消渴目病中西医结合临床护理路径多中心应用的对照研究
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摘要
[目的]将前期构建的消渴目病中西医结合临床护理路径应用于临床,观察应用后临床疗效、血糖控制、生存质量、病人满意度等方面的效果。[方法]筛选成都市3所医院眼科符合纳入标准的消渴目病病人共120例,随机分为试验组和对照组,各60例。试验组实施中西医结合临床护理路径,对照组实施中医护理方案。分别于病人入组日及出院前 1 d评估病人的临床疗效、空腹血糖、餐后 2 h血糖水平及生存质量、满意度、住院天数及住院费用等。[结果]干预后试验组临床疗效优于对照组(P<0.05),试验组空腹血糖及餐后 2 h血糖低于对照组,试验组病人满意度高于对照组,差异均有统计学意义(P<0.05);两组病人住院天数、住院费用及出院前1d生存质量比较,差异无统计学意义(P>0.05)。[结论]消渴目病中西医结合临床护理路径用于消渴目病病人,可提高临床疗效,降低血糖水平,提高病人满意度。
Objective:To investigate the clinical effect of the clinical nursing pathway of diabetic retinopathy integrated with Chinese and Western medicine which was constructed in the former research,including clinical curative effect,blood glucose control,quality of life,and patients satisfaction.Methods:A total of 120 eligible diabetic retinopathy patients from three hospitals in Chengdu were selected and randomly divided into experimental group and control group,60 cases in each.Patients in the experimental group received the clinical nursing pathway while patients in the control group received with Chinese medicine program.Patients′clinical efficacy,fasting blood glucose,postprandial blood glucose levels,quality of life,satisfaction,length of hospital stay and hospitalization costs were assessed on the day of admission and one day before discharge,and the differences between the two groups were compared.Results:After the trial,the comparison between the two groups showed that the clinical efficacy in the experimental group was better than that in control group.The fasting blood glucose and 2 hpostprandial blood glucose levels in the experimental group were lower than those in control group.The satisfaction in the experimental group was higher than that in the control group (P<0.05);There was no significant difference in length of hospital stay,hospitalization costs,and quality of life between the two groups (P>0.05).Conclusions:The clinical nursing pathway of diabetic retinopathy integrated with Chinese and Western medicine could be used to improve the clinical curative effect of patients with diabetic retinopathy,reduce the blood glucose level of patients,and improve patients′satisfaction.
Objective:To investigate the clinical effect of the clinical nursing pathway of diabetic retinopathy integrated with Chinese and Western medicine which was constructed in the former research,including clinical curative effect,blood glucose control,quality of life,and patients satisfaction.Methods:A total of 120 eligible diabetic retinopathy patients from three hospitals in Chengdu were selected and randomly divided into experimental group and control group,60 cases in each.Patients in the experimental group received the clinical nursing pathway while patients in the control group received with Chinese medicine program.Patients′clinical efficacy,fasting blood glucose,postprandial blood glucose levels,quality of life,satisfaction,length of hospital stay and hospitalization costs were assessed on the day of admission and one day before discharge,and the differences between the two groups were compared.Results:After the trial,the comparison between the two groups showed that the clinical efficacy in the experimental group was better than that in control group.The fasting blood glucose and 2 hpostprandial blood glucose levels in the experimental group were lower than those in control group.The satisfaction in the experimental group was higher than that in the control group (P<0.05);There was no significant difference in length of hospital stay,hospitalization costs,and quality of life between the two groups (P>0.05).Conclusions:The clinical nursing pathway of diabetic retinopathy integrated with Chinese and Western medicine could be used to improve the clinical curative effect of patients with diabetic retinopathy,reduce the blood glucose level of patients,and improve patients′satisfaction.
引文
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[11]景丽俊,吴坤显,黄汉腾,等.剖宫产中西医结合临床路径的实施在医疗费用控制方面的作用[J].实用医学杂志,2017,33(12):2067-2069.
[12]尹桂芳,柏亚妹.中西医结合护理对早期糖尿病视网膜病变的效果研究[J].糖尿病新世界,2017,20(2):165-166.
[13]王琳,张迎,何倩,等.基于辨证施护理念的中西医结合护理模式在糖尿病视网膜病变患者中应用研究[J].中医药导报,2016,22(21):109-111.
[14]曾洁群,陈亦阳,刘佩珍,等.手术护理临床路径在重度皮罗序列征患儿双下颌牵张成骨术中的应用[J].广东医学,2016,37(9):1418-1420.
[2]Hendrick AM,Gibson MV,Kulshreshtha A.Diabetic retinopathy[J].Prim Care,2015,42(3):451-464.
[3]中华中医药学会发布.糖尿病中医防治指南[M].北京:中国中医药出版社,2007:20-21.
[4]Jenkins AJ,Joglekar MV,Hardikar AA,et al.Biomarkers in diabetic retinopathy[J].Rev Diabet Stud,2015,12(1/2):159-195.
[5]Liu Y,Song Y,Tao L,et al.Prevalence of diabetic retinopathy among 13 473patients with diabetes mellitus in China:a cross-sectional epidemiological survey in six provinces[J].BMJ Open,2017,7(1):e13199.
[6]Yau JW,Rogers SL,Kawasaki R,et al.Global prevalence and major risk factors of diabetic retinopathy[J].Diabetes Care,2012,35(3):556-564.3556-564.
[7]高国贞,郭妙兰,王少玲,等.护理临床路径在儿童哮喘管理中的应用[J].中华全科医学,2016,14(10):1729-1732.
[8]王静云.基于德尔菲法的PPH治疗痔病中西医结合护理路径研究[D].北京:北京中医药大学,2013.
[9]云洁,王荻,郭菊兰,等.消渴目病中西医结合临床护理路径表的构建[J].护理研究,2017,31(28):3541-3544.
[10]刘求红.消渴目病临床疗效评价量表体系的研制和初步应用[D].广州:广州中医药大学,2007.
[11]景丽俊,吴坤显,黄汉腾,等.剖宫产中西医结合临床路径的实施在医疗费用控制方面的作用[J].实用医学杂志,2017,33(12):2067-2069.
[12]尹桂芳,柏亚妹.中西医结合护理对早期糖尿病视网膜病变的效果研究[J].糖尿病新世界,2017,20(2):165-166.
[13]王琳,张迎,何倩,等.基于辨证施护理念的中西医结合护理模式在糖尿病视网膜病变患者中应用研究[J].中医药导报,2016,22(21):109-111.
[14]曾洁群,陈亦阳,刘佩珍,等.手术护理临床路径在重度皮罗序列征患儿双下颌牵张成骨术中的应用[J].广东医学,2016,37(9):1418-1420.