躁狂型糖尿病低血糖患者的院前急救和护理效果研究  

Study on pre-hospital first aid and nursing effect in manic-type diabetic patients with hypoglycemia

作　　者：雷菊蕊 杨珺 赖惠芳 陈丽婵 游嘉琪 LEI Ju-rui;YANG Jun;LAI Hui-fang(Department of Emergency, Dongguan Changping Hospital, Dongguan 523573, Chin)

机构地区：[1]东莞市常平医院急诊科,523573

出　　处：《中国现代药物应用》2018年第9期167-169,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析躁狂型糖尿病低血糖患者的院前急救和护理效果。方法 56例躁狂型糖尿病低血糖患者,依据干预方法的不同将其分为观察组与对照组,每组28例。观察组患者接受院前急救和优质护理,对照组患者接受院前急救和常规护理。比较两组的干预效果。结果护理前两组患者空腹血糖及餐后2 h血糖水平比较差异无统计学意义(P>0.05);护理后两组血糖水平均有下降,且观察组护理后空腹血糖以及餐后2 h血糖水平均明显低于对照组,差异均具有统计学意义(P<0.05)。观察组患者拒绝饮食发生率以及暴饮暴食发生率分别为10.71%、7.14%,均明显低于对照组的35.71%、32.14%,差异均具有统计学意义(P<0.05)。观察组护理满意度为92.86%,高于对照组的71.43%,差异具有统计学意义(P<0.05)。结论对躁狂型糖尿病低血糖患者实施院前急救和优质护理,能够提升血糖控制有效性,为之后的治疗赢取更多有效时间,值得推广。Objective To analyze the pre-hospital first aid and nursing effect in manic-type diabetic patients with hypoglycemia. Methods A total of 56 manic-type diabetic patients with hypoglycemia were divided by different intervention methods into observation group and control group, with 28 cases in each group. The observation group received pre-hospital first aid and high quality nursing, and the control group received pre-hospital first aid and conventional nursing. The intervention effect in two groups was compared. Results Before nursing, both groups had no statistically significant difference in fasting blood glucose and 2 h postprandial blood glucose levels （P〉0.05）. After nursing, both groups had lower blood glucose level, and the observation group had obviously lower fasting blood glucose and 2 h postprandial blood glucose levels than the control group. Their difference was statistically significant （P〈0.05）. The observation group had obviously lower rejected dietary rates and incidence of overeating respectively as 10.71% and 7.14% than 35.71% and 32.14% in the control group, and the difference was statistically significant （P〈0.05）. The observation group had higher nursing satisfaction as 92.86% than 71.43% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Application of pre-hospital first aid and high quality nursing for manic-type diabetic patients with hypoglycemia can improve the effectiveness of blood glucose control, and win more effective time for subsequent treatment. It is worthy of promotion.

关 键 词：躁狂型 糖尿病 低血糖 院前急救 护理 

分 类 号：R473.5[医药卫生—护理学]