预见性护理在糖尿病伴上消化道出血中的应用

段晓霞 邹晓辉

[摘要] 目的 分析研究预见性护理在糖尿病伴上消化道出血中的临床应用效果。 方法 于2018年1月—2019年1月选取82例在该院接受治疗的糖尿病伴上消化道出血患者，随机分为对照组和研究组，两组均41例。对照组采用常规护理，研究组采用预见性护理，比较两组护理效果。 结果 研究组上消化道出血止血时间显著低于对照组，空腹和用餐后2 h血糖水平均显著低于对照组，住院时间显著短于对照组，并发症发生率显著低于对照组，生活质量评分显著高于对照组（P<0.05）。 结论 预见性护理在糖尿病伴上消化道出血中的临床应用效果显著。

[关键词] 糖尿病;上消化道出血;预见性护理

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0140-03

Application of Predictive Nursing in Diabetes with Upper Gastrointestinal Bleeding

DUAN Xiao-xia， ZOU Xiao-hui

Department of Gastroenterology， Chengyang District People's Hospital of Qingdao， Qingdao， Shandong Province， 266000 China

[Abstract] Objective To analyze and study the clinical application effect of predictive nursing in diabetes with upper gastrointestinal bleeding. Methods Eighty-two patients with diabetes and upper gastrointestinal bleeding who were treated in the hospital from January 2018 to January 2019 were randomly divided into the control group and the study group， with 41 patients in each group. The control group was given routine nursing care， and the research group was given predictive care. The nursing effects of the two groups were compared. Results The hemostasis time of upper gastrointestinal bleeding in the study group was significantly lower than that in the control group， and the blood glucose levels at 2 hours after fasting and after meals were significantly lower than those in the control group. The quality score was significantly higher than the control group（P<0.05）. Conclusion The clinical effect of predictive nursing in diabetic patients with upper gastrointestinal bleeding is significant， and it is worth popularizing.

[Key words] Diabetes; Upper gastrointestinal bleeding; Predictive care

糖尿病是一種临床较为常见的慢性代谢疾病，该病以高血糖为主要特征，可引起患者机体代谢功能发生异常，使肾脏负担加重，容易出现多种合并症和并发症，病程较长时会严重损伤患者的肾脏，且损伤难以修复，对患者的身体健康造成严重威胁。上消化道出血属于危险性疾病，一般病情都较为复杂，病死率较高。糖尿病伴上消化道出血患者必须要得到及时、有效的治疗和护理，以便有效控制病情和预后，保障患者的生命安全。预见性护理是根据护理人员对疾病的掌握程度和护理技巧，提前预测患者容易出现的病情变化从而快速地判断患者的需求，可以准确、有序地进行临床决策，提高患者的治愈率。基于此，文章以该院于2018年1月—2019年1月期间收治的82例患者为例，分析研究了预见性护理在糖尿病伴上消化道出血中的临床应用效果，现报道如下。……