摘要
目的研究脑卒中糖尿病患者康复中应用综合护理干预的效果。方法应用硬币法将该院2019年3月-2020年3月接诊的82例脑卒中糖尿病患者分为参照组与研究组,各41例。参照组行常规护理干预,研究组行综合护理干预,比较两组干预效果。结果护理后,研究组空腹血糖(6.33±1.31)mmol/L和餐后2 h血糖(8.56±1.45)mmol/L均低于参照组,差异有统计学意义(P<0.05)。研究组焦虑自评量表(SAS)评分(39.63±3.52)分和抑郁自评量表(SDS)评分(38.25±7.64)分均低于参照组,差异有统计学意义(P<0.05)。研究组美国国立卫生院神经功能缺损评分(NIHSS)评分(3.25±0.52)分低于参照组,差异有统计学意义(P<0.05),研究组Fugl-Meyer评测法(FMA)(38.65±4.52)分和改良Barthel指数评估(MBI)(60.31±5.28)分高于参照组,差异有统计学意义(P<0.05)。研究组健康状况调查简表(SF-36)生活质量评分(88.57±6.64)分高于参照组,日常生活活动能力(ADL)评分(90.25±5.14)分高于参照组,差异有统计学意义(P<0.05)。研究组住院时间(7.52±1.36)d短于参照组,研究组护理满意度评分(95.65±3.15)分高于参照组,差异有统计学意义(P<0.05)。结论脑卒中糖尿病患者的康复中应用综合护理干预效果确切。
Objective To study the effect of comprehensive nursing intervention in the rehabilitation of stroke patients with diabetes.Methods Using the coin method,the 82 stroke diabetic patients admitted to the hospital from March 2019 to March 2020 were equally divided into the reference group and the study group,with 41 cases in each group.The reference group received conventional nursing intervention,and the study group groups comprehensive nursing intervention.The effect of two-groups intervention was compared.Results After nursing,the fasting blood glucose(6.33±1.31)mmol/L and 2 h postprandial blood glucose(8.56±1.45)mmol/L of the study group were lower than those of the reference group,and the difference was statistically significant(P<0.05).The scores of the Self-Rating Anxiety Scale(SAS)(39.63±3.52)points and the score of Self-Rating Depression(SDS)(38.25±7.64)points of the study group were lower than those of the reference group,and the difference was statistically significant(P<0.05).Study group National Institutes of Health Neurological Impairment Score(NIHSS)(3.25±0.52)points was lower than the reference group,the difference was statistically significant(P<0.05).The Fugl-Meyer Evaluation Method(FMA)score(38.65±4.52)points and Modified Barthel Index(MBI)score(60.31±5.28)points of the study group were higher than those of the reference group,and the difference was statistically significant(P<0.05).The study group’s health status survey summary(SF-36)score of quality of life(88.57±6.64)points was higher than the reference group,and the activity of daily living(ADL)score(90.25±5.14)points was higher than the reference group,the difference was statistically significant(P<0.05).The length of stay in the study group was(7.52±1.36)d shorter than that of the reference group,and the nursing satisfaction score(95.65±3.15)points of the study group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion The application of comprehensive nursing intervention in the rehabilitation of stroke patients with diabetes has a definite effect.
作者
彭丽
陈陪能
方月清
PENG Li;CHEN Peineng;FANG Yueqing(Department of Neurology,909th Hospital of Joint Logistics Support Force,Zhangzhou,Fujian Province,363000 China)
出处
《糖尿病新世界》
2021年第15期137-141,共5页
Diabetes New World Magazine
关键词
综合护理干预
脑卒中
糖尿病
康复效果
Comprehensive nursing intervention
Stroke
Diabetes
Rehabilitation effect
