基于需求导向的干预策略在急性会厌炎伴糖尿病患者中的应用

Application of demand-oriented care in diabetes patients with acute epiglottitis

目的分析急性会厌炎伴糖尿病患者中应用基于需求导向的干预策略的效果。方法纳入2020年1月至2023年3月接受治疗的急性会厌炎伴糖尿病患者76例,随机数字表法分为对照组和观察组,每组38例。对照组给予常规护理,观察组在常规护理基础上给予基于需求导向的干预策略,统计2组急性会厌炎症状消失时间和住院时间,比较2组干预前后咽喉疼痛严重度、血糖指标、心理状态。结果观察组咽喉疼痛、会厌肿胀、吞咽困难和呼吸困难症状消失时间和住院时间短于对照组(P<0.05)。2组干预前咽喉疼痛严重度评分、空腹血糖、餐后2 h血糖、糖化血红蛋白、抑郁-焦虑-压力量表的3个分量表评分比较差异无统计学意义(P>0.05);观察组干预2 d后、5 d后咽喉疼痛严重度评分低于对照组(P<0.05),观察组干预5 d后空腹血糖、餐后2 h血糖、糖化血红蛋白和抑郁-焦虑-压力量表的3个分量表评分低于对照组(P<0.05)。结论基于需求导向的干预策略在急性会厌炎伴糖尿病患者中的应用效果良好,可加速急性会厌炎康复进程,强化血糖控制效果,改善其负面情绪的问题,缩短住院时间。

Objective To analyze the outcome of demand-oriented care in diabetes patients with acute epiglottitis.Methods A total of 76 diabetes patients with acute epiglottitis who were treated in our hospital from January 2020 to March 2023 were included as study subjects.They were divided into the control group and observation group using a randomized numerical table,with 38 cases in each group.Conventional nursing care was applied to patients in both groups,and demand-oriented care was additionally performed in patients of the observation group.Duration for the disappearance of acute epiglottitis symptoms and length of stay were recorded.Severity of sore throat,blood glucose index and psychological state before and after the intervention were compared between the two groups.Results The duration for the disappearance of acute epiglottitis symptoms like sore throat,epiglottis swelling,dysphagia and dyspnea,and length of stay were significantly shorter in the observation group than those of the control group(P<0.05).There were no significant differences in the severity score of sore throat,fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c),and the three subscale scores of the Depression-Anxiety-Stress Scale(DASS)between the two groups(P>0.05).Patients in the observation group had significantly lower sore throat severity scores than the control group after 2 days and 5 days of intervention(P<0.05),and they had significantly lower FBG,2hPG,HbA1c and the three subscale scores of the DASS after interventions for 5 days(P<0.05).Conclusion Demand-oriented care is effective in diabetes patients with acute epiglottitis,which accelerates the recovery process of acute epiglottitis,strengthens the effect of glycemic control,improves their negative emotions and poor sleep quality,and shortens the length of stay.