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目的探讨综合护理干预对老年糖尿病合并心肌梗死患者临床疗效及心理状态的影响。方法选取该院2011年12月至2015年12月住院治疗的老年糖尿病合并心肌梗死患者300例作为研究对象,按随机数字表法分为对照组和观察组,各150例。对照组患者给予常规护理,观察组患者给予综合护理干预,比较两组患者护理效果。结果护理后,两组空腹血糖(FBG)、餐后2小时血糖(2h PG)及糖化血红蛋白(Hb A1c)水平均较护理前明显降低,且观察组降低幅度较对照组更明显,差异均有统计学意义(P<0.05)。观察组总有效率为92.7%(139/150),显著高于对照组的86.7%(130/150),差异有统计学意义(P<0.05)。经过相应护理后,观察组患者的生活质量评分明显高于对照组,抑郁自评量表(SDS)评分[(41.73±3.64)分]和焦虑自评量表(SAS)评分[(39.12±4.53)分]均明显低于对照组[分别为(48.12±4.17)分、(44.42±4.52)分],差异均有统计学意义(P<0.05)。结论综合护理干预措施可显著降低老年糖尿病合并心肌梗死患者血糖水平,改善患者生活质量及负面情绪,有利于患者预后恢复,值得临床进一步推广运用。
Objective To investigate the effect of comprehensive nursing intervention on the clinical efficacy and psychological status of elderly diabetic patients with myocardial infarction. Methods 300 elderly patients with diabetes mellitus and myocardial infarction hospitalized from December 2011 to December 2015 in our hospital were selected as the research objects and divided into control group and observation group according to the random number table method, each with 150 cases. Patients in the control group were given routine nursing care. Patients in the observation group were given comprehensive nursing intervention, and the nursing effect was compared between the two groups. Results After treatment, the levels of fasting blood glucose (FBG), 2-hour postprandial blood glucose (2h PG) and Hb A1c in both groups were significantly lower than those before treatment, and the decrease in the observation group was more significant than that in the control group Statistical significance (P <0.05). The total effective rate in the observation group was 92.7% (139/150), which was significantly higher than that in the control group (86.7%, 130/150). The difference was statistically significant (P <0.05). After corresponding nursing, the scores of quality of life in the observation group were significantly higher than those in the control group, SDS score [(41.73 ± 3.64)] and anxiety self-rating scale (SAS [39.12 ± 4.53 ) Were significantly lower than those in the control group [(48.12 ± 4.17) points and (44.42 ± 4.52) points respectively], with significant differences (P <0.05). Conclusion Comprehensive nursing intervention can significantly reduce the elderly diabetic patients with myocardial infarction blood glucose levels, improve patient quality of life and negative emotions, is conducive to the prognosis of patients with recovery, it is worth further clinical application.