邢艳

DOI：10.16658/j.cnki.1672-4062.2017.13.092

[摘要] 目的 研究分析糖尿病并发心肌梗死患者的临床护理效果。 方法 根据2015年2月—2016年12月该院接收的38例糖尿病合并心肌梗死患者来分析研究，将患者分成对照组和观察组，均有19例。对照组使用常规护理，观察组使用常规护理和多样性护理，对2组的血糖水平控制情况进行对比。 结果 护理前，2组的血糖水平对比差异无统计学意义（P>0.05）；经过护理，2组血糖水平均有所下降，观察组的临床护理满意度比对照组高，差异有统计学意义（P<0.05）。 结论 糖尿病合并心肌梗死患者接受多样性护理的临床效果突出，患者治疗依从性较高，值得推广使用。

[关键词] 糖尿病；心肌梗死；多样性护理

[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2017）07（a）-0092-02

Exploration of the Effect of Diversified Nursing on Diabetes Mellitus Complicated with Myocardial Infarction

XING Yan

Department of Internal Medicine， Daqing Longnan Hospital， Daqing， Heilongjiang Province， 163453 China

[Abstract] Objective This paper tries to study and analyze the clinical nursing effect of diabetes mellitus complicated with myocardial infarction. Methods 38 patients with diabetes mellitus complicated with myocardial infarction received in this hospital from February 2015 to December 2016 were analyzed. The patients were divided into the control group and the observation group， with 19 cases in each group. The control group was given routine nursing， the observation group was treated with routine nursing and diversified nursing care， and the blood glucose levels of the two groups were compared. Results Before treatment， there were no statistical differences of blood glucose levels in the two groups（P>0.05）； after the nursing， blood glucose levels of two groups were decreased， clinical nursing satisfaction of the observation group was higher than the control group， the difference was statistically significant （P<0.05）. Conclusion The clinical effect of diversified nursing care for patients with diabetes mellitus complicated with myocardial infarction is prominent， and the treatment compliance is remarkable， so it is worth popularization.

[Key words] Diabetes mellitus； Myocardial infarction； Diversified nursing care

糖尿病是慢性代谢疾病，受到遗传和环境的影响，患者血糖上升，长期处于较高水平，代謝紊乱，多饮多食多尿，体重下降。患者病情发展后，蛋白质、糖、脂质代谢发生异常，动脉粥样硬化，对动脉和心血管产生影响，容易合并心衰，心律失常，心肌梗死，严重患者可能猝死。根据研究，糖尿病合并冠心病的死亡率比普通心肌梗死高一倍[1-3]。糖尿病患者的临床治疗依从性较低，对患者的生活质量产生了影响，护理时，除了使用药物治疗外，还需要提供多样化的护理措施，让患者获得更加有效的治疗，提升患者的治疗依从性。该次研究中选取2015年2月—2016年2月该院收治的38例患者为研究对象，对患者的多样性护理效果进行了分析，现报道如下。

1 资料与方法

1.1 一般资料

该院对38例糖尿病合并心肌梗死患者进行了研究分析，对照组和观察组均有19例，观察组有11例男性，8例女性，最小42岁，最大76岁，平均（51.12±16.65）岁；平均……