李媛

[摘要]目的 分析综合护理在老年糖尿病患者中的应用效果。方法 选取2016年7月～2017年7月我院收治的夜间低血糖老年糖尿病患者88例，采用随机数字表法将其分为对照组和观察组，每组 44例。对照组患者接受常规护理，以此为基础，观察组患者加用综合护理，分析两组护理效果。结果 观察组患者的夜间低血糖发生率为4.55%（2/44），低于对照组的18.18%（8/44），差异有统计学意义（χ2=4.062，P<0.05）。观察组患者的生活质量评分高于对照组，差异有统计学意义（P<0.05）。观察组患者的总健康知识掌握率高于对照组，差异有统计学意义（P<0.05）。结论 向老年糖尿病患者提供综合护理，对其夜间血糖控制具有良好的作用，有助于提高其生活质量、健康知识掌握率。

[关键词]老年糖尿病；夜间低血糖；预防及护理；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）7（c）-0177-03

[Abstract] Objective To analyze the application effect of comprehensive nursing in elderly patients with diabetes mellitus（DM）. Methods Eighty-eight elderly diabetes patients with nocturnal hypoglycemia admitted to our hospital from July 2016 to July 2017 were selected and divided into control group and observation group with 44 cases in each group by random number table method.The patients in the control group was received routine nursing. Based on this，the patients in the observation group was given comprehensive nursing， and the nursing effect of the two groups was analyzed. Results The incidence of hypoglycemia in the observation group was 4.55% （2/44） at night， which was lower than （18.18% [8/44]） in the control group， and the difference was statistically significant （χ2=4.062， P<0.05）. The quality of life score of the patients in the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. The mastery rate of the total health knowledge of the patients in the observation group was higher than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion Comprehensive nursing for elderly DM patients has a good effect on their night-time blood glucose control，which is beneficial to the improvement of their quality of life and health knowledge acquisition rate.

[Key words] Elderly diabetes mellitus； Nocturnal hypoglycemia； Prevention and nursing； Quality of life

低血糖主要包括多种临床症状，如饥饿、面色苍白、出汗、恶心等，甚至精神不集中、昏迷等，一旦发生在夜间，且患者未得到及时救治，便会危及其生命安全，特别是老年糖尿病患者，由于其合并基础疾病多，致使死亡风险增加[1-2]。随着当前我国老龄化的急剧增加，糖尿病患病率增高，随之夜间低血糖发生率也呈现出不断增长趋势。因此，加强老年糖尿病患者夜间低血糖的预防及护理对其预后改善显得尤为重要。为此，本文对我院夜间发生低血糖的老年糖尿病患者提供综合护理，现报道如下。

1 资料与方法

1.1 一般资料

选取2016年7月～2017年7月我院收治的夜间低血糖老年糖尿病患者88例，采用随机数字表法将其分为对照组和观察组，每组 44例。患者均符合糖尿病相关诊断标准，排除精神障碍、认知障碍、糖尿病酮症酸中毒、感染、心肌梗死等[3]。观察组中， 男24例，女20例；年龄60～82岁；合并症类型为高血压21例，肺心病9例，肾功能不全14例。对照组中，男23例，女21例；……