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综合护理干预在2型糖尿病骨质疏松患者中的应用及临床效果 被引量:9

Application and Clinical Effect of Comprehensive Nursing Intervention in Type 2 Diabetic Osteoporosis Patients
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摘要 目的探讨对2型糖尿病骨质疏松患者给予综合护理干预后的临床效果。方法将该院2018年4月—2020年8月收治的74例2型糖尿病骨质疏松患者进行数字奇偶法分组。综合护理组(37例):采用普通护理+综合护理干预方式;普通护理组(37例):采用普通护理方式;就组间生活习惯(不运动、高糖食物、吸烟以及酗酒)、病症认知、糖代谢指标[HbA1c(糖化血红蛋白)、FBG(空腹血糖)]以及护理满意度(知识获取、情绪改善、护理态度、护理技术以及护理全面性)评分展开对比。结果综合护理组患者不运动比例(2.70%)、高糖食物比例(0.00%)、吸烟比例(0.00%)以及酗酒比例(2.70%)均低于普通护理组不运动比例(21.62%)、高糖食物比例(16.22%)、吸烟比例(16.22%)以及酗酒比例(21.62%),病症认知比例(94.59%)高于普通护理组病症认知比例(59.46%),差异有统计学意义(P<0.05);护理前,综合护理组患者HbA1c以及FBG同普通护理组比较,差异无统计学意义(P>0.05);护理后,综合护理组HbA1c以及FBG均低于普通护理组,差异有统计学意义(P<0.05);综合护理组患者知识获取、情绪改善、护理态度、护理技术以及护理全面性评分均高于普通护理组,差异有统计学意义(P<0.05)。结论综合护理干预方式科学运用,可使2型糖尿病骨质疏松患者生活习惯获得改善,病症认知程度获得提升,糖代谢指标水平获得有效降低,于知识获取、情绪改善、护理态度、护理技术以及护理全面性评分方面,获得理想结果,从而使护理满意度显著提升,最终实现2型糖尿病骨质疏松患者有效预后。 Objective To explore the clinical effect of comprehensive nursing intervention on patients with type 2 diabetes osteoporosis.Methods 74 patients with type 2 diabetes and osteoporosis admitted to the hospital from April 2018 to August2020 were divided into two groups by numerical odd-even method.Comprehensive nursing group(37 cases):general nursing +comprehensive nursing intervention;general nursing group(37 cases):adopt general nursing mode;lifestyle habits(inactivity,high-glycemic foods,smoking,and alcohol abuse),disease cognition,glucose metabolism indicators [glycated hemoglobin(Hb Alc) and fasting blood glucose(FBG)],and nursing satisfaction scores(knowledge acquisition,mood improvement,nursing attitude,nursing techniques,and nursing comprehensiveness) were compared between groups.Results The proportion of inactive exercise(2.70%),high glucose diet(0.00%),smoking(0.00%) and alcoholism(2.70%) in patients in the comprehensive nursing group were lower than those in the general nursing group(21.62%),high glucose diet(16.22%) and smoking( 16.22 %),and the proportion of alcoholism( 21.62 %),disease cognition(94.59%) was higher than that of general nursing group(59.46%),the difference was statistically significant(P < 0.05).Before nursing,there were no statistically significant differences in Hb A1 c and FBG between the comprehensive nursing group and the general nursing group(P>0.05).After nursing,Hb A1 c and FBG in the comprehensive nursing group were lower than those in the general nursing group,the difference was statistically significant(P<0.05).The scores of knowledge acquisition,mood improvement,nursing attitude,nursing techniques and nursing comprehensiveness in the comprehensive nursing group were higher than those in the general nursing group,the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing intervention mode applied science,can make the patients with type 2 diabetes osteoporosis living habits improved,disease cognition promoted,the index level of glucose metabolism effectively reduce,to improve knowledge acquisition,the mood,attitude nursing,nursing techniques and comprehensive score,obtain ideal results,so that the nursing satisfaction significantly increased,and finally realize effective prognosis in patients with type 2 diabetes,osteoporosis.
作者 朱燕霞 翁剑花 王在霞 ZHU Yanxia;WENG Jianhua;WANG Zaixia(Second Department of Orthopedics,Putian Medical District,900th Hospital of Joint Logistics Support Force,Putian,Fujian Province,351100China)
出处 《糖尿病新世界》 2021年第19期145-149,共5页 Diabetes New World Magazine
关键词 综合护理干预 2型糖尿病骨质疏松 生活习惯 病症认知 糖代谢指标 护理满意度 Comprehensive nursing intervention Type 2 diabetic osteoporosis Living habits Disease cognition Glucose metabolism index Nursing satisfaction
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