多元化护理干预对2型糖尿病并发脑梗死偏瘫的影响

刘英

[摘要] 目的 分析多元化護理干预对2型糖尿病并发脑梗死偏瘫的影响。 方法 选择该院在2018年10月—2019年10月收治的58例2型糖尿病并发脑梗死偏瘫患者，均分为两组，护理组：多元化护理干预，29例患者;常规组：一般性护理，29例患者。观察两组患者血糖状态及护理满意度。 结果 护理组患者空腹血糖水平为（6.01±0.94）mmol/L，糖化血红蛋白水平为（4.33±0.52）%，餐后2 h血糖水平为（7.26±1.01）mmol/L;常规组患者空腹血糖水平为（7.03±0.87）mmol/L，糖化血红蛋白水平为（5.47±0.68）%，餐后2 h血糖水平为（9.57±1.34）mmol/L，两组差异有统计学意义（P<0.05）。护理组患者很满意的共15例，较满意的共13例，不满意的共1例，护理满意率为96.55%（28例）;常规组患者很满意的共11例，较满意的共12例，不满意的共6例，护理满意率为79.31%（23例），护理组护理满意率（96.55%）高于常规组（79.31%），差异有统计学意义（P<0.05）。 结论 将多元化护理干预应用于2型糖尿病并发脑梗死偏瘫患者的护理中，不仅能降低患者血糖水平，还能提升护理满意率，护理效果显著。

[关键词] 脑梗死;2型糖尿病;多元化护理干预;偏瘫

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0127-03

Effect of Multiple Nursing Interventions on Hemiplegia Caused by Cerebral Infarction in Patients with Type 2 Diabetes

LIU Ying

People's Hospital of Wulian County， Rizhao， Shandong Province， 262300 China

[Abstract] Objective To analyze the effect of multiple nursing interventions on hemiplegia caused by cerebral infarction in patients with type 2 diabetes. Methods A total of 58 patients with type 2 diabetes and cerebral infarction and hemiplegia treated in the hospital from October 2018 to October 2019 were selected and divided into two groups. Nursing group： diversified nursing intervention， 29 patients; conventional group： general nursing， 29 patients. Observe the blood glucose status and nursing satisfaction of the two groups of patients. Results The fasting blood glucose level of the patients in the nursing group was （6.01±0.94） mmol/L， the glycated hemoglobin level was （4.33±0.52）%， and the blood glucose level at 2 h after the meal was （7.26±1.01） mmol/L. The fasting blood glucose level of the patients in the conventional group was （7.03±0.87） mmol/L， the level of glycated hemoglobin was （5.47±0.68）%， and the blood glucose level at 2 h after the meal was （9.57±1.34） mmol/L. The difference between the two groups was statistically significant（P<0.05）. A total of 15 patients in the nursing group were satisfied， 13 patients were more satisfied， and 1 patient was dissatisfied. The nursing satisfaction rate was 96.55% （28 patients）; 11 patients in the conventional group were satisfied， and 12 patients were more satisfied. There were 6 cases of dissatisfaction， the nursing satisfaction rate was 79.31% （23 cases）， the nursing satisfaction rate （96.55%） in the nursing group was higher than that in the conventional group（79.31%）， and the difference was statistically significant（P<0.05）. Conclusion The application of multiple nursing interventions in the care of patients with hemiplegia associated with cerebral infarction of type 2 diabetes can not only reduce the blood glucose level of patients， but also improve the satisfaction rate of care. The nursing effect is significant.

[Key words] Cerebral infarction; Type 2 diabetes; Multiple nursing interventions; Hemiplegia

糖尿病是常见慢性疾病，特征是血糖长期处于较高水平，发病机制是生物作用受损或胰岛素分泌缺陷等，临床无法根治，只能将血糖控制作为治疗重点。但糖尿病较长的病程，会损伤到心脑肾等器官，人体内皮细胞受损后，血小板会粘附聚集，血栓发病率明显增加，引起患者的脑梗死偏瘫[1]。2型糖尿病是糖尿病的重要组成部分，具有更高的脑梗死发生率，若患者在2型糖尿病的基础上发生脑梗死导致偏瘫，需给予及时有效的治疗措施，以挽回患者生命[2]。多元化护理干预融合多种护理措施，可从多角度给予患者全方位护理，以促进患者预后恢复，提高生活质量，避免相关并发症的出现，对病死率进行降低，得到患者及医生的一致认可[3]。故该研究选择该院在2018年10月—2019年10月收治的58例2型糖尿病并发脑梗死偏瘫患者，旨在分析多元化护理干预对2型糖尿病并发脑梗死偏瘫的影响，现报道如下。……