论文部分内容阅读
目的探讨老年糖尿病(DM)患者实施延续性护理对低血糖事件、血糖代谢指标的影响。方法 80例老年糖尿病患者,随机分为对照组和观察组,各40例。对照组采用常规护理模式,观察组采用延续性护理模式,比较干预前后两组患者空腹血糖(FBG)、糖化血红蛋白(HbA1c)和餐后2h血糖(2h PBG)的指标差异,比较两组患者低血糖事件的发生率。结果干预后观察组患者FBG、HbA1c和2h PBG各指标改善幅度均优于对照组,差异有统计学意义(P<0.05)。出院后12个月,两组患者均无重度低血糖事件发生,观察组中低血糖发生率为37.5%,低于对照组的65.0%,差异有统计学意义(P<0.05)。结论在老年糖尿病患者的治疗中开展延续性护理模式能够显著改善患者糖代谢指标,提升治疗的安全性。
Objective To investigate the effect of continuous nursing care on the incidence of hypoglycaemia and glucose metabolism in elderly patients with diabetes mellitus (DM). Methods 80 cases of elderly diabetic patients were randomly divided into control group and observation group, 40 cases each. The patients in the control group were treated with the conventional nursing model. The observation group was treated with continuous nursing intervention. The difference of fasting blood glucose (FBG), HbA1c and 2h PBG before and after intervention was compared between the two groups. The incidence of blood sugar events. Results After intervention, the improvement rate of each index of FBG, HbA1c and 2h PBG in the observation group was better than that in the control group, with statistical significance (P <0.05). At 12 months after discharge, no severe hypoglycemia occurred in both groups. The incidence of hypoglycemia in the observation group was 37.5%, which was lower than 65.0% in the control group (P <0.05). Conclusions The continuation of nursing model in the treatment of elderly patients with diabetes can significantly improve the indicators of patients with glucose metabolism and improve the safety of treatment.