延续性护理结合血糖波动管理对老年2型糖尿病合并脑梗死患者血糖控制、神经功能及生活质量的影响  

Effect of Continuous Nursing Combined with Blood Glucose Fluctuation Management on Blood Glucose Control,Neurological Function and Quality of Life in Elderly Patients with Type 2 Diabetes Mellitus Complicated with Cerebral Infarction

作　　者：董小梅[1] 张孝红[2] 于春香 DONG Xiaomei;ZHANG Xiaohong;YU Chunxiang(Department of Nursing,Shouguang People's Hospital,Shouguang 262700,Shandong,China;Operating Room,Yidu Central Hospital of Weifang,Qingzhou 262500,Shandong,China;Department of Nursing,Shouguang Tradi-tional Chinese Medicine Hospital,Shouguang 262700,Shandong,China)

机构地区：[1]山东省寿光市人民医院护理部,山东寿光262700 [2]山东省潍坊市益都中心医院手术室,山东青州262500 [3]山东省寿光市中医医院护理部,山东寿光262700

出　　处：《糖尿病新世界》2025年第1期1-4,共4页Diabetes New World

基　　金：潍坊市卫生健康委员会基金项目(WFWSJK-2024-093)。

摘　　要：目的分析延续性护理结合血糖波动管理对老年2型糖尿病合并脑梗死患者血糖控制、神经功能及生活质量的影响。方法选取2022年1月—2024年6月寿光市人民医院收治的92例老年2型糖尿病合并脑梗死患者,按护理方法的不同分为两组(46例)。参照组开展常规护理,研究组在参照组基础上加用延续性护理结合血糖波动管理,比较两组血糖指标、神经功能缺损评分、焦虑评分、生活质量评分及护理满意度。结果护理后,相比于参照组,研究组空腹血糖、餐后2 h血糖水平、神经功能缺损评分、焦虑自评量表评分均更低,生活质量评分更高,差异均有统计学意义(P均<0.05)。在护理满意度方面,研究组高于参照组,差异有统计学意义(P<0.05)。结论延续性护理结合血糖波动管理应用于老年2型糖尿病合并脑梗死患者的效果确切,可提高血糖控制效果,改善患者神经功能、提高患者生活质量。Objective To analyze the effects of continuous nursing combined with blood glucose fluctuation management on blood glucose control,neurological function and quality of life in elderly patients with type 2 diabetes mellitus complicated with cerebral infarction.Methods A total of 92 elderly patients with type 2 diabetes mellitus complicated with cerebral infarction admitted to Shouguang People's Hospital from January 2022 to June 2024 were selected and divided into two groups according to different nursing methods(46 cases).The reference group was given routine nursing,and the study group was given continuous nursing combined with blood glucose fluctuation management on the basis of the reference group.The blood glucose indicators,neurological deficit score,anxiety score,quality of life score and nursing satisfaction were compared between the two groups.Results After nursing,compared with the reference group,the fasting blood glucose,2-hour postprandial blood glucose level,neurological deficit score and Selfrating Anxiety Scale score of the study group were lower,and the quality of life score was higher,the differences were statistically significant(all P<0.05).In terms of nursing satisfaction,the study group was higher than the reference group,the difference was statistically significant(P<0.05).Conclusion Continuous nursing combined with blood glucose fluctuation management is effective in elderly patients with type 2 diabetes mellitus complicated with cerebral infarction,which can improve the effect of blood glucose control,neurological function and quality of life.

关 键 词：2型糖尿病 脑梗死 延续性护理 血糖波动管理 

分 类 号：R473.5[医药卫生—护理学]