糖尿病新世界
糖尿病新世界
당뇨병신세계
Diabetes New World
2015年
18期
119-121
,共3页
2型糖尿病%冠心病%循证护理%预后
2型糖尿病%冠心病%循證護理%預後
2형당뇨병%관심병%순증호리%예후
Type 2 Diabetes Mellitus%Coronary Heart Disease%Evidence-based Care%Prognosis
目的 探讨循证护理对2型糖尿病并冠心病患者疗效的影响及对预后的改善. 方法 选择56例在该院就诊的2型糖尿病并冠心病患者作为对象,随机法分为护理组与对照组,每组28例. 护理组循证护理干预,对照组常规干预.比较两组护理后的收缩压(SBP)、舒张压(DBP)、糖化血红蛋白(HbA1c)及空腹血糖(FBS)、心脏指数(CI)、LVEF指标差异,随访1年,比较两组患者生活质量评分(QOF),血糖达标率,并发症情况及主要心脏事件发生率(MACE). 结果 护理组SBP、DBP、HbA1c、FBS水平显著低于对照组,而CI与LVEF明显高于对照组,差异有统计学意义(P<0.05),随访后,并发症发生率、MACE发生率均要低于对照组,而QOF评分、血糖达标率、与服药依从性要高于对照组(P<0.05).结论 循证护理干预能够调节2型糖尿病并冠心病患者的预后,有助疗效提高,有应用推广意义.
目的 探討循證護理對2型糖尿病併冠心病患者療效的影響及對預後的改善. 方法 選擇56例在該院就診的2型糖尿病併冠心病患者作為對象,隨機法分為護理組與對照組,每組28例. 護理組循證護理榦預,對照組常規榦預.比較兩組護理後的收縮壓(SBP)、舒張壓(DBP)、糖化血紅蛋白(HbA1c)及空腹血糖(FBS)、心髒指數(CI)、LVEF指標差異,隨訪1年,比較兩組患者生活質量評分(QOF),血糖達標率,併髮癥情況及主要心髒事件髮生率(MACE). 結果 護理組SBP、DBP、HbA1c、FBS水平顯著低于對照組,而CI與LVEF明顯高于對照組,差異有統計學意義(P<0.05),隨訪後,併髮癥髮生率、MACE髮生率均要低于對照組,而QOF評分、血糖達標率、與服藥依從性要高于對照組(P<0.05).結論 循證護理榦預能夠調節2型糖尿病併冠心病患者的預後,有助療效提高,有應用推廣意義.
목적 탐토순증호리대2형당뇨병병관심병환자료효적영향급대예후적개선. 방법 선택56례재해원취진적2형당뇨병병관심병환자작위대상,수궤법분위호리조여대조조,매조28례. 호리조순증호리간예,대조조상규간예.비교량조호리후적수축압(SBP)、서장압(DBP)、당화혈홍단백(HbA1c)급공복혈당(FBS)、심장지수(CI)、LVEF지표차이,수방1년,비교량조환자생활질량평분(QOF),혈당체표솔,병발증정황급주요심장사건발생솔(MACE). 결과 호리조SBP、DBP、HbA1c、FBS수평현저저우대조조,이CI여LVEF명현고우대조조,차이유통계학의의(P<0.05),수방후,병발증발생솔、MACE발생솔균요저우대조조,이QOF평분、혈당체표솔、여복약의종성요고우대조조(P<0.05).결론 순증호리간예능구조절2형당뇨병병관심병환자적예후,유조료효제고,유응용추엄의의.
Objective To explore evidence-based nursing for patients with type 2 diabetes and coronary heart disease af-fects the effects and improve prognosis. Methods To choose the 56 cases in our hospital patients with type 2 diabetes and coronary heart disease as an object, they were randomly divided into treatment group and control group28 cases. Evidence-based nursing care intervention group and control group routine intervention.Systolic blood pressure between the two group safter treatment (SBP),diastolic blood pressure (DBP),glycated hemoglobin (HbA1c)and fasting blood sugar (FBS),cardiac index (CI), LVEF indexes were followed up for1 year,the quality of life between the two groups of patients Rating(QOF),blood glu-coserate, complications and the incidence of major cardiac events(MACE). Results Care group SBP, DBP, HbA1c, FBS was significantly lower than the control group, while CI and LVEF was significantly higher, the difference was statistically signif-icant(P<0.05),follow-up,the incidence of complications, MACE incidence rate lower than in the control group, while QOF score, blood glucoseratio, and medication compliance to the control group (P<0.05).Conclusion Evidence-based nursing in-tervention can regulate type2 diabetes and coronary heart disease prognos is will help to improve the efficacy, there is sig-nificance to promote the application.