老年糖尿病患者睡眠障碍的原因及护理干预的效果

The Causes of Sleep Disorders in Elderly Diabetic Patients and the Effect of Nursing Intervention

目的:分析老年糖尿病患者睡眠障碍的原因及护理干预的效果。方法:选取2019年3月到2021年3月闽清县云龙卫生院内科收治的老年糖尿病睡眠障碍患者56名作为研究对象,按照随机数字表法分为观察组和对照组,每组28例。对照组给予常规护理干预,观察组给予优质护理干预,采用自制调查表对入选患者的睡眠障碍成因进行调查,分析引起睡眠障碍的发生原因,采用匹兹堡睡眠质量指数(PSQI)分析2组患者的睡眠质量,并比较2组患者的血糖指标,判定2组患者的护理效果。结果:老年糖尿病患者睡眠障碍的成因较多,身体上包括生理性尿多、肢体麻木、运动量少;心理上包括害怕疾病、担心医疗费用等;环境上包括睡眠环境嘈杂、作息不规律;饮食上包括晚餐过早、食用量过多等。经过护理后,在血糖指标方面,观察组空腹血糖和餐后2 h血糖值与对照组比较较低,且更接近标准值,2组比较差异有统计学意义(均P<0.05);在睡眠质量评分方面,观察组的PSQI评分显著低于对照组,观察组的总有效率显著高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:应用优质护理干预可有效改善老年糖尿病患者的睡眠质量,抑制疾病进展,提高生命质量,提高护理效果,值得临床推广使用。

Objective:To analyze the causes of sleep disorders in elderly patients with diabetes and the effect of nursing intervention.Methods:A total of 56 elderly diabetic patients with sleep disorders admitted to the internal medicine department of Yunlong Health Center of Minqing County from March 2019 to March 2021 were selected as the research objects and were divided into observation group and control group according to the random number table method,with 28 patients in each group.The control group was given routine nursing intervention,and the observation group was given high-quality nursing intervention.The self-made questionnaire was used to investigate the causes of sleep disorders in the enrolled patients,and the causes of sleep disorders were analyzed.The Pittsburgh Sleep Quality Index(PSQI)was used to analyze the sleep quality of 2 groups,and the blood sugar index of the 2 groups of patients was compared to determine the nursing effect 2 groups.Results:There were many causes of sleep disorders in elderly diabetic patients,including physiologic urine,numbness of limbs and less exercise.Psychologically,they are afraid of disease and medical expenses.In terms of environment,it has noisy sleep environment,irregular work and rest.In terms of diet,it includes early dinner,excessive consumption and so on.After nursing,in terms of blood glucose indexes,fasting blood glucose and 2 h postprandial blood glucose values in the observation group were lower than those in the control group,and were closer to the standard values,and the difference between the 2 groups was statistically significant(P s<0.05).In terms of sleep quality score,the PSQI score of the observation group was significantly lower than the control group,and the total effective rate of the observation group was significantly higher than the control group,the difference between 2 groups was statistically significant(P s<0.05).Conclusion:The application of high-quality nursing intervention can effectively improve the sleep quality of elderly patients with diabetes,inhibit the disease progression,improve the quality of life,improve the nursing effect,which is worthy of clinical application.