摘要
目的探讨优质护理干预在乙型肝炎肝硬化合并糖尿病患者中的应用效果。方法选择2019年1月-2020年1月期间该院收治的90例乙肝肝硬化合并糖尿病患者作为研究对象,随机分为优质护理组(46例)和对照组(44例)。对照组患者按照乙型肝炎肝硬化控制和糖尿病管理进行常规护理,优质护理组增加优质护理干预,对比两组干预前后患者血糖、肝功能指标变化。结果优质护理组干预3个月后ALT(38.05±7.02)U/L、AST(28.67±5.67)U/L、TB(20.14±5.14)μmol/L、DB(6.02±2.14)μmol/L指标水平显著低于对照组(82.57±10.57)U/L、(72.28±7.65)U/L、(38.03±4.67)μmol/L、(17.57±1.97)μmol/L,差异有统计学意义(P<0.05)。优质护理组干预3个月后空腹血糖(4.67±0.89)mmol/L、餐后2 h血糖(7.62±2.12)mmol/L、糖化血红蛋白(6.04±1.56)%指标水平,显著低于对照组(8.91±1.17)mmol/L、(12.84±1.68)mmol/L、(8.15±1.96)%,差异有统计学意义(P<0.05)。结论乙肝肝硬化合并糖尿病患者积极实施针对性的优质护理,可促进其肝功能改善,并提升血糖控制效果,临床应用效果可靠。
Objective To explore the application effect of high-quality nursing intervention in patients with hepatitis B liver cirrhosis and diabetes.Methods From January 2019 to January 2020,90 patients with hepatitis B and cirrhosis with diabetes in the hopsital were selected as the research objects,and they were randomly divided into high-quality care group(46 cases)and control group(44 cases).Patients in the control group were given routine nursing care in accordance with hepatitis B cirrhosis control and diabetes management.The high-quality nursing group added high-quality nursing intervention to compare the changes in blood glucose and liver function indexes of the two groups before and after intervention.Results After 3 months of intervention in the quality care group,ALT(38.05±7.02)U/L,AST(28.67±5.67)U/L,TB(20.14±5.14)μmol/L,DB(6.02±2.14)μmol/L index levels were significant Lower than the control group(82.57±10.57)U/L,(72.28±7.65)U/L,(38.03±4.67)μmol/L,(17.57±1.97)μmol/L,the difference was statistically significant(P<0.05).The index levels of fasting blood glucose(4.67±0.89)mmol/L,2 h postprandial blood glucose(7.62±2.12)mmol/L,and glycosylated hemoglobin(6.04±1.56)%index levels of the high-quality nursing group after 3 months of intervention were significantly lower than those of the control group(8.91±1.17)mmol/L,(12.84±1.68)mmol/L,(8.15±1.96)%,the difference was statistically significant(P<0.05).Conclusion Active implementation of targeted and high-quality care for patients with hepatitis B liver cirrhosis and diabetes can promote the improvement of their liver function and improve the effect of blood glucose control.The clinical application effect is reliable.
作者
杨欣
YANG Xin(Fourth Department of Liver Diseases,Qiqihar Infectious Disease Prevention and Treatment Hospital,Qiqihar,Heilongjiang Province,161000 China)
出处
《糖尿病新世界》
2021年第8期156-158,169,共4页
Diabetes New World Magazine
关键词
优质护理
乙型肝炎
肝硬化
糖尿病
血糖
肝功能
Quality care
Hepatitis B
Liver cirrhosis
Diabetes
Blood glucose
Liver function
作者简介
杨欣(1976-),女,本科,副主任护师,研究方向为内科护理。
