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老年糖尿病并发肺部感染的干预性护理效果

Effect of Intervention Nursing of Patients with Senile Diabetes Mellitus Complicated with Pulmonary Infection
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摘要 目的研究在糖尿病并发肺部感染患者的临床护理中采用干预性护理方式的效果。方法选取我院2017年1月至2019年7月收治的糖尿病并发肺部感染患者166例进行对比研究。采用随机数字表法将166例患者分为对照组(82例)和观察组(84例)。对照组采用常规护理,观察组采用干预性护理,比较两组患者的护理依从性、血糖水平、血脂指标、炎性因子水平、免疫球蛋白指标。结果观察组患者饮食控制和药物治疗的依从性高于对照组,数据对比差异有统计学意义(P<0.05);观察组患者的血糖控制情况相比于对照组具有明显优势,差异有统计学意义(P<0.05);观察组总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)水平更低,高密度脂蛋白胆固醇(HDL-C)水平更高,数据对比差异有统计学意义(P<0.05);观察组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)水平下降幅度更明显,数据对比差异有统计学意义(P<0.05);观察组IgA、IgG、IgM水平明显升高,数据对比差异有统计学意义(P<0.05)。结论对糖尿病并发肺部感染患者采用干预性护理能够改善患者的血糖水平及肺功能,并且能够提高患者的依从性,护理效果显著。 Objective To study the clinical effect of interventional nursing in the clinical nursing of patients with diabetes mellitus complicated with pulmonary infection.Methods A total of 166 patients with diabetes complicated with pulmonary infection admitted to our hospital from January 2017 to July 2019 were selected for comparative study.Using random number table method,166 patients were divided into control group(82 cases)and observation group(84 cases).The group control group received routine care,and the observation group received interventional care.The nursing compliance,blood glucose level,blood lipid index,inflammatory factor level,and immunoglobulin index of the two groups were compared and observed.Results The dietary control and drug medication compliance of patients in the observation group were higher than those in the control group,and the data comparison was statistically significant(P<0.05);the blood glucose control of patients in the observation group had obvious advantages compared with the control group,and the difference was statistically significant(P<0.05);the levels of TG,TC and LDL-C in the observation group were lower and HDL-C levels were higher,and the data comparison differences were statistically significant(P<0.05);the levels of IL-6,hs-CRP and TNF-αin the observation group decreased significantly The data comparison differences were statistically significant(P<0.05),and the levels of IgA,IgG and IgM in the observation group were significantly increased,and the data comparison differences were statistically significant(P<0.05).Conclusion Interventional care for patients with diabetes complicated by lung infection can improve blood glucose levels and lung function,and improve patient compliance,and the nursing effect is remarkable.
作者 汤宏 TANG Hong(Department of Respiratory Medicine,Heshan People's Hospital,Heshan 529700,China)
出处 《中国医药指南》 2023年第20期23-26,共4页 Guide of China Medicine
关键词 糖尿病 肺部感染 干预性护理 护理效果 Diabetes Pulmonary infection Intervention care Nursing effect
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