综合护理干预预防重症哮喘患者血糖升高效果探讨  

The prevention effect of comprehensive nursing intervention on hyperglycemia of severe asthma patients with continuous intravenous infusion of methylprednisol

作　　者：吴小敏[1] 王红雨[1] WU Xiaomin;WANG Hongyu(The Third People′s Hospital of Nantong,Nantong 226006,China)

机构地区：[1]南通市第三人民医院

出　　处：《临床医药实践》2019年第7期538-541,共4页Proceeding of Clinical Medicine

摘　　要：目的:探讨综合护理干预用于预防甲泼尼龙琥珀酸钠持续静脉输入治疗重症哮喘患者血糖升高的效果。方法:选取2015年5月-2018年5月收治的重症哮喘患者142例,按照随机数字表法分为观察组和对照组,每组71例,观察组接受综合护理干预,对照组接受常规护理干预,比较两组患者临床治疗效果、空腹血糖水平及餐后血糖水平、糖化血红蛋白水平、生活质量及护理满意度。结果:观察组患者的治疗总有效率为88.73%,显著高于对照组的71.83%,两组比较,差异有统计学意义(P<0.05);观察组患者干预后3d和7d的空腹血糖水平以及餐后血糖水平均显著低于对照组,两组比较,差异有统计学意义(P<0.05);干预后观察组患者的生活质量评分和护理满意度显著高于对照组,两组比较,差异有统计学意义(P<0.05)。结论:综合护理干预能够有效预防甲泼尼龙琥珀酸钠持续静脉输入治疗重症哮喘患者的血糖升高,改善患者的生活质量。Objective:To study the prevention effect of comprehensive nursing intervention on hyperglycemia of severe asthma patients with continuous intravenous infusion of methylprednisol.Methods:All 14 severe asthma patients in hospital from May 2015 to May 2018 were analyzed and divided into two groups,The two groups received comprehensive nursing intervention and routine nursing intervention,respectively.The clinical effect,blood glucose level,quality of life and nursing satisfaction of the two groups were compared.Results:The clinical effect of observation group were 88.73%,significantly higher than 71.83% of control group( P <0.05).The fasting blood glucose levels and postprandial glucose levels of observation group were significantly lower than control group( P <0.05).The quality of life and nursing satisfaction of observation group were significantly better than control group( P <0.05).Conclusion:Comprehensive nursing intervention could reduce the incidence of hyperglycemia of severe asthma patients with continuous intravenous infusion of methylprednisol.

关 键 词：综合护理干预 甲泼尼龙琥珀酸钠 重症哮喘 血糖升高 

分 类 号：R473.5[医药卫生—护理学]