预见性护理干预对减少老年糖尿病患者低血糖症发生和对护理满意度的影响  

The Effect of Predictive Nursing Intervention on Reducing the Occurrence of Hypoglycemia in Elderly Diabetic Patients and on Nursing Satisfaction

作　　者：郭海燕[1] 柯欣欣 康秋凤 GUO Haiyan;KE Xinxin;KANG Qiufeng(Department of Endocrinology,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou,Fujian Province,362000 China;Department of Brain Disease,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou,Fujian Province,362000 China)

机构地区：[1]泉州市中医院内分泌科,福建泉州362000 [2]泉州市中医院脑病科,福建泉州362000

出　　处：《糖尿病新世界》2021年第13期11-14,共4页Diabetes New World Magazine

摘　　要：目的探讨预见性护理干预对减少老年糖尿病患者低血糖症发生和对护理满意度的影响。方法选取2019年6月—2020年2月该院内分泌科室治疗的老年糖尿病患者78例作为研究对象,随机数表法分成观察组(n=39例)和对照组(n=39例),对照组采用常规护理干预,观察组采用预见性护理干预,干预后,对患者的临床干预效果进行评估,比较两组患者干预前后血糖指标变化、并发症的发生率、随访低血糖发生率及护理满意度。结果干预后,观察组患者FBG(5.23±1.02)mmol/L,PBG(9.12±3.02)mmol/L,HbA1c(8.41±2.20)%均低于对照组的(7.13±1.00)mmol/L、(12.36±3.00)mmol/L、(11.45±2.56)%,差异有统计学意义(t=8.307、4.753、5.624,P<0.05);观察组患者住院期间并发症发生率(12.82%)低于对照组(41.03%),差异有统计学意义(χ^(2)=7.885,P<0.05);观察组患者出院后随访3、6个月后的低血糖发生率分别为10.26%和5.13%,均低于对照组的28.21%和20.51%,差异有统计学意义(χ^(2)=4.044、4.129,P<0.05);观察组患者护理满意度(97.44%)高于对照组(74.36%),差异有统计学意义(χ^(2)=8.573,P<0.05)。结论临床治疗老年糖尿病患者低血糖症中采用预见性护理干预,能够维持患者体内血糖的稳定,提高治疗效果,能够降低并发症的发生率,降低患者出院后低血糖的发生率,同时提高护理满意度。Objective To explore the effect of predictive nursing intervention on reducing the occurrence of hypoglycemia in elderly diabetic patients and on nursing satisfaction.Methods A total of 78 elderly diabetic patients treated in the Endocrinology Department of the hospital from June 2019 to February 2020 were selected as the research objects.Random number table method was divided into observation group(n=39 cases)and control group(n=39 cases),and control group adopted conventional nursing intervention,and the observation group adopted predictive nursing intervention.After the intervention,the clinical intervention effect of the patients was evaluated,and the changes of blood glucose index,the incidence of complications,the incidence of follow-up hypoglycemia,and nursing satisfaction were compared between the two groups before and after the intervention.Results After intervention,FBG(5.23±1.02)mmol/L,PBG(9.12±3.02)mmol/L,and HbA1c(8.41±2.20)%of the observation group were lower than those of the control group(7.13±1.00)mmol/L,(12.36±3.00)mmol/L,(11.45±2.56)%,the difference was statistically significant(t=8.307,4.753,5.624,P<0.05);the incidence of complications during hospitalization of the observation group(12.82%)was lower than that of the control group(41.03%),the difference was statistically significant(χ^(2)=7.885,P<0.05);patients in the observation group were followed up for 3 months after discharge,and the incidence of hypoglycemia after 6 months was 10.26%and 5.13%,which were lower than those in the control group 28.21%and 20.51%,the difference was statistically significant(χ^(2)=4.044,4.129,P<0.05);the nursing satisfaction of patients in the observation group(97.44%)were higher than the control group(74.36%),and the difference was statistically significant(χ^(2)=8.573,P<0.05).Conclusion The use of predictive nursing intervention in the clinical treatment of hypoglycemia in elderly diabetic patients can maintain the stability of blood glucose in the patient's body,improve the treatment effect,reduce th

关 键 词：预见性护理模式 老年糖尿病 低血糖症 并发症 护理满意度 

分 类 号：R58[医药卫生—内分泌]