黄巧云

[摘要] 目的 分析循证护理对糖尿病重症脑卒中患者血糖水平的改善作用，并对比患者出现压疮的几率。方法 选取该院2018年1—12月收治的46例糖尿病重症脑卒中患者，将其随机分为实验组和对比组，每组23例患者，实验组加用循证护理，对比组利用传统护理，比较两组血糖水平、压疮发生率等情况差异。结果 实验组压疮发病率13.04%，护理满意度100.00%，对比组压疮发病率30.43%，护理满意度78.26%，两组护理后空腹血糖、餐后2 h血糖、糖化血红蛋白、住院时间差异有统计学意义（P<0.05）。结论 糖尿病重症脑卒中患者的疾病症状由于糖尿病影响，出现更大治疗压力，对所选患者进行循证护理，患者的护理效果更高，血糖控制效果稳定，压疮发生率降低。

[关键词] 糖尿病重症脑卒中;循证护理;血糖水平;压疮发生率

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）06（a）-0135-03

[Abstract] Objective To analyze the effect of evidence-based nursing on the improvement of blood glucose levels in patients with severe diabetic stroke， and to compare the probability of pressure ulcers in patients. Methods 46 patients with severe diabetic stroke admitted to the hospital from January to December 2018 were randomly divided into an experimental group and a comparative group， with 23 patients in each group. The experimental group was supplemented with evidence-based nursing. The comparison group used traditional nursing to compare the difference in blood glucose level and pressure ulcer incidence between the two groups. Results The incidence of pressure ulcers in the experimental group was 13.04%， and the nursing satisfaction was 100.00%. The incidence of pressure ulcers in the control group was 30.43%， and the nursing satisfaction was 78.26%. The fasting blood glucose after the treatment， the blood glucose at 2 hours after the meal， the glycosylated hemoglobin， and the length of hospital stay. The difference was statistically significant（P<0.05）. Conclusion The disease symptoms of diabetic patients with severe stroke are affected by diabetes， and there is greater treatment pressure. Evidence-based nursing is performed on the selected patients. The patient s nursing effect is higher， the blood glucose control effect is stable， and the incidence of pressure ulcers is reduced.

[Key words] Severe diabetic stroke; Evidence-based nursing; Blood glucose levels; Incidence of pressure ulcers

糖尿病重症脑卒中患者与单纯重症脑卒中患者差异较大，单纯重症脑卒中患者的治疗压力相对较小。通过常规抗凝、神经类药物治疗，能够取得较好的治疗效果[1-2]。但患者一旦合并糖尿病，就会造成患者出现严重的微循环障碍，患者的重症脑卒中症状，与其糖尿病症状有一定的关联，且患者发病后，脑卒中与糖尿病两种疾病之间不断相互作用，使得患者的治疗难度增加[3-4]。糖尿病重症脑卒中患者在治疗期间，由于患者存在较为严重的循环障碍，患者的治疗效果见效较慢，同时患者在治疗过程中的住院时间等均较单纯脑卒中患者的时间更长，临床护理工作压力更大。传统护理能够帮助患者顺利配合治療，但对患者治疗效果、依从的改善相对不足，该文2018年1—12月对所选46例患者开展循证护理，观察循证护理对患者护理质量的改善作用，现报道如下。……