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为了全面评估临床护理路径对冠心病合并Ⅱ型糖尿病介入治疗效果及对生活质量的影响,本研究选择84例冠心病合并Ⅱ型糖尿病介入治疗患者作为研究对象,按照计算机随机数字表法分为对照组和试验组,每组42例,对照组给予常规护理,试验组给予临床护理路径护理,比较早期活动能力、住院时间和费用、生活质量评分及并发症情况。经分析比较发现:试验组患者的开始床上活动时间和床下活动时间短于对照组,而术后24 h的6 min步行距离和出院前1 d的12 min步行距离等明显高于对照组(p<0.01)。试验组住院时间和住院费用明显低于对照组(p<0.01)。试验组生活质量的躯体功能、认知功能、情绪功能、角色功能和社会功能等评分均高于对照组(p<0.05)。试验组心律失常及并发症发生率明显低于对照组(p<0.05)。对冠心病合并Ⅱ型糖尿病介入患者进行临床护理路径干预措施,利于患者早期活动,减少住院时间和费用,提高生活质量,降低并发症发生率。
In order to fully evaluate the effect of clinical nursing pathways on the interventional treatment of type 2 diabetes mellitus and the impact on quality of life, 84 patients with coronary heart disease and type 2 diabetes mellitus were selected as the study subjects, and were divided into two groups according to random number table Group and experimental group, 42 cases in each group. The control group was given routine nursing. The experimental group was given clinical nursing route nursing, early activity ability, hospitalization time and expense, quality of life score and complications. After analysis and comparison, we found that the starting bed activity and bed activity time of patients in trial group were shorter than that in control group, while the 6-minute walk distance at 24-hour postoperatively and 12-minute walking distance at 1-day before discharge were significantly higher than those in control group <0.01). The hospitalization and hospitalization costs of the experimental group were significantly lower than those of the control group (p <0.01). Quality of life in the test group physical quality, cognitive function, emotional function, role function and social function score were higher than the control group (p <0.05). The incidence of arrhythmia and complications in the experimental group was significantly lower than that in the control group (p <0.05). Coronary heart disease patients with type 2 diabetes intervention clinical nursing interventions, which will benefit patients early activities, reduce hospitalization time and costs, improve quality of life and reduce the incidence of complications.