摘要
目的考察循证护理(evidence-based nursing,EBN)应用于高龄2型糖尿病合并消化性溃疡护理干预中的效果,为该类患者的护理模式提供参考,用结合循证的方法 ,更好地为患者进行护理,提高其生活质量提供依据.方法选取2014-08/2016-08天津医科大学第二医院接收的2型糖尿病合并消化性溃疡高龄患者130例,根据护理方法分为对照组(n=65)、观察组(n=65),对照组行传统护理,观察组行EBN,考察两组患者血糖控制水平、消化性溃疡的预后情况、生活质量评估、和护理满意度评估.结果观察组的空腹血糖水平、餐后血糖水平和糖化血红蛋白值明显低于对照组(6.15 mmol/L±0.92 mmol/L vs 6.92 mmol/L±1.07 mmol/L、8.21 mmol/L±1.39 mmol/L vs 9.82 mmol/L±1.51 mmol/L、6.65%±1.01%vs 7.86%±1.16%,P<0.05),有显著性差异.观察组消化性溃疡的治愈率和改善率明显高于对照组(58.46%vs 38.46%,P<0.05),有显著性差异.观察组住院天数明显少于对照组(19.61 d±5.32 d vs 23.65 d±6.18 d,P<0.05).观察组与对照组护理的日常活动、睡眠质量、精神面貌、食欲及疾病认知等生活质量评分的分数分别为4.4分±0.6分、4.3分±0.4分、4.3分±1.1分、4.1分±0.3分、4.4分±0.2分,明显高于对照组,有显著型差异.观察组对护理工作的满意度明显高于对照组(93.85%vs 70.77%,P<0.05),有显著型差异.结论 E B N在高龄2型糖尿病合并消化性溃疡护理干预中效果显著,值得推荐应用.
AIM To evaluate the clinical effects of evidence-based nursing in elderly patients with type 2 diabetes and peptic ulcer and utilize evidence-based methods to improve their quality of life. One hundred and thirty elderly patients with type 2 diabetes with peptic ulcer treated from August 2014 to August 2016 were divided into either a control group （n = 65） or an observation group （n = 65）. The control group was given traditional nursing, and the observation group was given evidence-based nursing care. The levels of blood sugar, therapeutic effect for peptic ulcer, quality of life, and nursing satisfaction were compared between the two groups. RESULTS The levels of fasting blood glucose, postprandial sugar, and glycosylated hemoglobin were significantly lower in the observation group than in the control group （6.15 mmol/L ± 0.92 mmol/L vs 6.92 mmol/L ± 1.07 mmol/L, 8.21 mmol/L ± 1.39 mmol/L vs 9.82 mmol/L± 1.51 mmol/L, and 6.65% ± 1.01% vs 7.86% ± 1.16%, P 〈 0.05）. The cure rate and improvement rate for peptic ulcer were significantly higher in the observation group than in the control group （58.46% vs 38.46%, P 〈 0.05）. The length of hospitalization was significantly shorter in the observation group than in the control group （19.61 d ± 5.32 d vs 23.65 d ± 6.18 d, P 〈 0.05）. The scores of daily activities, sleep quality, mental outlook, appetite, and disease cognition in the observation group were significantly higher than those in the control group （P 〈 0.05）. The rate of satisfaction with nursing was significantly higher in the observation group than in the control group （93.85% vs 70.77%, P 〈 0.05）. CONCLUSION Evidence-based nursing care has significant clinical effects in elderly patients with type 2 diabetes with peptic ulcer and is worthy of recommendation.
出处
《世界华人消化杂志》
CAS
2018年第3期209-214,共6页
World Chinese Journal of Digestology
关键词
循证护理
2型糖尿病
消化性溃疡
Evidence-based nursing
Type 2 diabetes
Peptic ulcer
