系统化护理干预在乙肝肝硬化合并糖尿病患者中的应用研究  

Application of Systematic Nursing Intervention in Patients with Hepatitis B Cirrhosis Complicated with Diabetes

作　　者：芦静 丁洁 陈艳[1] LU Jing;DING Jie;CHEN Yan(Department of Cirrhosis Treatment Center,Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine(Nanjing Second Hospital),Nanjing,Jiangsu Province,210000 China)

机构地区：[1]南京中医药大学附属南京医院(南京市第二医院)肝硬化治疗中心,江苏南京210000

出　　处：《糖尿病新世界》2023年第3期131-134,共4页Diabetes New World Magazine

摘　　要：目的探讨系统化护理干预在乙肝肝硬化合并糖尿病患者中的应用效果。方法选取南京中医药大学附属南京医院2020年6月—2022年6月接收的82例乙肝肝硬化合并糖尿病患者为研究对象,根据入院先后顺序分为对照组(给予常规护理干预)与干预组(给予系统化护理干预),各41例。观察两组的血糖指标变化,比较两组的并发症发生率及护理满意率。结果干预后,干预组的FPG、2 hPG指标均显著低于对照组,差异有统计学意义(P<0.05);干预组的低血糖及感染发生率分别为4.88%、2.44%,显著低于对照组的21.95%、24.39%,差异有统计学意义(P<0.05);干预组的护理满意率为97.56%,显著高于对照组的78.05%,差异有统计学意义(P<0.05)。结论对乙肝肝硬化合并糖尿病患者给予系统化护理干预,有助于改善患者血糖水平,预防患者低血糖及感染的发生,提高患者护理满意率。Objective To explore the effect of systematic nursing intervention in patients with hepatitis B cirrhosis complicated with diabetes.Methods A total of 82 patients with hepatitis B cirrhosis complicated with diabetes admitted to Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine from June 2020 to June 2022 were selected as the study objects.According to the order of admission,they were divided into control group(receiving routine nursing intervention)and intervention group(receiving systematic nursing intervention),with 41 cases in each group.The blood glucose index of the two groups was observed,and the complication rate and nursing satisfaction rate of the two groups were compared.Results After intervention,the indexes of FPG and 2 hPG in the intervention group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of hypoglycemia and infection in the intervention group were 4.88%and 2.44%,respectively,significantly lower than 21.95%and 24.39%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction rate of the intervention group was 97.56%,which was significantly higher than 78.05%of the control group,and the difference was statistically significant(P<0.05).Conclusion Systematic nursing intervention for patients with hepatitis B cirrhosis complicated with diabetes is helpful to improve the blood glucoser level of patients,prevent the occurrence of hypoglycemia and infection,and improve the nursing satisfaction rate of patients.

关 键 词：系统化护理干预 乙肝肝硬化 糖尿病 血糖指标 并发症 护理满意率 

分 类 号：R47[医药卫生—护理学]