冠心病合并糖尿病介入治疗患者应用全程护理模式的效果观察

Observation on effect of whole course nursing mode on patients with coronary heart disease combined with diabetes during the interventional therapy

目的在我国老龄化逐渐加剧的情况下,冠心病合并糖尿病的病例数不断增加,严重影响居民的躯体健康及生活质量,本文旨在探讨全程护理模式在冠心病合并糖尿病介入治疗患者中的临床应用效果。方法选取2012年1月—2016年5月于哈尔滨医科大学附属第一医院行介入治疗的96例合并糖尿病的冠心病患者作为研究对象,按入院顺序分为对照组和观察组,每组48例。对照组患者在冠心病及糖尿病的对症治疗上予以一般临床护理模式干预,观察组患者在其疾病对症治疗上予以全程护理模式干预,干预结束后比较2组患者血压、血糖及血脂水平变化,通过全自动生化分析仪检测空腹血糖(FPG)和总胆固醇(TC)水平,并根据其临床资料观察分析比较2组患者干预后其遵医行为和生活质量评分及不良事件发生率。本组所有数据均采用SPSS 18.0统计学软件进行统计分析,计量资料以x±s表示,采用t检验;计数资料以率/构成比表示,采用χ~2检验,以P<0.05为差异有统计学意义。结果 (1)2组患者干预后其收缩压、FPG及TC均较干预前明显降低,且观察组患者降低程度均大于对照组(t=3.254,P=0.002;t=7.016,P<0.001;t=8.029,P<0.001);(2)2组患者干预后其遵医行为及生活质量评分均较干预前升高,且观察组升高程度均大于对照组(t=3.685,P<0.001;t=2.238,P=0.030);(3)观察组患者干预后其不良事件发生率(4.17%)明显低于对照组(20.83%),2组比较差异有统计学意义(χ~2=6.095,P=0.014)。结论全程护理模式干预可降低冠心病合并糖尿病介入治疗患者的收缩压、FPG及TC水平,可明显改善患者的遵医行为和提高其生活质量,且不良事件的发生率大大降低,可作为临床上一种广为推选的护理模式。

Objective With increasing aging population in our country,the number of cases of coronary heart disease with diabetes increased,seriously affecting the physical health and quality of life of the residents. This article is to investigate the effect of whole course nursing mode on patients with coronary heart disease combined with diabetes during the interventional therapy. Methods A total of 96 patients with coronary heart disease combined with diabetes from January,2012 to May,2016 in our hospital were selected and divided into control group and observation group according to its clinical characteristics with 48 cases in each group. The control group was nursed with general nursing mode based on coronary heart disease and diabetes treatment and the patients in observation group were given the whole nursing intervention model. The changes of blood glucose and pressure,lipid level and symptomatic treatment of disease were observed and compared. The levels of FPG and TC were measured by automatic biochemical analyzer. The incidence of compliance behavior,quality of life and adverse events were compared between two groups after the intervention. All the data in this group were analyzed by SPSS 18. 0 software. The measurement data were expressed as mean ± standard deviation( x ± s). The t test was used to calculate the data. The χ~2 test was used to compare the data,with P < 0. 05 indicating statistical significance. Results(1)After nursing,the systolic blood pressure,FPG and TC of two groups significantly lowered than before nurse and the reduction degree in the observation group were greater than that in the control group( t = 3. 254,P = 0. 002;t = 7. 019,P < 0. 001; t = 8. 029,P < 0. 001);(2)The scores of treatment compliance and quality of life of two groups after nurse were higher than those before nurse and the degree of elevation in observation group were higher than that in the control group( t = 3. 685,P < 0. 001; t = 2. 238,P = 0. 030);(3)The incidence of adverse events in the observation group was significantly lower than that in the control group( 4. 17% vs. 20. 83%) with statistical significance( χ~2= 6. 095,P =0. 014). Conclusion The whole nursing intervention model can reduce systolic blood pressure,FPG and TC of patients with coronary heart disease combined with diabetes during the interventional therapy and can significantly improve the compliance behavior and their quality of life. The incidence of adverse events is greatly reduced. It can be used as a clinical nursing model for wide selection.