糖尿病并发心肌硬死的多样性护理效果分析

张秀娟　许应林　薛瑞芹

[摘要]目的 探讨糖尿病并发心肌梗死多样性护理的应用效果。方法 选取2015年2月～2016年12月在我院住院治疗的38例糖尿病并发心肌梗死的患者，按随机数法分为对照组及观察组，各19例。对照组患者给予常规护理，观察组在对照组基础上施行多样性护理。比较两组患者血糖水平及满意度。结果 护理前，两组患者血糖水平比较，差异无统计学意义（P>0.05）；护理后两组患者血糖水平均有所降低，与护理前比较，差异有统计学意义（P<0.05）；观察组血糖水平均高于对照组，差异有统计学意义（P<0.01）。观察组护理满意度高于对照组，差异统计学意义（P<0.05）。结论 对糖尿病合并心肌梗死的患者施行多样性护理，能有效干预患者血糖变化和总满意度，从而辅助提高患者的治疗的依从性，值得护理工作者推广应用。

[关键词]糖尿病；心肌梗死；多样性护理

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）06（a）-0165-03

[Abstract] Objective To explore efficacy of diversity nursing in patients with diabetes mellitus complicated with myocardial infarction.Methods 38 patients with diabetes complicated with myocardial infarction in our hospital from February 2015 to December 2016 were selected and randomly divided into the observation group and the control group，with 19 cases in each group.Patients in the control group were given conventional nursing，while patients in the observation were given diversity performed nursing on the basis of the control group.The levels of blood glucose and nursing satisfaction were compared between two groups were compared.Results Before nursing，there were no significantly different between the levels of blood glucose in two groups （P>0.05）；after nursing，the levels of blood glucose in two groups were all decreased，and compared with those before nursing，the differences were statistically significant （P<0.05）.And that in the observation group was lower than that in the control group，and the differences was statistically significant （P<0.01）.The number of nursing satisfaction in the observation group was higher than that in the control group，and the differences was statistically significant （P<0.05）.Conclusion For patients with diabetes mellitus complicated with myocardial infarction，it can effectively interfere with the changes of blood glucose and total satisfaction， so as to improve the cure rate of patients.

[Key word]Diabetes mellitus；Myocardial infarction；Diversity nursing

糖尿病是一種非传染性发病率较高的慢性代谢性疾病，是由环境和遗传两方面因素相互作用引起的代谢异常综合征，临床上以慢性血糖升高引起代谢紊乱如多饮、多尿、多食、体重减轻为主要症状。随着病程的进展引起蛋白质、糖、脂质代谢异常引起动脉粥样硬化，当侵犯到主动脉、冠状动脉会引起急性心肌代谢紊乱，诱发心力衰竭、心律失常甚至发生心肌梗死，严重者发生猝死。有文献记载糖尿病合并心肌梗死的死亡率是普通心肌梗死的2倍[1-3]。目前糖尿病患者治疗依从性差，严重影响糖尿病患者的生活质量。因此在临床工作中，糖尿病合并心肌梗死除了有效药物治疗措施外，还应该加强对患者实施多样性护理，使患者的临床治疗更有效，从而辅助提高治疗的依从性。本研究旨在探讨糖尿病并发心肌梗死多样性护理的应用效果，现报道如下。