综合护理对老年糖尿病合并急性心肌梗死患者疗效、生活质量及心理的影响  

Therapeutic effects of comprehensive nursing on aged DM + AMI patients and its influence on quality of life and psychological status

作　　者：张小群[1] 孙红霞[1] ZHANG Xiao-qun;SUN Hong-xia(Department of Cardiology,Third Affiliated Hos-pital of Third Military Medical University,Chongqing,400042,China Corresponding author： SUN Hong-xia,E-mail： xyzy03@163,com)

机构地区：[1]第三军医大学第三附属医院心血管内科,重庆市400042

出　　处：《心血管康复医学杂志》2018年第4期469-472,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：国家自然科学基金项目(81300197)~~

摘　　要：目的:探讨综合护理对老年糖尿病合并急性心肌梗死患者的疗效、生活质量及心理的影响。方法:选择2011年12月~2015年12月住院的老年糖尿病合并急性心肌梗死患者300例为研究对象,随机分为常规护理组(150例)和综合护理组(150例),疗程7d。采用西雅图心绞痛调查问卷量表(SAQ)评估患者生活质量(QOL),抑郁自评量表(SDS)和焦虑自评量表(SAS)评估患者心理状态,比较两组患者护理前后血糖水平、临床疗效、QOL及心理状态。结果:与护理前比较,两组患者护理后空腹血糖(FBG)、餐后2h血糖(2hPG)及糖化血红蛋白(HbA1c)水平均显著降低,P均<0.05。与常规护理组比较,综合护理组治疗总有效率(86.67%比92.67%)显著升高,FBG、2hPG及HbA1c水平降低更显著,SAQ各项评分升高更显著,SAS评分[(44.42±4.52)分比(39.12±4.53)分]及SDS评分[(48.12±4.17)分比(41.73±3.64)分]显著降低,P均<0.05。结论:综合护理可显著降低老年糖尿病合并急性心肌梗死患者血糖水平,改善疗效、生活质量及心理状态,值得推广。Objective： To explore therapeutic effect of comprehensive nursing on aged patients with diabetes mellitus （DM） complicated acute myocardial infarction （AMI） and its influence of quality of life （QOL） and psychological status. Meth- otis： A total of 300 aged DM ＋ AMI patients, who were hospitalized in our hospital from Dec 2011 to Dec 2015, were se- lected. They were randomly and equally divided into routine nursing group and comprehensive nursing group, both groups were treated for 7 d. Seattle angina questionnaire （SAQ） was used to assess quality of life （QOL）, self-rating depression scale （SDS） and self-rating anxiety scale （SAS） were used to assess psychological status. Therapeutic effect, blood glucose level, QOL and psychological status before and after nursing were compared between two groups. Results.. Compared with before nursing, after nursing, there were significant reductions in levels of fasting blood glucose （FBG）, 2h postprandial blood glucose （2hPG） and glycosylated hemoglobin Alc （HbAlc） in two groups, P〈0. 05 all. Compared with routine nursing group after nursing, there was significant rise in total effective rate （86. 67% vs. 92. 67% ）, more significant reduc- tions in levels of FBG, 2hPG and HbAlc, and more significant rise in each dimension score of SAQ, and significant reduc- tions in scores of SAS [ （44. 42 ±4. 52） scores vs. （39. 12 ±4. 53） scores] and SDS [ （48. 12 ±4. 17） scores vs. （41.73 ±3.64） scores] in comprehensive nursing group, P〈0.05 all. Conclusion： Comprehensive nursing intervention can signifi- cantly reduce blood glucose level, improve therapeutic effect, quality of life and psychological status in aged patients with diabetes mellitus complicated acute myocardial infarction, which is worth extending.

关 键 词：心肌梗死 糖尿病 护理 

分 类 号：R542.220.9[医药卫生—心血管疾病]