老年糖尿病患者夜间低血糖的预防措施及护理对策分析  

Analysis of Preventive Measures and Nursing Countermeasures for Elderly Patients with Diabetes at Night

作　　者：郑勇翔[1] ZHENG Yong-xiang

机构地区：[1]福建医科大学附属协和医院老年科,福建福州350001

出　　处：《糖尿病新世界》2020年第14期82-84,共3页Diabetes New World Magazine

摘　　要：目的分析老年糖尿病患者夜间低血糖的预防措施及护理对策。方法选取该院在2017年5月—2018年5月收治的老年糖尿病患者74例,随机将患者分为对照组实施常规护理,观察组实施预见性护理,对夜间低血糖进行预防。结果两组护理后血糖指标对比,差异无统计学意义(P>0.05)。观察组夜间低血糖发生率2.7%。患者夜间低血糖预防满意度中,血糖监测、宣教、用药、运动与饮食分别(19.2±0.3)分、(18.9±1.0)分、(19.2±1.8)分、(17.5±2.3)分及(16.8±2.5)分。对照组夜间低血糖发生率21.6%,患者夜间低血糖预防满意度中,血糖监测、宣教、用药、运动与饮食分别(10.3±2.3)分、(10.3±0.8)分、(11.1±0.6)分、(9.9±1.0)分及(10.1±0.7)分。两组数据对比,差异有统计学意义(P<0.05)。结论实施预见性护理,有助于降低老年糖尿病患者夜间低血糖发生率,提升患者的风险预防满意度。Objective To analyze the preventive measures and nursing countermeasures of nocturnal hypoglycemia in elderly diabetic patients.Methods 74 patients of elderly diabetic patients treated in the hospital from May 2017 to May 2018 was taken as the research.The patients were randomly divided into groups,the control group was given routine care,and the observation group was given predictive care to prevent hypoglycemia at night.Results There was no statistically significant difference in blood glucose indexes between the two groups after nursing(P>0.05).In the observation group,the incidence of nighttime hypoglycemia was 2.7%,and in the patients'satisfaction of nighttime hypoglycemia prevention,blood glucose monitoring,education,medication,exercise and diet were respectively(19.2±0.3)points,(18.9±1.0)points,(19.2±1.8)points,(17.5±2.3)points and(16.8±2.5)points.In the control group,the incidence of nighttime hypoglycemia was 21.6%.In the patients'satisfaction of nighttime hypoglycemia prevention,blood glucose monitoring,education,medication,exercise and diet were respectively(10.3±2.3)points,(10.3±0.8)points,(11.1±0.6)points,(9.9±1.0)points and(10.1±0.7)points.The difference between the two groups of data is statistically significant(P<0.05).Conclusion Implementing predictive care can help reduce the incidence of night-time hypoglycemia in elderly diabetic patients and increase their risk prevention satisfaction.

关 键 词：夜间低血糖 老年糖尿病 预见性护理 

分 类 号：R59[医药卫生—内科学]