综合护理干预对糖尿病患者血浆脑钠肽水平的影响.docVIP

精品论文 参考文献 综合护理干预对糖尿病患者血浆脑钠肽水平的影响 吴志华 李 松 林 茴 易旦冰 杨 红 　　深圳市福田区人民医院手术室 广东深圳 518033 　　【摘 要】目的：了解我院综合护理干预对2 型糖尿病患者血浆脑钠肽水平的影响。方法：纳入我院2013 年1 月至2014 年11 月确诊为2 型糖尿病的患者100 例，按随机数字表法平均分为两组，其中对照组50 例，接受我院护理和常规的我院糖尿病 健康教育，观察组50 例，在对照组的基础上采用综合护理干预模式。分别于干预前及干预后对两组患者的血浆脑钠肽水平及左 室的射血分数、左室舒张末期内径指标，干预6 个月后糖化血红蛋白、自我效能等指标进行分析，探讨两种干预手段对我院2 型糖尿病患者的影响。结果：干预后观察组的血浆钠肽水平低于对照组，两组比较具有统计学差异（P＜0.05）；观察组左室的射 血分数明显高于对照组，两组比较具有统计学差异（P＜0.05）；观察组的左室舒张末期内径小于对照组，两组比较具有统计学差 异（P＜0.05）；干预6 个月后对照组自我效能与干预前评分无统计学差异（P＞0.05），观察组干预6 个月后自我效能评分明显高 于干预前（P＜0.05）；对照组干预前后糖化血红蛋白检测值无统计学差异（P＞0.05），观察组干预6 个月后糖化血红蛋白检测值 明显低于干预前，差异具有统计学意义（P＜0.05）。结论：采用综合护理干预能有效的改善患者的心脏功能，降低患者的糖化血 红蛋白，增加自我效能。 　　【关键词】综合护理干预；2 型糖尿病；血浆钠肽水平；自我管理能力；自我效能 　　Influence of comprehensive nursing intervention on plasma brain natriuretic peptide levels in patients with diabetes Abstract：Objective：To understand the impact of our hospital comprehensive nursing intervention on type 2 plasma brain natriuretic peptide levels in patients with diabetes.Methods：Hospital from January 2013 to November 2014 for the 100 patients diagnosed with type 2 diabetes，according to a random number table were divided into two groups，a control group of 50 patients receiving hospital care and regular hospital diabetes health education，the observation group，50 cases in the control group on the basis of an integrated nursing intervention mode.Two groups of patients with ejection fractions of plasma brain natriuretic peptide levels and the left ventricle were pre-intervention and post-intervention，the left ventricular end-diastolic diameter index，six months after the intervention glycated hemoglobin，self-efficacy and other indicators were analyzed to explore the two intervention in our hospital patients with type 2 diabetes.Results：sodium plasma peptide levels observed after the intervention group than the control group，the two groups have significant difference（P lt;0.05）；observation group was significantly higher left ventricular ejection fraction，with a significant differen