探讨老年糖尿病患者夜间低血糖的预防护理  

Discussion on the Preventive Care of Night-time Hypoglycemia in Elderly Diabetic Patients

作　　者：陈延兵 CHEN Yanbing(Nursing Department,Zichuan District Hospital,Zibo,Shandong Province,255000 China)

机构地区：[1]淄川区医院护理部,山东淄博255000

出　　处：《糖尿病新世界》2021年第16期127-131,共5页Diabetes New World Magazine

摘　　要：目的研究糖尿病老年患者夜间低血糖的预防护理。方法于2019年7月—2020年7月社区居家观察糖尿病老年患者中随机抽取80例频发低血糖患者,分为两组,对照组给予常规护理,观察组增加低血糖预防护理,对比两组护理效果。结果观察组2:00-4:00血糖(5.53±0.87)mmol/L,4:00-6:00血糖(5.72±0.79)mmol/L,观察组患者血糖水平更加稳定,差异有统计学意义(P<0.05)。观察组轻中度低血糖2例(5.00%),严重低血糖0例(0.00%),观察组夜间低血糖发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组PSQI(4.16±0.50)分,DSQL(51.49±3.85)分,观察组睡眠指数和生活质量评分显著低于对照组,差异有统计学意义(P<0.05)。观察组满意度38例(95.00%),显著高于对照组,差异有统计学意义(P<0.05)。结论对糖尿病老年患者给予低血糖预防护理,可有效稳定患者血糖水平,减少夜间低血糖发生率,并改善患者生活质量以及睡眠质量,提高居家护理服务质量,改善患者满意度,具有较高推广应用价值。Objective To study the preventive care of nocturnal hypoglycemia in elderly diabetic patients.Methods From July 2019 to July 2020,80 patients with frequent hypoglycemia were randomly selected from the community home observation diabetic elderly patients and divided into two groups.The control group was given routine care,and the observation group was given hypoglycemia preventive care.Compared the two groups Nursing effect.Results In the observation group,blood glucose(5.53±0.87)mmol/L from 2:00 to 4:00,and blood glucose(5.72±0.79)mmol/L at 4:00 to 6:00.The blood glucose level of patients in the observation group was more stable,and the difference was statistically significant(P<0.05).In the observation group,there were 2 cases(5.00%)with mild to moderate hypoglycemia,and 0 cases(0.00%)with severe hypoglycemia.The incidence of nighttime hypoglycemia in the observation group was significantly lower than that in the control group.The difference was statistically significant(P<0.05).The observation group had PSQI(4.16±0.50)points and DSQL(51.49±3.85)points.The sleep index and quality of life scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).In the observation group,38 cases(95.00%)was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The preventive care of hypoglycemia for elderly diabetic patients can effectively stabilize the patient's blood glucose level,reduce the incidence of night hypoglycemia,improve the quality of life and sleep quality of patients,improve the quality of home care services,and improve patient satisfaction.It has a higher promotion and application value.

关 键 词：糖尿病 老年患者 夜间低血糖 生活质量 满意度 

分 类 号：R473.5[医药卫生—护理学]