观察优质护理干预对甲亢+糖尿病患者血糖控制与并发症的影响

Observation of the Effect of Quality Nursing Intervention on Glycemic Control and Complications in Patients with Hyperthyroidism + Diabetes Mellitus

目的:分析优质护理干预对甲亢+糖尿病患者血糖控制与并发症的影响。方法:选取2017年3月—2019年3月江门市人民医院收治的88例甲亢+糖尿病患者作为研究对象,按随机数表法分为常规组和优质组,每组各44例。两组患者分别采用常规护理和优质护理,比较常规组患者和优质组患者护理前和护理1个月后的血糖控制情况、并发症发生情况、生活质量评分差异及护理满意度差异。结果:护理前,常规组患者的空腹血糖值、餐后2 h血糖值以及糖化血红蛋白和优质组患者比较,差异无统计学意义(t=0.280、0.133、0.093,P<0.05)。护理后,优质组患者空腹血糖值、餐后2 h血糖值以及糖化血红蛋白水平显著低于常规组患者,差异有统计学意义(t=7.544、5.243、5.731,P<0.05)。优质组患者的并发症发生率显著低于常规组患者,差异有统计学意义(χ^(2)=4.062,P<0.05)。护理前,常规组患者生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康、生理功能维度生活质量评分和优质组患者比较,差异无统计学意义(t=0.019、0.056、0.083、0.144、0.033、0.032、0.049、0.018,P<0.05);护理后,常规组患者生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康、生理功能维度生活质量评分和优质组患者比较均明显更低,差异有统计学意义(t=10.980、11.789、22.086、4.550、13.958、12.077、14.325、8.335,P<0.05)。护理后,优质组患者的护理总满意度显著高于常规组患者,差异有统计学意义(χ^(2)=5.091,P<0.05)。结论:在甲亢+糖尿病患者的临床护理中,优质护理对其血糖控制效果的提高具有积极意义,可以进一步降低患者并发症发生率,提高其日常生活质量及护理满意度。

Objective:To analyze the effect of quality nursing intervention on glycemic control and complications in patients with hyperthyroidism + diabetes mellitus.Methods:88 patients with hyperthyroidism + diabetes mellitus admitted to the hospital from March 2017 to March 2019 were selected for the study and were divided into a conventional group and a quality group according to the random table method, with 44 cases in each group. Patients in both groups were treated with conventional care and quality care. The differences in glycemic control, complications, quality of life scores and nursing satisfaction were compared between the two groups of patients before and one month after nursing care.Results:There was no statistically significant difference between the fasting glucose values, 2 h postprandial glucose values and glycosylated hemoglobin of the patients in the conventional group and the patients in the quality group before care in both groups(t=0.280, 0.133. 0.093, P<0.05). After nursing,fasting glucose values, 2 h postprandial glucose values and glycated hemoglobin were significantly lower in the quality group than in the conventional group, with statistically significant differences(t=7.544, 5.243, 5.731, P<0.05). The complication rate of patients in the quality group was significantly lower than that of patients in the conventional group, and the difference was statistically significant(χ^(2)=4.062, P<0.05). There was no statistically significant difference in the quality of life scores of physical functioning, somatic pain, general health, vitality, social functioning, emotional functioning, mental health, and physical functioning dimensions between patients in the conventional group and patients in the quality group before care in both groups(t=0.019, 0.056,0.083, 0.144, 0.033, 0.032, 0.049, 0.018, P<0.05). After the care of patients in both groups, the quality of life scores of physical functioning, somatic pain, general health, vitality, social functioning, emotional functioning, mental health, and physical functioning dimensions were lower in the conventional group than in patients in the quality group, with statistically significant differences(t=10.980, 11.789, 22.086, 4.550, 13.958, 12.077, 14.325, 8.335, P<0.05). After the care of patients in both groups, the total nursing satisfaction of patients in the quality group was significantly higher than that of patients in the conventional group, and the difference was statistically significant(χ^(2)=5.091, P<0.05).Conclusion:In the clinical care of patients with hyperthyroidism +diabetes mellitus, quality care is of positive significance in improving their glycemic control, as well as further reducing the incidence of complications and improving their quality of daily life and nursing satisfaction.