延伸护理对糖尿病合并脑卒中患者临床效果、自护行为及糖化血红蛋白水平分析  

Analysis of Clinical Effect,Self-care Behavior and Glycosylated Hemoglobin Level in Patients with Diabetes Mellitus and Cerebral Apoplexy Treated by Extended Nursing

作　　者：刘富娟 邓晓蓉[1] 唐晓筱 Liu Fujuan;Deng Xiaorong;Tang Xiaoxiao(Dept,of Endocrinology,Mianyang Municipal Hospital of Traditional Chinese Medicine,Mianyang,621000,China)

机构地区：[1]绵阳市中医医院内分泌科,四川绵阳621000

出　　处：《成都中医药大学学报》2018年第3期58-61,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：四川省中医药管理局项目(2016C068)

摘　　要：目的:探究延伸护理对糖尿病合并脑卒中患者临床效果、自护行为及糖化血红蛋白水平的影响。方法:选取本院2015年6月~2016年6月诊治的88例糖尿病伴脑卒中患者为研究对象,其中行基础护理的44例患者设为对照组,行延伸护理的44例患者设为研究组,并对2组糖化血红蛋白水平、自护行为及生存质量进行比对。结果:研究组患者的出院当日、出院3个月、出院7个月、出院12个月的糖化血红蛋白水平分别为(9. 50±1. 24)%、(7. 79±0. 90)%、(7. 31±0. 52)%、(6. 93±0. 35)%,显著低于对照组(9. 48±1. 27)%、(8. 94±0. 13)%、(8. 65±0. 94)%、(8. 53±0. 86)%,(P <0. 05);吸烟、足部护理、血糖监测、运动、具体饮食评分显著高于对照组患者(P <0. 05);活力、心理卫生、社会功能、躯体角色、躯体功能评分显著高于研究组患者,组间差异具有统计学意义(P <0. 05)。结论:糖尿病伴脑卒中患者行延伸护理可降低血糖,提高自护能力与生存质量。Objective： Explore effect of extended nursing on clinical effect, self-care behavior and glycosylated hemoglobin level inpatients with diabetes mellitus and cerebral apoplexy. Methods： From June 2015 to June 2 0 1 6, 88 patients with diabetes mellitus andcerebral apoplexy were studied, 44 patients with basic nursing were set up as control group, 44 patients with extended nursing were setup to study group, and two groups of glycosylated hemoglobin level, self - care behavior and survival quality were compared. Results： The glycosylated hemoglobin levels in the study group were （9. 50 ± 1. 24） %、（ 7. 79 ± 0. 90） %、（ 7. 31 ± 0. 52） %、（ 6. 93 土0. 35） %, respectively, on the day of discharge, 3 months of discharge,7 months of discharge and 12 months of discharge signifi-cantly lower than that in the control group [ （ 9. 48 ± 1. 27） %、（ 8. 94 ± 0. 13） % 、（8 . 65 ± 0. 9 4 ） %、[ （ 8. 53 ± 0. 86 ） %,P 〈0.05]. Smoking, foot nursing, blood glucose monitoring, exercise, diet scores were significantly higher than those in the control group （P 〈0. 05） ; The scores of vitality, mental health, social function, physical role and somatic function were significantly higherthan those in the study group （P〈0. 05）. Conclusion： Extended nursing can reduce blood sugar and improve self-care ability andquality of life in patients with diabetes mellitus and cerebral apoplexy.

关 键 词：脑卒中 糖尿病 延伸护理 自护行为 

分 类 号：R473[医药卫生—护理学] R587[医药卫生—临床医学]