摘要
目的研究全面护理干预在预防老年2型糖尿病(T2DM)患者低血糖昏迷中的应用效果。方法选取2016年2月至2018年4月我院老年T2DM患者94例,依照入院时间将其分为对照组与观察组,各47例。对照组采用常规护理,观察组在对照组基础上采用全面护理干预。比较两组患者低血糖昏迷发生率、干预前、后血糖水平[空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)]。结果观察组低血糖昏迷发生率为2.13%(1/47),与对照组的6.38%(3/47)比较,差异无统计学意义(P>0.05);干预后,两组患者的FPG、2 h PG、HbA1c水平均降低,且观察组低于对照组(P<0.05)。结论全面护理干预能应用于老年T2DM患者能有效增强血糖控制效果,低血糖昏迷发生风险低。
Objective To study the application effect of comprehensive nursing intervention in prevention of hypoglycemic coma in elderly patients with type 2 diabetes mellitus (T2DM). Methods A total of 94 patients with elderly T2DM in our hospital from February 2016 to April 2018 were selected. According to the admission time, patients were divided into control group and observation group, with 47 cases in each group. The control group received routine nursing, and the observation group was given comprehensive nursing intervention on the basis of the control group. The incidences of hypoglycemic coma, the levels of the blood glucose [fasting blood glucose (FPG), postprandial 2 h blood glucose (2 h PG) and glycosylated hemoglobin (HbA1c)] before and after intervention in the two groups were compared. Results The incidence of hypoglycemic coma in the observation group was 2.13%(1/47), compared with 6.38%(3/47) in the control group, the difference was not statistically significant (P>0.05). After intervention, the levels of FPG, 2 h PG and HbA1c in the two groups decreased, and those in the observation group were lower than the control group (P<0.05). Conclusion Comprehensive nursing intervention in elderly patients with T2DM can effectively enhance the effect of blood sugar control, and with a low risk of hypoglycemia coma.
作者
张明越
王腊腊
ZHANG Ming-yue;WANG La-la(the Ninth Hospital of Xi'an, 710054, Xi'an 710054, China)
出处
《临床医学研究与实践》
2019年第10期165-166,共2页
Clinical Research and Practice
关键词
全面护理干预
2型糖尿病
低血糖昏迷
comprehensive nursing intervention
type 2 diabetes mellitus
hypoglycemia coma
