全程护理对冠心病合并糖尿病介入患者临床效果及遵医行为的影响分析  

Effect of Whole Course Nursing on the Clinical Effect and Compliance Behavior of Patients with Coronary Heart Disease Complicated with Diabetes Mellitus

作　　者：李娟[1] 钟美玲 钟足梅 LI Juan;ZHONG Meiling;ZHONG Zumei(Interventional Department,People's Hospital of Wuhua County,Meizhou 514400,Guangdong,China)

机构地区：[1]广东省五华县人民医院介入室,广东梅州514400

出　　处：《糖尿病新世界》2024年第20期113-116,共4页Diabetes New World

摘　　要：目的分析冠状动脉粥样硬化性心脏病(简称冠心病)合并糖尿病介入患者予以全程护理对其遵医行为和临床效果的影响。方法选取2023年1月—2024年6月广东省五华县人民医院收治的92例冠心病合并糖尿病介入患者,以护理方法的不同分为研究组(n=46,全程护理)、对照组(n=46,常规护理)。比较两组血糖指标水平、满意度评分、遵医行为评分、不良反应发生情况。结果护理前,两组空腹血糖、糖化血红蛋白、餐后2 h血糖水平比较,差异均无统计学意义(P均>0.05);护理后,研究组空腹血糖、糖化血红蛋白、餐后2 h血糖水平均低于对照组,差异均有统计学意义(P均<0.05)。护理前,两组满意度评分、遵医行为评分比较,差异均无统计学意义(P均>0.05);护理后,研究组满意度评分、遵医行为评分均高于对照组,差异均有统计学意义(P均<0.05)。研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论冠心病合并糖尿病介入患者予以全程护理有助于改善机体的血糖指标,提升患者的遵医行为和满意度,为冠心病合并糖尿病介入术后的护理提供新方案。Objective To analyze the effect of whole course nursing on the compliance behavior and clinical effect of patients with coronary heart disease complicated with diabetes mellitus.Methods A total of 92 patients with coronary heart disease complicated with diabetes mellitus who were admitted to People's Hospital of Wuhua County from January 2023 to June 2024 were selected and divided into study group(n=46,whole course nursing)and control group(n=46,routine nursing)according to different nursing methods.The blood glucose indexes,satisfaction score,compliance behavior score and adverse reactions were compared between the two groups.Results Before nursing,there were no significant differences in fasting blood glucose,glycated hemoglobin A1c and 2-hour postprandial blood glucose levels between the two groups(all P>0.05).After nursing,the levels of fasting blood glucose,glycated hemoglobin A1c and 2-hour postprandial blood glucose in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Before nursing,there were no significant differences in satisfaction score and compliance behavior score between the two groups(both P>0.05).After nursing,the satisfaction score and compliance behavior score of the study group were higher than those of the control group,the differences were statistically significant(both P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The whole course nursing of patients with coronary heart disease and diabetes mellitus is helpful to improve the blood glucose index of the body,improve the patient's compliance behavior and satisfaction,and provide a new scheme for the nursing of patients with coronary heart disease and diabetes mellitus after intervention.

关 键 词：遵医行为 糖尿病 冠状动脉粥样硬化性心脏病 全程护理 

分 类 号：R473.5[医药卫生—护理学]