游小彧 洪美杨 潘晓蒙

[摘要] 目的 探讨优质护理在部队疗养院糖尿病患者中的应用效果。方法 选择2017年3月—2019年3月在该疗养院疗养的糖尿病患者60例，按照护理方式的不同分为两组，参照组（n=30）与观察组（n=30），分别采取常规护理与优质护理。对两组空腹血糖、糖化血红蛋白，餐后2 h血糖水平及护理满意度进行分析。 结果 研究组餐后2 h血糖、空腹血糖及糖化血红蛋白低于参照组，护理满意度高于对照组，差异有统计学意义（P<0.05）。 结论 对部队疗养院糖尿病患者实施优质护理能够显著帮助患者控制血糖水平，临床效果满意，值得推荐。

[关键词] 优质护理;疗养院;糖尿病

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1672-4062（2020）01（b）-0167-02

[Abstract] Objective To explore the application effect of quality nursing in diabetic patients in military nursing homes. Methods Sixty patients with diabetes mellitus who were convalesced in the nursing home from March 2017 to March 2019 were divided into two groups according to the different nursing methods. The reference group （n=30） and the observation group （n=30）， respectively with routinely nursing care and quality care. The fasting blood glucose， glycated hemoglobin， 2 h postprandial blood glucose level and nursing satisfaction were analyzed. Results The blood glucose， fasting blood glucose and glycosylated hemoglobin in the study group were lower than the reference group at 2 h after the meal. The nursing satisfaction was higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion The implementation of quality nursing care for patients with diabetes in military nursing homes can significantly help patients to control blood glucose levels， and the clinical results are satisfactory. It is worthwhile to promote.

[key words] Quality nursing; Nursing home; Diabetes

糖尿病屬于一种慢性疾病，是一种糖代谢紊乱诱发的一种代谢性疾病，近年来，糖尿病发病率呈逐年升高趋势，引起医学界及社会的关注[1]。糖尿病需终身治疗，治疗不及时会产生严重并发症。报道指出单纯药物治疗难以控制血糖，需结合有效护理方式，才能获得满意效果[2]。该研究选取在2017年3月—2019年3月就诊该疗养院糖尿病患者60例作为研究对象，收到满意效果，报道如下。

1 资料与方法

1.1  一般资料

于该疗养院就诊的糖尿病患者中选取60例作为研究对象，按照护理方式不同分为参照组与观察组，均30例。参照组实施常规护理，观察组实施优质护理。纳入标准：①空腹血糖水平>11.10 mmol/L; ②糖化血红蛋白>10%。排除标准：①难以完成该项研究患者;②妊娠或哺乳期孕妇;③合并肝肾等实质脏器损害。参照组中男22例，女8例;年龄66～90岁，平均（77.28±6.60）岁。观察组中男24例，女6例;年龄67～92岁，平均（77.30±6.62）岁。两组一般资料差异无统计学意义（P>0.05），具有可比性。