泮莹飞　杜康

[摘要] 目的 探索对老年重度烧伤合并糖尿病患者实施护理产生的临床效果。方法 在该院筛选出68例老年重度烧伤合并糖尿病患者，时间选为2016年5月—2018年5月，使用抽签法对68例患者进行分组，各34例。实施一般护理为对照组，在一般护理基础上实施优化护理为实验组，观察两组产生的护理效果，并对护理后老年日后生活质量进行评估。结果 对比两组护理总有效率，实验组高于对照组，差异有统计学意义（P<0.05）;对两组护理前后生活质量进行分析，护理前两组数据差异无统计学意义（P>0.05），护理后两组都有显著改善，但实验组优于对照组，差异有统计学意义（P<0.05）。结论 对老年重度烧伤并糖尿病患者实施优化护理临床效果更佳，可以促进其早日恢复，提升了日后生活质量，值得临床推广与应用。

[关键词] 重度烧伤;糖尿病;优化护理;烧伤整形科

[中图分类号] R97          [文献标识码] A          [文章编号] 1672-4062（2020）02（a）-0015-03

Observation on Nursing Effect of Elderly Severe Burn Patients with Diabetes

PAN Ying-fei， DU Kang

Department of Burns and Plastic Surgery， the Chinese People's Liberation Army 73rd Group Hospital，Xiamen， Fujian Province，361003 China

[Abstract] Objective To explore the clinical effects of nursing for elderly patients with severe burns and diabetes. Methods Sixty-eight elderly patients with severe burns and diabetes were selected in the hospital. The time was selected from May 2016 to May 2018， and 68 patients were grouped by lot method， each with 34 patients. The general nursing was performed as the control group， and the optimized nursing was implemented as the experimental group based on the general nursing. The nursing effect produced by the two groups was observed， and the quality of life of the elderly after the nursing was evaluated. Results The total effective rate of nursing was compared between the two groups. The experimental group was higher than the control group with a statitically significant difference（P<0.05）. The quality of life before and after the two groups was analyzed. There was no difference statitically significant between the two groups before the nursing（P>0.05）. The latter two groups had significant improvement， but the experimental group was better than the control group with a statitically significant difference（P<0.05）. Conclusion Optimizing the clinical effect of optimizing nursing for elderly severely burned and diabetic patients can promote their early recovery and improve their quality of life in the future. It is worthy of clinical promotion and application.

[Key words] Severe burns; Diabetes; Optimized nursing; Burns and plastic surgery

老年人隨着年龄的增长，身体各项机能逐渐退化，特别是心理以及生理上的退化，容易并存许多病症。糖尿病是老年患者最常见的疾病。由于糖尿病是慢性疾病，加之老年人身体各项功能影响，病情较成年人来说较为复杂，治疗比较困难[1]。随着我国人口的增多，老龄化日渐上升，独居老人越来越多，导致老人在冬季取暖时会受到取暖设备烫伤的威胁，也会有因为烧水没有拿稳而被水壶烫伤的危险。由于老人身体机能差，自身血液循环较慢，致使自身细胞再生能力较弱，影响老人恢复健康。该文对该院筛选出的于2016年5月—2018年5月期间收治的68例重度烧伤合并糖尿病老年患者作为实验对象，分析优化护理对患者产生的临床效果，现报道如下。

1  资料与方式

1.1  一般资料

使用抽签法对该院筛选出68例重度烧伤合并糖尿病老年患者进行分组，分为实验组与对照组，两组均有34例。……