2型糖尿病并发难治性皮肤溃疡患者的循证护理干预
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摘要
目的探讨循证护理干预在改善2型糖尿病并发难治性皮肤溃疡患者预后生活质量、糖代谢指标中的应用价值。方法将本院就诊的2型糖尿病并发难治性皮肤溃疡患者200例纳入研究,随机分为对照组和研究组各100例,对照组采用常规护理,研究组采用循证护理干预空。对比2组患者干预前后糖代谢指标、血压水平及生活质量情况。结果护理干预前,2组患者的糖代谢指标水平[空腹血糖(FBG)、餐后2 h血糖(2hPG)]差异不显著(P> 0. 05);干预后,FBG、2hPG较干预前降低(P <0. 05);护理干预前,2组患者的血压指标(舒张压、收缩压)差异不显著(P> 0. 05),干预后舒张压、收缩压较干预前显著降低(P <0. 05); 2组SF-36评分相较干预前显著升高(P <0. 05)。结论循证护理干预在2型糖尿病并发难治性皮肤溃疡患者中应用效果显著,能改善患者糖代谢指标,调节血糖,缓解皮肤溃疡症状。
Objective To analyze value of evidence-based nursing intervention on prognostic quality of life and glucose metabolism in patients with type 2 diabetes complicated with refractory skin ulcer. Methods A total of 200 patients with type 2 diabetes mellitus complicated with refractory skin ulcers treated in our hospital were divided into two groups according to the random number table method,with 100 cases per group. The control group used routine care,and the study group was treated with evidence-based nursing intervention. The glucose metabolism index,blood pressure level and quality of life were compared between the two groups before and after intervention. Results Before nursing intervention,the levels of glucose metabolism index [fasting biood glucose( FBG),2 h postprandial blood glucose( 2hPG) ] showed no significant differences between the two groups( P >0. 05). After intervention,FBG and 2hPG were decreased than intervention before( P < 0. 05). Before nursing intervention,the blood pressure indexes( diastolic blood pressure and systolic blood pressure) of the two groups showed no significant difference( P > 0. 05),and were lower after intervention than intervention before( P < 0. 05). The SF-36 scores of the two groups were higher than intervention before( P < 0. 05). Conclusion Evidence-based nursing intervention has significant efficacy,can improve patients' glucose metabolism index,regulate blood glucose,and alleviate skin ulcer symptoms.
Objective To analyze value of evidence-based nursing intervention on prognostic quality of life and glucose metabolism in patients with type 2 diabetes complicated with refractory skin ulcer. Methods A total of 200 patients with type 2 diabetes mellitus complicated with refractory skin ulcers treated in our hospital were divided into two groups according to the random number table method,with 100 cases per group. The control group used routine care,and the study group was treated with evidence-based nursing intervention. The glucose metabolism index,blood pressure level and quality of life were compared between the two groups before and after intervention. Results Before nursing intervention,the levels of glucose metabolism index [fasting biood glucose( FBG),2 h postprandial blood glucose( 2hPG) ] showed no significant differences between the two groups( P >0. 05). After intervention,FBG and 2hPG were decreased than intervention before( P < 0. 05). Before nursing intervention,the blood pressure indexes( diastolic blood pressure and systolic blood pressure) of the two groups showed no significant difference( P > 0. 05),and were lower after intervention than intervention before( P < 0. 05). The SF-36 scores of the two groups were higher than intervention before( P < 0. 05). Conclusion Evidence-based nursing intervention has significant efficacy,can improve patients' glucose metabolism index,regulate blood glucose,and alleviate skin ulcer symptoms.
引文
[1]陈冯梅,陆虹宏,郭志荣,等.老年高血压合并糖尿病患者血压血糖水平与脂肪肝患病的相关性[J].中国老年学杂志,2016,36(9):2116-2117.
[2]毛晓润,杜文娟,徐月贞,等.综合护理干预预防社区老年高血压或糖尿病患者跌倒的效果评价[J].中国全科医学,2013,16(5):575-578.
[3]宋佳怡,傅蕾,王娟,等.中医本科生社区糖尿病健康教育实践探索[J].中国中医药现代远程教育,2015,13(10):73-75.
[4] Greeman R,Durso-Decruz E,Emir B. Efficacy,safety,and tolerability of pregabalin treatment for painful diabetic peripheral neuropathy:findings from seven randomized,controlled trials across a range of doses[J]. Diabetes Care,2015,31(11):1448-1454.
[5]陈长香,冯丽娜,郝习君,等.河北省居家老年人慢性疾病患病状况及对家庭功能的影响[J].现代预防医学,2014,41(12):2199-2201,2214.
[6]李建荣,樊锦春,杨韵歆. 36例妊娠期2型糖尿病并发难治性皮肤溃疡患者剖宫产围术期临床观察与护理[J].实用临床医药杂志,2015,19(14):106-109.
[7]高燕.综合护理干预对2型糖尿病患者遵医行为及血糖控制的影响[J].实用临床医药杂志,2016,20(18):58-60.
[8]黄洪欣.我国糖尿病健康教育模式的发展研究分析[J].糖尿病新世界,2016,19(17):195-196.
[9]王晓霞,鲜彤章,贾晓凡,等. 2型糖尿病患者的心脑血管疾病影响因素的Nomogram分析[J].中国心血管杂志,2017,22(1):43-48.
[10]叶海波,胡春慧.延续性护理干预对老年2型2型糖尿病并发难治性皮肤溃疡患者生活质量的影响[J].现代中西医结合杂志,2016,25(17):1922-1924.
[11]张玲,木亚斯沙尔,蓓里·加帕尔,等. 2型糖尿病血糖控制水平及其相关因素与维族老年人认知功能障碍的关系[J].中华老年心脑血管病杂志,2017,19(4):353-357.
[12]梁雪,陈康,王安平,等.胰岛素泵治疗糖尿病患者血糖控制及影响因素分析[J].中国医药导报,2016,13(15):72-76.
[13]陈冯梅,陆虹宏,郭志荣,等.老年高血压合并糖尿病患者血压血糖水平与脂肪肝患病的相关性[J].中国老年学杂志,2016,36(9):2116-2117.
[14]景良洪,曾艳丽,宋凤平.综合护理干预对2型糖尿病患者血糖血脂水平及心脑血管事件的影响[J].检验医学与临床,2016,13(12):1712-1714.
[15] Lise Brantsaeter,Margaretha Haugen,Sven Ove Samuelsen.A Dietary pattern characterized by high intake of vegetables,fruits,and vegetable oils is associated with reduced risk of preeclampsia in nulliparous pregnant Norwegian Women[J].J Nutr,2015,139(11):1162-1168.
[16]梁倩雯,申敏,刘晓红.社区护理干预对老年高血压伴糖尿病患者的影响[J].现代临床护理,2013,12(12):69-72.
[17]王吉平,吴慧芳,姚仙凤,等.同伴教育对乡镇社区糖尿病和高血压患者自我管理行为的影响[J].护理学杂志,2016,31(13):4-7.
[18]刘晓宇.系统护理干预对2型2型糖尿病并发难治性皮肤溃疡病患者的影响[J].中西医结合心血管病杂志,2015,3(30):144-145.
[19]薛忠文,高德全,余清等.法舒地尔对高血压性心脏病患者左室舒缩功能PⅢNP及BNP血清水平的影响[J].贵州医科大学学报,2017,42(9):1055-1058.
[2]毛晓润,杜文娟,徐月贞,等.综合护理干预预防社区老年高血压或糖尿病患者跌倒的效果评价[J].中国全科医学,2013,16(5):575-578.
[3]宋佳怡,傅蕾,王娟,等.中医本科生社区糖尿病健康教育实践探索[J].中国中医药现代远程教育,2015,13(10):73-75.
[4] Greeman R,Durso-Decruz E,Emir B. Efficacy,safety,and tolerability of pregabalin treatment for painful diabetic peripheral neuropathy:findings from seven randomized,controlled trials across a range of doses[J]. Diabetes Care,2015,31(11):1448-1454.
[5]陈长香,冯丽娜,郝习君,等.河北省居家老年人慢性疾病患病状况及对家庭功能的影响[J].现代预防医学,2014,41(12):2199-2201,2214.
[6]李建荣,樊锦春,杨韵歆. 36例妊娠期2型糖尿病并发难治性皮肤溃疡患者剖宫产围术期临床观察与护理[J].实用临床医药杂志,2015,19(14):106-109.
[7]高燕.综合护理干预对2型糖尿病患者遵医行为及血糖控制的影响[J].实用临床医药杂志,2016,20(18):58-60.
[8]黄洪欣.我国糖尿病健康教育模式的发展研究分析[J].糖尿病新世界,2016,19(17):195-196.
[9]王晓霞,鲜彤章,贾晓凡,等. 2型糖尿病患者的心脑血管疾病影响因素的Nomogram分析[J].中国心血管杂志,2017,22(1):43-48.
[10]叶海波,胡春慧.延续性护理干预对老年2型2型糖尿病并发难治性皮肤溃疡患者生活质量的影响[J].现代中西医结合杂志,2016,25(17):1922-1924.
[11]张玲,木亚斯沙尔,蓓里·加帕尔,等. 2型糖尿病血糖控制水平及其相关因素与维族老年人认知功能障碍的关系[J].中华老年心脑血管病杂志,2017,19(4):353-357.
[12]梁雪,陈康,王安平,等.胰岛素泵治疗糖尿病患者血糖控制及影响因素分析[J].中国医药导报,2016,13(15):72-76.
[13]陈冯梅,陆虹宏,郭志荣,等.老年高血压合并糖尿病患者血压血糖水平与脂肪肝患病的相关性[J].中国老年学杂志,2016,36(9):2116-2117.
[14]景良洪,曾艳丽,宋凤平.综合护理干预对2型糖尿病患者血糖血脂水平及心脑血管事件的影响[J].检验医学与临床,2016,13(12):1712-1714.
[15] Lise Brantsaeter,Margaretha Haugen,Sven Ove Samuelsen.A Dietary pattern characterized by high intake of vegetables,fruits,and vegetable oils is associated with reduced risk of preeclampsia in nulliparous pregnant Norwegian Women[J].J Nutr,2015,139(11):1162-1168.
[16]梁倩雯,申敏,刘晓红.社区护理干预对老年高血压伴糖尿病患者的影响[J].现代临床护理,2013,12(12):69-72.
[17]王吉平,吴慧芳,姚仙凤,等.同伴教育对乡镇社区糖尿病和高血压患者自我管理行为的影响[J].护理学杂志,2016,31(13):4-7.
[18]刘晓宇.系统护理干预对2型2型糖尿病并发难治性皮肤溃疡病患者的影响[J].中西医结合心血管病杂志,2015,3(30):144-145.
[19]薛忠文,高德全,余清等.法舒地尔对高血压性心脏病患者左室舒缩功能PⅢNP及BNP血清水平的影响[J].贵州医科大学学报,2017,42(9):1055-1058.