综合护理干预对慢性乙肝合并糖尿病患者的效果观察.docVIP

精品论文 参考文献 综合护理干预对慢性乙肝合并糖尿病患者的效果观察 龚忠惠（四川省医学科学院/四川省人民医院感染科 四川成都 10072) 【摘要】 目的 探讨综合护理干预措施在慢性乙肝合并糖尿病患者治疗中的临床应用效果。方法 选择我院2011年01月-2013年01月间收治的100例慢性乙肝合并糖尿病炎患者,将其随机分为干预组和对照组,每组各50例,对照组给予常规护理,干预组在此基础上给予饮食护理、血糖监测、胰岛素治疗指导、用药护理、心理护理、预防感染、休息与运动指导、出院指导等综合护理干预，观察比较两组患者的临床效果。结果 两组血糖控制及肝功能恢复正常、HBV-DNA转阴情况 干预组都优于对照组，两组比较有统计学意义（P＜0.05。干预组患者护理满意度为100%,显著高于对照组的82.0%, 组间差异有统计学意义(Plt;0.05)。结论 慢性乙肝合并糖尿病，两者相互影响，治疗上不像单一的慢性乙肝或糖尿病那样简单，护理也不是两种疾病的简单相加。通过慢性乙肝合并糖尿病患者进行综合护理干预, 有助于患者对疾病的正确认识，不仅可以提高对疾病的依从性，掌握自我护理的能力，而且能够提高治疗效果，预防并发症的发生，提高康复率，提高生活质量, 有很好的临床疗效, 值得在临床进一步推广。 【关键词】 慢性乙肝合并糖尿病 综合护理干预 效果观察 【中图分类号】R471 【文献标识码】A 【文章编号】2095-1752（2013）12-0126-02 Comprehensive nursing intervention on patients with chronic hepatitis B complicated with diabetes effect Gong Zhonghui (Sichuan Provincial Academy of Medical Sciences. Sichuan Provincial Peoples Hospital infection Sichuan Chengdu 10072） 【Abstract】 objective comprehensive nursing intervention in chronic hepatitis B patients with diabetes treatment in clinical application effect. Methods in our hospital from 2011 01 months -2013 years 01 months in 100 patients with chronic hepatitis B complicated with diabetes patients, which were randomly divided into intervention group and control group, 50 cases in each group, the control group was given routine nursing, the intervention group on the basis of diet nursing, monitoring of blood glucose, insulin therapy, medication guidance nursing, psychological nursing, prevention of infection, rest and exercise guidance, discharge guidance comprehensive nursing intervention, observe the clinical effect of the two groups were compared. results The results of two groups of control of blood glucose and liver function returned to normal, HBV-DNA negative cases in intervention group were better than the control group, the two groups was statistically significant (P lt;0.05) Intervention group patients satisfaction was 100%, significantly higher than 82.0%