延续护理干预对肺结核合并糖尿病患者的效果

Effect of continuous nursing intervention on patients with pulmonary tuberculosis complicated with diabetes mellitus

目的分析在肺结核合并糖尿病患者护理过程中使用延续护理干预的价值。方法选取2019年11月—2020年11月天津市海河医院收治的肺结核合并糖尿病患者128例作为研究对象,采用随机数字表法将入选的患者分为对照组和研究组各64例,对照组给予常规护理干预,研究组给予延续护理干预。对护理前后两组患者的各项临床指标进行记录比较。结果护理后,研究组医疗知识知晓得分高于对照组,空腹血糖(FBG)、餐后2小时血糖(2hPBG)指标低于对照组,差异均有统计学意义(P<0.05)。研究组痰菌转阴率为98.44%,高于对照组的89.06%,差异有统计学意义(χ^(2)=4.800,P<0.05)。护理后,研究组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。研究组患者护理总满意率为95.31%,高于对照组的81.25%,差异有统计学意义(χ^(2)=6.117,P<0.05)。结论在肺结核合并糖尿病患者护理过程中,延续护理有利于患者临床指标的改善,对于其预后健康的保障具有积极作用,值得临床推广与应用。

Objective To analyze the value of continuous nursing intervention in the nursing process of patients with pulmonary tuberculosis and diabetes mellitus.Methods A total of 128 patients with pulmonary tuberculosis and diabetes mellitus who were treated in Tianjin Haihe Hospital from November 2019 to November 2020 were selected as the research objects.The selected patients were divided into a control group and a study group by the random number table method,with 64 cases in each group.The control group was given routine nursing intervention,while the study group was given continuous nursing intervention.The clinical indicators of the two groups before and after nursing were recorded and compared.Results After nursing,the medical knowledge awareness score of the study group was higher than that of the control group,and the fasting blood glucose(FBC)and 2-hour postprandial blood glucose(2hPBG)indicators were lowerthan those ofthe control group,and the differences were statistically significant(P<0.05).The sputum conversion rate of the study group was 98.44%,which was higher than the control group's 89.06%,and the difference was statistically significant(χ^(2)=4.800,P<0.05).After nursing,the quality of life score of the study group patients was higher than that of the control group,and the difference was statistically significant(P<0.05).The overall satisfaction rate of nursing for patients in the study group was 95.31%,which was higher than the control group's 81.25%,and the difference was statistically significant(χ^(2)=6.117,P<0.05).Conclusion In the nursing process of patients with pulmonary tuberculosis and diabetes mellitus,continuous nursing was conducive to the improvement of clinical indicators of patients,and had a positive role in ensuring their prognosis and health,which was worthy of clinical promotion and application.