吴冬梅

[摘要]目的 分析多樣性护理在糖尿病合并冠心病患者护理中的应用效果。方法 选取2017年8月～2018年2月在我院接受治疗的70例糖尿病合并冠心病患者，用电脑随机编码法分成对照组和观察组，每组各35例。对照组实施常规护理，观察组实施多样性护理。比较两组血糖变化以及3个月后的生活质量。结果 两组护理前的空腹血糖（GLU）水平、护理后餐后2 h血糖水平比较，差异无统计学意义（P>0.05），护理后，观察组的GLU水平为（6.22±1.05）mmol/L、餐后2 h血糖（8.56±1.12）mmol/L，低于对照组[（7.15±1.12）、（10.54±1.24）mmol/L]，差异有统计学意义（P<0.05），护理后3个月，观察组的情感职能得分（86.65±2.34）分、精神健康得分（85.52±2.01）分、活动得分（88.69±2.34）分、社会功能得分（87.58±1.13）分、躯体疼痛得分（85.55±2.11）分、生理职能得分（86.64±2.30）分、生理功能得分（85.56±2.13）分、总体健康得分（89.59±2.01）分都高于对照组[（73.26±2.26）、（75.52±1.15）、（74.58±2.31）、（76.62±2.22）、（73.35±2.01）、（75.06±2.19）、（74.59±2.11）、（73.39±2.37）分]，差异均有统计学意义（P<0.05）；两组护理后的GLU水平、餐后2 h血糖水平都低于本组护理前，差异有统计学意义（P<0.05）。结论 多样性护理能降低糖尿病合并冠心病患者的血糖水平，提高其生活质量。

[关键词]糖尿病；冠心病；多样性护理；应用效果

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）8（b）-0215-04

Effectiveness of application of diversified nursing modes in nursing care of patients with diabetes mellitus complicated with coronary heart disease

WU Dong-mei

Department of Orthopedics， Hospital of Traditional Chinese Medicine of Longchuan County， Guangdong Province， Longchuan 517300， China

[Abstract] Objective To analyze the effect of application of diversified nursing in nursing care of patients with diabetes mellitus complicated with coronary heart disease. Methods Altogether 70 diabetes mellitus patients complicated with coronary heart disease who were treated in our hospital from August 2017 to February 2018 were divided into the control groups and the observation group by using computer random coding， 35 casea in each group. The control group was received routine nursing and the observation group was received diversified nursing， respectively. The changes of blood glucose and the quality of life at post-nursing three months were compared between the two groups. Results There was no statistically significant difference between the two groups in the level of fasting blood glucose and postprandial blood glucose before nursing （P>0.05）. The level of post-nursing fasting blood glucose and postprandial blood glucose at post-nursing two hours were （6.22±1.05） mmol/L and （8.56±1.12） mmol/L， which were lower than those of the control group （[7.15±1.12] mmol/L and [10.54±1.24] mmol/L）， with statistically significant difference （P<0.05）. At post-nursing three months， the emotional function score， mental health score， activity score， social function score， body pain score， physical limitation score， physiological function score and total health score were （86.65±2.34）， （85.52±2.01）， （88.69±2.34）， （87.58±1.13）， （85.55±2.11）， （86.64±2.30）， （85.56±2.13） and （89.59±2.01） scores， higher than those of the control group （[73.26±2.26]， [75.52±1.15]， [74.58±2.31]， [76.62±2.22]， [73.35±2.010]， [75.06±2.19]， [74.59±2.11] and[（73.39±2.37] scores）， with statistically significant differences （P<0.05）. The level of post-nursing fasting blood glucose and postprandial blood glucose at post-nursing two hours of the two groups were lower than those before nursing， with statistically significant difference （P<0.05）. Conclusion Diversified nursing can reduce the blood glucose level and improve the quality of life for diabetes mellitus patients complicated with coronary heart disease.

[Key words] Diabetes mellitus； Coronary heart disease； Diversified nursing； Application effect

糖尿病是多种心血管疾病的独立危险因素，长期的高血糖会持续损害多个脏器功能，引发并发症，糖尿病合并冠心病是临床高发病[1]，治疗与护理难度同时增加，病情更加危重，需要及时控制，除了冠心病这一并发症，糖尿病还容易引发感染、糖尿病足等多种病症，调查发现，合并感染的糖尿病患者，生活质量极差，溃疡、疼痛等不良反应严重损害患者身心健康，因此，对糖尿病积极控制血糖十分重要，一般的药物干预能够稳定血糖指標，但是，饮食、运动、生活行为等也会对血糖值产生影响，故此，在药物控制外，还应予以护理指导，使患者保持良好的生活行为，积极运动，合理进食。多样性护理是指护理内容的丰富化，更加系统全面，本文为分析多样性护理应用在糖尿病合并冠心病患者护理中的效果，现报道如下。

1资料与方法