2型糖尿病并发难治性皮肤溃疡患者的循证护理干预  

Evidence-based nursing for type 2 diabetes mellitus patients combined with refractory dermal ulcer

作　　者：黄静 HUANG Jing(Nursing Department,Wuhan Puren Hospital,Wuhan,Hubei,430081)

机构地区：[1]湖北省武汉市普仁医院护理部,湖北武汉430081

出　　处：《实用临床医药杂志》2019年第2期122-124,128,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨循证护理干预在改善2型糖尿病并发难治性皮肤溃疡患者预后生活质量、糖代谢指标中的应用价值。方法将本院就诊的2型糖尿病并发难治性皮肤溃疡患者200例纳入研究,随机分为对照组和研究组各100例,对照组采用常规护理,研究组采用循证护理干预空。对比2组患者干预前后糖代谢指标、血压水平及生活质量情况。结果护理干预前,2组患者的糖代谢指标水平[空腹血糖(FBG)、餐后2 h血糖(2hPG)]差异不显著(P> 0. 05);干预后,FBG、2hPG较干预前降低(P <0. 05);护理干预前,2组患者的血压指标(舒张压、收缩压)差异不显著(P> 0. 05),干预后舒张压、收缩压较干预前显著降低(P <0. 05); 2组SF-36评分相较干预前显著升高(P <0. 05)。结论循证护理干预在2型糖尿病并发难治性皮肤溃疡患者中应用效果显著,能改善患者糖代谢指标,调节血糖,缓解皮肤溃疡症状。Objective To analyze value of evidence-based nursing intervention on prognostic quality of life and glucose metabolism in patients with type 2 diabetes complicated with refractory skin ulcer.Methods A total of 200 patients with type 2 diabetes mellitus complicated with refractory skin ulcers treated in our hospital were divided into two groups according to the random number table method,with 100 cases per group.The control group used routine care,and the study group was treated with evidence-based nursing intervention.The glucose metabolism index,blood pressure level and quality of life were compared between the two groups before and after intervention.Results Before nursing intervention,the levels of glucose metabolism index [fasting biood glucose(FBG),2 h postprandial blood glucose(2hPG)] showed no significant differences between the two groups (P>0.05).After intervention,FBG and 2hPG were decreased than intervention before(P<0.05).Before nursing intervention,the blood pressure indexes (diastolic blood pressure and systolic blood pressure) of the two groups showed no significant difference (P>0.05),and were lower after intervention than intervention before(P<0.05).The SF-36 scores of the two groups were higher than intervention before (P<0.05).Conclusion Evidence-based nursing intervention has significant efficacy,can improve patients′glucose metabolism index,regulate blood glucose,and alleviate skin ulcer symptoms.

关 键 词：循证护理干预 2型糖尿病 难治性皮肤溃疡 预后 生活质量 糖代谢 

分 类 号：R587.1[医药卫生—内分泌]