细节护理在2型糖尿病患者护理中应用效果.docVIP

细节护理在2型糖尿病患者护理中应用效果 　　[摘要]目的 探讨细节护理在2型糖尿病患者的应用效果。方法 选取于2015年12月～2016年5月收治的96例2型糖尿病患者为研究对象，依据数字随机表法分为两组，均48例。对照组采用常规护理，观察组在对照组基础上采用细节护理。比较两组护理干预后血糖水平及服药依从性。结果 护理干预后，观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平分别为（7.08±1.48）mmol/L、（9.89±1.63）mmol/L、（6.42±1.36）%，均明显低于对照组（8.36±1.53）mmol/L、（11.63±1.57）mmol/L、（7.63±1.51）%，差异有统计学意义（P0.05）；观察组患者服药依从性（95.83%）明显高于对照组（72.92%），差异有统计学意义（P0.05）。结论 对2型糖尿病患者采用细节护理干预，可显著降低患者血糖水平，提高服药依从性，促进患者身体恢复，优势显著，具有临床推广意义。 　　[关键词] 细节护理；2型糖尿病；应用效果 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）06（a）-0162-03 　　[Abstract]Objective To explore the effect of detail nursing in patients with type 2 diabetes mellitus.Methods 96 patients with type 2 diabetes mellitus admitted in our hospital from December 2015 to May 2016 were selected and randomly divided into two groups based on the digital random table method.Patients in the control group were given routine care，while the patients in the observation group were given the detail nursing intervention based on the control group.The blood glucose level and medication compliance were compared between two groups.Results The levels of fasting plasma glucose，postprandial 2 h blood glucose and HbA1c in the observation group [（7.08±1.48） mmol/L，（9.89±1.63） mmol/L and （6.42±1.36）%] were lower than those in the control group [（8.36±1.53） mmol/L，（11.63±1.57） mmol/L，（7.63±1.51）%]；the compliance of the patients in the observation group （95.83%） was significantly higher than that in the control group （72.92%），and the difference was statistically significant （P0.05）.Conclusion The use of detailed nursing intervention in patients with type 2 diabetes can significantly reduce blood sugar levels，improve medication compliance，and promote the recovery of patients；the advantages are significant.It is worthy of clinical application. 　　[Key words]Detail nursing；Type 2 diabetes mellitus；Application effect 　　2型糖尿病是?R床比较常见的一种代谢性疾病，具有病程长、病情容易反复及容易引起肾脏、眼部等病变，严重危害人类健康[1]。目前，2型糖尿病尚无根治方法，患者需长时间服药，给患者日常生活带来不便，影响其服药依从性，使其血糖水平不易控制[2]。相关研究显示[3]，对2型糖尿