针对性护理在糖尿病合并冠心病患者PCI介入治疗中的应用(1)
[摘要] 目的 探究针对性护理在糖尿病合并冠心病患者PCI介入治疗中的应用。方法 抽选该院2018年7月—2019年7月30例糖尿病合并冠心病患者，遵从单双号分组法将其分为研究组15例与参照组15例。参照组实施常规护理，研究组给予患者针对性护理干预，对比两组患者护理前后血糖相关指标变化及护理满意度。结果 护理前，两组患者血糖指标无显著差异，护理后，研究组空腹血糖与餐后2 h血糖水平显著低于参照组，差异有统计学意义(P<0.05);研究组护理满意度100.0%优于参照组73.3%，差异有统计学意义(P<0.05)。结论 在糖尿病合并冠心病患者PCI介入治疗中实施针对性护理干预，可有效改善患者血糖水平，提高护理满意度，促进护患关系和谐。
[关键词] 针对性护理;糖尿病合并冠心病;PCI介入治疗;应用价值
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)07(a)-0156-03
Application of Targeted Nursing in PCI Interventional Therapy for Diabetic Patients with Coronary Heart Disease
YE Qiu-ying
Maoming People's Hospital， Maoming， Guangdong Province， 525000 China
[Abstract] Objective To explore the application of targeted nursing in PCI interventional therapy for diabetic patients with coronary heart disease. Methods Thirty patients with diabetes and coronary heart disease from July 2018 to July 2019 in the hospital were selected and divided into 15 cases in the study group and 15 cases in the reference group according to the single and double number grouping method. The reference group implemented routine nursing， and the study group gives targeted nursing intervention to the patients， and compared the changes of blood glucose-related indicators and nursing satisfaction between the two groups of patients before and after nursing. Results Before nursing， there was no significant difference in blood glucose indexes between the two groups of patients. After nursing， the fasting blood glucose and the 2-hour postprandial blood glucose levels of the study group were significantly lower than the reference group， the difference was statistically significant(P<0.05); the nursing satisfaction of the study group was 100.0% better than 73.3% of the reference group， the difference was statistically significant(P<0.05). Conclusion Implementing targeted nursing intervention in PCI interventional therapy for patients with diabetes and coronary heart disease can effectively improve patients' blood glucose levels， improve nursing satisfaction， and promote harmonious relationship between nurses and patients.
[Key words] Targeted care; Diabetes with coronary heart disease; PCI intervention therapy; Application value
糖尿病合并冠心病在临床中较为常见，一般病发于中老年人，且以男性居多，随着我国老龄化不断发展趋势，该疾病发病率逐年呈上升趨势[1]。胰岛素分泌异常导致患者出现糖尿病，而糖尿病长时间得不到有效控制，即发生诸多并发症，其中包括血管病变、肾功能衰竭、冠心病等[2]，其中，冠心病属糖尿病常见、多发并发症，当前临床中，治疗糖尿病合并冠心病主要方式为PCI介入治疗，其治疗效果得到医生与患者充分肯定，但在治疗过程中，相应的护理干预尤为重要。有研究表明，糖尿病合并冠心病患者病程时间较长，因此，心理存在一定压力，对其治疗依从性与治疗信心存在一定影响，而在此过程中实施科学有效的护理干预，对患者预后具有一定良性影响[3]。基于此，该研究2018年7月—2019年7月该院接收的30例糖尿病合并冠心病患者为研究对象，对针对性护理在糖尿病合并冠心病患者PCI介入治疗中的应用效果展开分析，现报道如下。, 百拇医药(叶秋英)
[关键词] 针对性护理;糖尿病合并冠心病;PCI介入治疗;应用价值
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)07(a)-0156-03
Application of Targeted Nursing in PCI Interventional Therapy for Diabetic Patients with Coronary Heart Disease
YE Qiu-ying
Maoming People's Hospital， Maoming， Guangdong Province， 525000 China
[Abstract] Objective To explore the application of targeted nursing in PCI interventional therapy for diabetic patients with coronary heart disease. Methods Thirty patients with diabetes and coronary heart disease from July 2018 to July 2019 in the hospital were selected and divided into 15 cases in the study group and 15 cases in the reference group according to the single and double number grouping method. The reference group implemented routine nursing， and the study group gives targeted nursing intervention to the patients， and compared the changes of blood glucose-related indicators and nursing satisfaction between the two groups of patients before and after nursing. Results Before nursing， there was no significant difference in blood glucose indexes between the two groups of patients. After nursing， the fasting blood glucose and the 2-hour postprandial blood glucose levels of the study group were significantly lower than the reference group， the difference was statistically significant(P<0.05); the nursing satisfaction of the study group was 100.0% better than 73.3% of the reference group， the difference was statistically significant(P<0.05). Conclusion Implementing targeted nursing intervention in PCI interventional therapy for patients with diabetes and coronary heart disease can effectively improve patients' blood glucose levels， improve nursing satisfaction， and promote harmonious relationship between nurses and patients.
[Key words] Targeted care; Diabetes with coronary heart disease; PCI intervention therapy; Application value
糖尿病合并冠心病在临床中较为常见，一般病发于中老年人，且以男性居多，随着我国老龄化不断发展趋势，该疾病发病率逐年呈上升趨势[1]。胰岛素分泌异常导致患者出现糖尿病，而糖尿病长时间得不到有效控制，即发生诸多并发症，其中包括血管病变、肾功能衰竭、冠心病等[2]，其中，冠心病属糖尿病常见、多发并发症，当前临床中，治疗糖尿病合并冠心病主要方式为PCI介入治疗，其治疗效果得到医生与患者充分肯定，但在治疗过程中，相应的护理干预尤为重要。有研究表明，糖尿病合并冠心病患者病程时间较长，因此，心理存在一定压力，对其治疗依从性与治疗信心存在一定影响，而在此过程中实施科学有效的护理干预，对患者预后具有一定良性影响[3]。基于此，该研究2018年7月—2019年7月该院接收的30例糖尿病合并冠心病患者为研究对象，对针对性护理在糖尿病合并冠心病患者PCI介入治疗中的应用效果展开分析，现报道如下。, 百拇医药(叶秋英)