延续性护理干预对老年糖尿病患者糖代谢指标及低血糖事件的影响分析

发布时间：2017-12-27 07:34

本文关键词：延续性护理干预对老年糖尿病患者糖代谢指标及低血糖事件的影响分析　出处：《中国实用医药》2017年08期 　论文类型：期刊论文

【摘要】：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(P0.05)。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(P0.05)。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。
[Abstract]:Objective to investigate the effect of continuous nursing on hypoglycemia and blood glucose metabolism in patients with DM. Methods 80 elderly patients with diabetes were randomly divided into the control group and the observation group, each with 40 cases. The control group used the routine nursing mode. The observation group adopted the continuity nursing mode. The difference of fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c) and postprandial 2H blood glucose (2H PBG) between the two groups before and after intervention were compared, and the incidence of hypoglycemia events in the two groups were compared. Results the improvement of the indexes of FBG, HbA1c and 2H PBG in the observation group was better than that of the control group, and the difference was statistically significant (P0.05). 12 months after discharge, there were no severe hypoglycemia events in two groups. The incidence of hypoglycemia in the observation group was 37.5%, which was lower than that in the control group (65%). The difference was statistically significant (P0.05). Conclusion the continuous nursing mode in the treatment of elderly diabetic patients can significantly improve the index of glucose metabolism and improve the safety of the treatment.
【作者单位】：锦州市中医医院;
【分类号】：R473.5
【正文快照】： 随着我国社会经济的快速发展,人口老龄化、家庭结构的演变,老年糖尿病患病率居高不下,且由于本病的长期性,患者在家治疗的时间较多,而家庭成员对本病认知及护理相对不足,由此带来糖代谢指标管理差、低血糖等问题也逐年增加[1-3]。延续性护理务是将住院护理服务延伸到患者的家

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