摘要
目的探讨个性化护理对老年2型糖尿病合并急性心肌梗死患者自我管理的影响。方法选取2022年3月—2023年10月于厦门大学附属中山医院住院的80例老年2型糖尿病合并急性心肌梗死患者。40例纳入对照组实施常规护理,另40例纳入试验组实施个性化护理。比较2组血糖、心功能指标以及自我管理水平。结果护理后,试验组空腹血糖(fasting blood glucose,FBG)、餐后2 h血糖(2 hour postprandial blood glucose,2 hPBG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)水平分别为(6.58±1.36)mmol/L、(9.24±1.26)mmol/L、(7.31±1.21)%,低于对照组的(8.43±1.15)mmol/L、(11.03±1.06)mmol/L、(8.25±1.62)%,差异有统计学意义(P<0.05)。试验组心率(heart rate,HR)、左室收缩末期内径(left ventricular end systolic diameter,LVESD)、左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)水平分别为(84.03±4.35)次/min、(40.13±3.94)mm、(50.17±4.39)mm,低于对照组的(86.24±4.37)次/min、(43.98±4.02)mm、(57.16±4.36)mm;试验组左室射血分数(left ventricular ejection fraction,LVEF)为(47.58±4.02)%,高于对照组的(43.26±3.69)%,差异有统计学意义(P<0.05)。试验组饮食控制、血糖监测、服药依从性、坚持运动评分分别为(17.32±1.56)分、(17.48±1.39)分、(15.86±1.26)分、(16.37±1.63)分,高于对照组的(15.23±1.74)分、(14.58±2.31)分、(10.79±1.25)分、(13.12±1.85)分,差异有统计学意义(P<0.05)。结论个性化护理对老年2型糖尿病合并急性心肌梗死患者可有效控制及改善患者血糖与心功能指标,减少并发症,提高患者自我管理水平。
Objective To explore the effect of personalized nursing on self-management in elderly patients with type 2 diabetes mellitus complicated with acute myocardial infarction.Methods A total of 80 elderly patients with type 2 diabetes complicated with acute myocardial infarction admitted to Zhongshan Hospital Xiamen University from March 2022 to October 2023 were selected.A total of 40 cases were included in the control group for routine nursing,and 40 cases in the experimental group for personalized nursing.Blood glucose,cardiac function index and self-management level were compared between the two groups.Results After nursing,the levels of fasting blood glucose(FBG),2 hour postprandial blood glucose(2 hPBG)and glycosylated hemoglobin(HbA1c)in experimental groups were(6.58±1.36)mmol/L,(9.24±1.26)mmol/L and(7.31±1.21)%,which were lower than(8.43±1.15)mmol/L,(11.03±1.06)mmol/L,(8.25±1.62)%of control group,the differences were statistically significant(P<0.05).The levels of heart rate(HR),left ventricular end systolic diameter(LVESD)and left ventricular end siastolic siameter(LVEDD)in experimental groups were(84.03±4.35)times/min,(40.13±3.94)mm and(50.17±4.39)mm,which were lower than(86.24±4.37)times/min,(43.98±4.02)mm,(57.16±4.36)mm of control group,left ventricular ejection fraction(LVEF)in experimental group was(47.58±4.02)%,which was higher than(43.26±3.69)%in control group,the difference were statistically significant(P<0.05).The scores of diet control,blood glucose monitoring,medication compliance and exercise adherence in experimental groups were(17.32±1.56)points,(17.48±1.39)points,(15.86±1.26)points and(16.37±1.63)points,which were higher than(15.23±1.74)points,(14.58±2.31)points,(10.79±1.25)points,(13.12±1.85)points in control group,the difference were statistically significant(P<0.05).Conclusion Personalized care for elderly patients with type 2 diabetes mellitus and acute myocardial infarction can effectively control and improve the level of blood glucose and cardiac function indicators,reduce complications,and improve the level of self-management of patients.
作者
黄静芳
翁美华
邢瑞楠
HUANG Jingfang;WENG Meihua;XING Ruinan(Department of Cardiovascular Medicine,Zhongshan Hospital Xiamen University,Xiamen Fujian 361004,China)
出处
《中国卫生标准管理》
2024年第12期180-183,共4页
China Health Standard Management
基金
2022年福建省自然科学基金联合资金新上项目(2022J05295)。
关键词
老年患者
2型糖尿病
急性心肌梗死
个性化护理
心功能
自我管理
elderly patients
type 2 diabetes
acute myocardial infarction
personalized nursing
cardiac function
self-management
