郑冰钦 夏伟冰 殷满芳 钟健华

[摘要] 目的 以2型糖尿病合并呼吸衰竭患者为例，对优质护理在其中的应用效果进行分析探讨。 方法 该次将该院在2018年2月—2019年1月收治的2型糖尿病合并呼吸衰竭患者90例作为研究的主对象，以随机数字表法分成两个不同的组别，每组平均为45例;其中，对照组患者给予常规护理方法，观察组患者给予优质护理方法，进一步对两组临床护理效果进行分析评价。 结果 ①在空腹血糖（FPG）、餐后2 h血糖（2 hPG）、糖化血红蛋白（HbAlc）3项血糖水平，护理后观察组和对照组比较均显著更低（P<0.05）。②经积极护理后，观察组的pH值、PaO2和对照组对比均显著更高，观察组PaCO2则显著要比对照组低（P<0.05）。 结论 2型糖尿病合并呼吸衰竭患者采取优质护理的效果显著。

[关键词] 2型糖尿病;呼吸衰竭;优质护理;护理效果

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0094-03

Observation on the Effect of High-quality Nursing in Patients with Type 2 Diabetes Complicated by Respiratory Failure

ZHENG Bing-qin， XIA Wei-bing， YIN Man-fang， ZHONG Jian-hua

People's Hospital of Gaoming District， Foshan， Guangdong Province， 528500 China

[Abstract] Objective To analyze the application of high-quality nursing in patients with type 2 diabetes and respiratory failure as an example. Methods Ninety patients with type 2 diabetes and respiratory failure who were treated in the hospital from February 2018 to January 2019 were selected as the main subjects of the study. The random number table method was used to divide the patients into two different groups. 45 cases; among them， the patients in the control group were given conventional nursing methods， the patients in the observation group were given high-quality nursing methods， and the clinical nursing effects of the two groups were further analyzed and evaluated. Results 1.The blood glucose levels of fasting blood glucose （FPG）， post-prandial blood glucose （2 hPG）， and glycated hemoglobin （HbAlc） were significantly lower in the observation group and the control group after nursing（P<0.05）. 2.After active care， the pH and PaO2 of the observation group were significantly higher than those of the control group， and the PaCO2 of the observation group was significantly lower than that of the control group （P<0.05）. Conclusion Patients with type 2 diabetes mellitus complicated with respiratory failure have significant effects of taking good care.

[Key words] Type 2 diabetes; Respiratory failure; Quality nursing; Nursing effect

2型糖尿病，即成人發病型糖尿病，为内分泌科常见的一种疾病，该疾病发病和遗传、环境、年龄以及生活方式改变等因素密切相关。而对于呼吸衰竭来说，则是呼吸科常见的一种病症，指的是各类因素诱发的肺通气和（或）换气功能严重障碍疾病，主要因呼吸道病变、肺组织病变以及肺血管疾病等因素所致[1]。近年来，临床研究发现2型糖尿病患者，尤其是中老年人糖尿病患者，易合并呼吸衰竭，从而加大临床医治难度，严重威胁患者的生活质量[2]。从改善2型糖尿病合并呼吸衰竭患者的生活质量角度考虑，采取及时有效的医护干预方法非常关键。近年来，有学者表示优质护理在2型糖尿病合并呼吸衰竭患者中的应用价值颇高，可改善患者的血糖及呼吸功能。因此，该课题以该院于2018年2月—2019年1月收治的90例患者为对象，主要分析评优质护理的使用价值，涉及的研究内容及成果报道如下。……