摘要
目的分析循证护理联合个体化营养干预在肺结核合并2型糖尿病患者中的应用价值。方法选取高州市慢性病防治站肺科住院部2019年8月—2020年8月收治的肺结核合并2型糖尿病住院患者70例,采用随机数表法,将其分为对照组与研究组,各35例,对照组采用常规护理,研究组在对照组基础上采用循证护理联合个体化营养干预。干预3个月后,比较两组患者的护理效果、护理质量、并发症发生率、血糖控制情况、相关知识知晓率以及世界卫生组织生活质量测定简表(WHO-QOL-BREF)评分。结果研究组的痰菌转阴时间显著短于对照组,差异有统计学意义(P<0.05);结核病灶控制率(97.14%)和护理满意度(97.14%)均显著高于对照组(74.29%、82.86%),差异有统计学意义(P<0.05);并发症发生率(2.86%)显著低于对照组(17.14%),差异有统计学意义(P<0.05)。干预后,研究组的血清空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)水平降低较对照组更低,差异有统计学意义(P<0.05);肺结核传染途径、糖尿病药物使用方法、饮食运动治疗方法、胰岛素注射法的知晓率均显著高于对照组,差异有统计学意义(P<0.05);WHO-QOL-BREF评分明显高于对照组,差异有统计学意义(P<0.05)。结论循证护理联合个体化营养干预可有效提高肺结核合并2型糖尿病患者结核病灶控制率,缩短痰菌转阴时间,还可改善患者血糖水平,提高患者疾病认知度和护理满意度,从而改善患者生活质量,值得临床推广。
Objective To analyze the application value of evidence-based nursing combined with individualized nutrition intervention in patients with pulmonary tuberculosis and type 2 diabetes. Methods A total of 70 inpatients with tuberculosis and type 2 diabetes who were admitted to the pulmonary department of Gaozhou Chronic Disease Prevention and Treatment Station from August 2019 to August 2020 were selected. Using the random number table method, they were divided into a control group and a study group, each with 35 cases. The control group adopted conventional nursing, and the Study group adopted evidence-based nursing combined with individualized nutrition intervention on the basis of the control group. After3 months of intervention, the care effect, quality of care, complication rate, blood glucose control status, awareness rate of related knowledge and WHO-QOL-BREF scores were compared between the two groups of patients. Results The time for the sputum to become negative in the study group was significantly shorter than that in the control group, and the difference was statistically significant(P<0.05). The tuberculosis focus control rate(97.14%) and nursing satisfaction(97.14%) were significantly higher than those in the control group(74.29%, 82.86%), the difference was statistically significant(P<0.05), the complication rate(2.86%) was significantly lower than the control group(17.14%), the difference was statistically significant(P<0.05). After the intervention, the study group the levels of serum fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG), and glycosylated hemoglobin(HbA1 c) levels were lower than those in the control group, and the difference was statistically significant(P<0.05), the transmission route of tuberculosis, the use of diabetes drugs, the awareness rate of dietary exercise therapy and insulin injection was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). The WHO-QOL-BREF score was significantly higher than that of the control group, and the difference was statistically significant(P <0.05). Conclusion Evidence-based nursing combined with individualized nutrition intervention can effectively improve the control rate of tuberculosis lesions in patients with pulmonary tuberculosis and type 2 diabetes, shorten the time for sputum bacteria to become negative, and can also improve the blood glucose level of patients, improve the patient`s disease awareness and nursing satisfaction, the quality of life of patients, which is worthy of clinical promotion.
作者
黎冬韵
LI Dongyun(Inpatient Department of Pulmonary Department,Gaozhou City Chronic Disease Prevention Station,Gaozhou,Guangdong Province,525200 China)
出处
《糖尿病新世界》
2021年第23期142-146,共5页
Diabetes New World Magazine
关键词
循证护理
个体化营养干预
肺结核
2型糖尿病
血糖水平
结核病灶控制率
Evidence-based nursing
Individualized nutrition intervention
Tuberculosis
Type 2 diabetes
Blood glucose level
Tuberculosis focus control rate
作者简介
黎冬韵(1983-),女,本科,主管护师,研究方向为临床护理。
