综合护理在糖尿病合并多囊卵巢综合征中的应用效果

Application effect of comprehensive nursing in diabetic patients with polycystic ovary syndrome

目的 探讨糖尿病合并多囊卵巢综合征患者采用综合护理的效果。方法 选择80例糖尿病合并多囊卵巢综合征患者,根据随机数字表法分为对照组与观察组,每组40例。对照组行常规护理,观察组行综合护理。比较两组护理前后不良情绪评分、血糖指标水平、内分泌指数水平、疾病应对方式评分。结果 护理前,两组焦虑、抑郁评分比较,差异无统计学意义(P>0.05);护理后,两组焦虑、抑郁评分均低于护理前,且观察组均低于对照组,差异有统计学意义(P<0.05)。护理前,两组血糖指标水平比较,差异无统计学意义(P>0.05);护理后,两组空腹血糖、餐后2 h血糖以及糖化血红蛋白水平均低于护理前,且观察组均低于对照组,差异有统计学意义(P<0.05)。护理前,两组睾酮、促黄体生成素、胰岛素抵抗指数水平比较,差异无统计学意义(P>0.05);护理后,两组睾酮、促黄体生成素、胰岛素抵抗指数水平均低于护理前,且观察组均低于对照组,差异有统计学意义(P<0.05)。护理前,两组疾病应对方式评分比较,差异无统计学意义(P>0.05);护理后,两组屈服、回避评分均低于护理前,面对评分高于护理前,且观察组均优于对照组,差异有统计学意义(P<0.05)。结论 糖尿病合并多囊卵巢综合征患者采用综合护理,可改善患者不良情绪,并且可改善患者血糖水平和激素水平,促使其积极面对疾病,值得临床推广与应用。

Objective To investigate the effect of comprehensive nursing for patients with diabetes complicated with polycystic ovary syndrome. Methods A total of 80 diabetic patients with polycystic ovary syndrome were selected and divided into control group and observation group according to random number table method, with 40 cases in each group. The control group received routine nursing, and the observation group received comprehensive nursing. Adverse mood score, blood glucose index level, endocrine index level, disease coping style score before and after nursing were compared between the two groups.Results Before nursing, there was no significant difference in anxiety and depression scores between the two groups(P>0.05).After nursing, anxiety and depression scores in both groups were lower than before nursing, and observation group was lower than control group, the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in blood glucose index between the two groups(P>0.05). After nursing, fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin levels in two groups were lower than before nursing, and observation group was lower than control group, the difference was statistically significant(P<0.05). Before nursing, there were no significant differences in the levels of testosterone, luteinizing hormone and insulin resistance index between the two groups(P>0.05). After nursing,the levels of testosterone, luteinizing hormone and insulin resistance index in two groups were lower than before nursing, and observation group was lower than control group, the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in disease coping style scores between the two groups(P>0.05). After nursing, the yield and avoidance scores of both groups were lower than before nursing, and the face scores were higher than before nursing, and the observation group was better than the control group, the difference was statistically significant(P<0.05). Conclusion The use of comprehensive nursing for patients with diabetes complicated with polycystic ovary syndrome can improve the adverse mood of patients, improve the blood sugar level and hormone level of patients, and promote their positive face to the disease,worthy of clinical promotion and application.