摘要
目的分析评估于糖尿病(DM)合并慢性心力衰竭(CHF)患者护理期间应用个体化自护模式对于生命质量(MLHFQ)以及血糖水平所产生的影响。方法选择于2019年12月—2020年12月该院收治的糖尿病合并心力衰竭患者作为研究对象,符合该次对照研究者共计74例,将随机数字表法作为对照研究分组方式,将选取患者均匀划分为两组,设定为对照组和观察组,分别在护理期间应用常规护理干预措施以及个体化自护模式,对比评估护理效果,以血糖水平、生命质量、自护能力以及不良事件发生概率作为具体观察指标。结果护理前,两组患者血糖指标对比结果差异无统计学意义(P>0.05);护理后,观察组血糖指标等相关数值均低于对照组,组间差异有统计学意义(t=4.626、5.529、3.759,P<0.05);观察组患者各项MLHFQ评分均高于对照组,差异有统计学意义(t=4.721、4.252、4.790、4.760,P<0.05);观察组自护能力等各项指标数值和对照组比较,差异有统计学意义(P<0.05);相较于对照组21.62%,观察组不良事件发生概率2.70%较低,差异有统计学意义(P<0.05)。结论于糖尿病合并慢性心力衰竭护理期间应用个体化自护模式在控制血糖水平的同时可以改善患者自护能力,有利于提高患者生命质量,同时可以稳定患者脉搏、心率等体征变化情况,患者对于此护理模式具有较高的认可度,具有借鉴价值。
Objective To analyze and evaluate the impact of the application of individualized self-care model on the quality of life(MLHFQ) and blood glucose levels during the nursing period of patients with diabetes(DM) and chronic heart failure(CHF). Methods Patients with diabetes and heart failure who were admitted to the hospital from December 2019 to December 2020 were selected as the research subjects, and a total of 74 cases were in line with this controlled study. The random number table method was used as the grouping method of the controlled study, and the selected patients were evenly divided into two groups, which were set as the control group and the observation group. The routine nursing intervention measures and the individualized self-care model were applied during the nursing period. Compared and evaluated the effect of nursing, and taken blood glucose level, quality of life, self-care ability and the probability of adverse events as specific observation indicators. Results Before nursing, there was no statistically significant difference in blood glucose index between the two groups of patients(P>0.05). After nursing, the blood glucose index and other related values of the observation group were lower than those of the control group, and the difference between the groups was statistically significant(t=4.626, 5.529, 3.759, P<0.05). The MLHFQ scores of the observation group were higher than those of the control group,and the difference was statistically significant(t=4.721, 4.252, 4.790, 4.760, P<0.05). Comparing the self-care ability and other index values of the observation group with the control group, the difference was statistically significant(P <0.05).Compared with 21.62% in the control group, the incidence of adverse events in the observation group was 2.70% lower, and the difference was statistically significant(P<0.05). Conclusion During the nursing period of diabetes and chronic heart failure, the application of individualized self-care model can improve the patient’s self-care ability while controlling the blood sugar level. It is beneficial to improve the patient’s quality of life, and at the same time can stabilize the patient’s pulse, heart rate and other physical signs changes. Patients have a high degree of recognition for this nursing model, and it has reference value.
作者
田玉燕
刘丽仙
刘燕华
TIAN Yuyan;LIU Lixian;LIU Yanhua(Department of Cardiology,The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350004 China)
出处
《糖尿病新世界》
2021年第21期136-140,共5页
Diabetes New World Magazine
关键词
糖尿病
慢性心力衰竭
个体化自护模式
生命质量
血糖水平
Diabetes Mellitus
Chronic heart failure
Individualized self-care model
Quality of life
Blood glucose level
