孙灵 吴桂梅 刘凤彬

【摘要】 目的：探究个性化护理指导对文拉法辛治疗糖尿病周围神经病变患者的应用效果。方法：选取2017年4月-2019年4月笔者所在医院收治的108例糖尿病周围神经病变患者，将其随机分为观察组与对照组，各54例。所有患者均采用文拉法辛治疗，对照组采用常规护理，观察组采用个性化护理指导。比较两组护理效果。结果：护理后，观察组各项遵医行为评分均高于对照组，差异有统计学意义（P<0.05）。护理后，观察组空腹血糖、餐后2 h血糖及睡前血糖水平均低于对照组，差异有统计学意义（P<0.05）。结论：对糖尿病周围神经病变患者采用文拉法辛治疗期间应用个性化护理指导，可有效提高患者遵医行为，提升患者血糖控制效果，值得推广。

【关键词】 糖尿病周圍神经病变 个性化护理指导 遵医行为 血糖水平

doi：10.14033/j.cnki.cfmr.2020.13.042 文献标识码 B 文章编号 1674-6805（2020）13-0-03

Effect of Personalized Nursing Guidance on Patients with Diabetic Peripheral Neuropathy Treated by Venlafaxine/SUN Ling， WU Guimei， LIU Fengbin. //Chinese and Foreign Medical Research， 2020， 18（13）： -105

[Abstract] Objective： To explore the effect of personalized nursing guidance on patients with diabetic peripheral neuropathy treated by Venlafaxine. Method： A total of 108 patients with diabetic peripheral neuropathy admitted in our hospital from April 2017 to April 2019 were selected. They were randomly divided into the observation group and the control group， with 54 cases in each group. All patients were treated by Venlafaxine. The control group received routine nursing， and the observation group received personalized nursing guidance. The nursing effect of the two groups was compared. Result： After nursing， the scores of various compliance behaviors in the observation group were higher than those in the control group， the differences were statistically significant （P<0.05）. After the nursing， the fasting blood glucose， 2 h postprandial blood glucose and bedtime blood glucose levels of the observation group were lower than the control group， the differences were statistically significant （P<0.05）. Conclusion： The application of personalized nursing guidance during the treatment of patients with diabetic peripheral neuropathy by Venlafaxine can effectively improve the patients compliance behavior， and improve the patients blood glucose control effect， which is worthy of promotion.

[Key words] Diabetic peripheral neuropathy Personalized nursing guidance Compliance behavior Blood glucose level

First-authors address： Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou 350004， China

糖尿病周围神经病变属于糖尿病并发症之一，因血糖持续处于高水平状态，导致神经系统受损，对全身神经系统均会产生影响[1]。有研究显示，60%～90%的糖尿病患者均会出现糖尿病周围神经病变并发症，与糖尿病病程、血糖控制不佳及高脂血症等因素相关[2]。该并发症发生后，患者可表现为四肢麻木、手足灼热或冰凉、针刺样疼痛等，随着疾病进展，可导致足部坏疽、溃疡发生，严重时需截肢，对患者生活质量带来严重影响[3]。所以，糖尿病周围神经病变患者需及时进行治疗，同时配合有效的护理措施，保证治疗效果的实现。本次研究对108例糖尿病周围神经病变患者进行研究，对个性化护理指导应用的效果进行观察，现报告如下。

1 资料与方法

1.1 一般资料

选取2017年4月-2019年4月笔者所在医院收治的108例糖尿病周围神经病变患者，所有患者均符合糖尿病周围神经病变诊断标准，（1）四肢感觉运动神经病变：麻木、痛觉障碍、无力、烧灼;（2）肌电图检查：神经传导速度减慢;（3）查体：跟腱、膝反射消失或减弱。……