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循证护理干预在老年糖尿病护理中的应用效果分析(1)
http://www.100md.com 2020年11月1日 《糖尿病新世界》 202021
     [摘要] 目的 分析循证护理在老年糖尿病护理中应用的临床效果。方法 在该院患者中选取2018年10月—2019年10月120例老年糖尿病患者作为此次研究对象,以电脑随机的方法将他们对半分为对照组和实验组。对照组采用常规护理,实验组采用循证护理。比较患者护理后的血糖,比较患者焦虑(SAS)或抑郁(SDS)评分,比较两组患者的生活质量,比较患者对护理的满意度。结果 实验组患者的护理后的血糖低于对照组,差异有统计学意义(t=4.590、P<0.001);实验组患者SAS、SDS评分分均明显低于对照组,差异有统计学意义(t=16.140、46.000,P<0.001);实验组患者的生活质量高于对照组,差异有统计学意义(t=13.500、9.890、8.540、9.800,P<0.001);实验组患者的护理满意度高于对照组,差异有统计学意义(χ2=4.220,P=0.030)。结论 循证护理可以有效降低患者血糖,提升患者的生活质量和满意度,降低患者的焦虑、抑郁情绪,具有推广价值。

    [关键词] 循证护理;糖尿病;效果

    [中图分类号] R473.5 [文献标识码] A [文章编号] 1672-4062(2020)11(a)-0170-03

    [Abstract] Objective To analyze the clinical effect of evidence-based nursing in elderly diabetes care. Methods A total of 120 elderly diabetic patients from October 2018 to October 2019 were selected from the patients in the hospital as the subjects of this study. They were randomly divided into the control group and the experimental group by computer. Control group USES routine nursing, experimental group USES evidence-based nursing. Patients' blood glucose after nursing was compared, patients' anxiety (SAS) or depression (SDS) scores were compared, the quality of life of patients in the two groups were compared, and the satisfaction of patients with nursing was compared. Results The blood glucose in the experimental group after nursing was lower than that in the control group, the difference was statistically significant(t=4.590, P<0.001). The SAS and SDS scores of the experimental group were significantly lower than that of the control group, the difference was statistically significant(t=16.140, 46.000, P<0.001). The quality of life in the experimental group was higher than that in the control group, the difference was statistically significant(t=13.500, 9.890, 8.540, 9.800, P<0.001). The nursing satisfaction of patients in the experimental group was higher than that in the control group, the difference was statistically significant(χ2=4.220, P=0.030). Conclusion Evidence-based nursing can effectively reduce patients' blood glucose, improve patients' life quality and satisfaction, and reduce patients' anxiety and depression, which has the value of promotion.

    [Key words] Evidence-based nursing; Diabetes; The effect

    糖尿病是由于人類机体本身的胰岛素分泌不足和胰岛素的异常抵抗使得人类机体血糖不足导致血糖升高引起的代谢性疾病[1]。多发于中老年。由于糖尿病人数的增加,其中患者后代就有一定几率遗传糖尿病,对糖尿病的治疗控制刻不容缓[2]。糖尿病在发作时可引起酮中毒,导致患者昏迷甚至死亡。老年群体极易患上糖尿病。而西医在治疗糖尿病方面暂时还没有立竿见影的药物可以治愈,只能通过长期的治疗护理控制病情[3]。有研究[4]指出采用循证护理对患者进行护理干预可以有效地提升护理效果,降低患者血糖。该文2018年10月—2019年10月间在该院患者中选取120例老年糖尿病患者作为此次研究对象,分析循证护理在糖尿病护理中应用的临床效果,现报道如下。, http://www.100md.com(景英 刘萍)
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