强化风险护理对急性心肌梗死合并糖尿病患者血糖水平、生活质量及满意度的影响  

Effect of Intensive Risk Nursing on Blood Glucose Level,Quality of Life and Satisfaction of Patients with Acute Myocardial Infarction Complicated with Diabetes Mellitus

作　　者：马士云 赵洁[1] 赵义凤 MA Shiyun;ZHAO Jie;ZHAO Yifeng(Department of Emergency,Zaozhuang Municipal Hospital,Zaozhuang 277100,Shandong,China;Department of Cardiovascular,Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,Shandong,China)

机构地区：[1]枣庄市立医院急诊科,山东枣庄277100 [2]山东中医药大学第二附属医院心血管科,山东济南250001

出　　处：《糖尿病新世界》2024年第10期147-150,共4页Diabetes New World

摘　　要：目的分析强化风险护理对急性心肌梗死合并糖尿病患者血糖水平、生活质量及满意度的影响。方法回顾性选取2020年6月—2022年6月枣庄市立医院收治的82例急性心肌梗死合并糖尿病患者的临床资料,按照入院先后顺序分为对照组和观察组,各41例。对照组采用常规护理,观察组在对照组基础上采用强化风险护理。比较两组血糖指标(餐后2 h血糖、空腹血糖)、生活质量(精神状态、生理功能)评分及护理满意度(沟通交流、护理操作、服务态度、心理疏导)。结果干预后,观察组空腹血糖为(6.84±0.62)mmol/L、餐后2 h血糖为(9.91±0.46)mmol/L均低于对照组的(7.83±0.12)mmol/L、(11.72±0.73)mmol/L,差异有统计学意义(t=10.038、13.432,P均<0.05)。观察组生活质量评分均高于对照组,差异有统计学意义(P均<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论强化风险护理相比于常规护理对急性心肌梗死合并糖尿病患者有更好的护理效果,更能控制患者的血糖水平,提高患者生活质量及护理满意度。Objective To analyze the effect of intensive risk nursing on blood glucose level,quality of life and satisfac-tion in patients with acute myocardial infarction complicated with diabetes mellitus.Methods The clinical date of 82 patients with acute myocardial infarction complicated with diabetes admitted to Zaozhuang Municipal Hospital from June 2020 to June 2022 were retrospectively selected,and they were divided into control group and observation group according to the order of admission,with 41 cases in each group.Control group given routine nursing intervention,ob-servation group given strengthening nursing risk nursing intervention on the basis of the control group.The blood glu-cose indexes(2-hour postprandial plasma glucose,fasting plasma glucose),quality of life(mental state,physiological function)scores and nursing satisfaction(communication,nursing operation,service attitude,psychological counseling)were compared between the two groups.Results After the intervention,fasting plasma glucose(6.84±0.62)mmol/L and 2-hour postprandial plasma glucose(9.91±0.46)mmol/L levels of the observation group were lower than(7.83±0.12)mmol/L、(11.72±0.73)mmol/L of the control group,and the differences were statistically significant(t=10.038,13.432,both P<0.05).The quality of life scores of the observation group were higher than those of the control group,and the differences were statistically significant(both P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Com-pared with routine nursing,intensive risk nursing has better nursing effect on patients with acute myocardial infarction complicated with diabetes mellitus,can control the blood glucose level of patients,improve the quality of life and nurs-ing satisfaction of patients.

关 键 词：急性心肌梗死 糖尿病 护理风险 血糖水平 生活质量 满意度 

分 类 号：R587.1[医药卫生—内分泌]