose levels,quality of life and complications were compared between the two groups.Results After nursing,the scores of each dimension of quality of life in the nursing group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).After nursing,the indexes of FPG,2 hPG and HbAlc in the nursing group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of risk events and complications during hospitalization in the nursing group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Actively carrying out prospective nursing intervention based on risk factors during hospitalization for long-term bedridden elderly diabetic patients can effectively prevent the occurrence of many hospitalization risk events and related complications.At the same time,it is helpful for the control of blood glucose and the improvement of the quality of life of patients,and has application and promotion value.