探讨预见性干预对老年糖尿病患者低血糖发生情况的改善作用.docxVIP

探讨预见性干预对老年糖尿病患者低血糖发生情况的改善作用 长沙县第一人民医院湖南长沙410142 【摘要】目的探讨预见性干预对老年糖尿病患者低血糖发生情况的 改善效果。方法 选择我院2015年4月一2016年4月收治的48例老年糖丿求病患 者作为观察对象，按照护理方法的不同，分为研究组与对照组两个小组，对照组 采用传统护理干预方法，共24例患者。研究组在对照组护理基础上增加个性化 护理干预方法，共24例患者。对两组的护理效果进行对比。结果护理后，研究 组糖尿病患者无一例低血糖并发症发生，明显低于对照组的25.00%；两组生活 质量评分中,研究组心理功能(78.80plusmn;8.98)分、行为能力 (77.30plusmn;4.85)分、生理能力(81.23plusmn;4?89)分、社会功能 (70.14plusmn;5.25)分等评分均高于对照组(Plt;0.05)。结论 预见性护理干 预措施应用于老年糖尿病的治疗屮，有助于降低患者低血糖并发症的发生，还可 提高患者生活质量，对患者的康复有重大意义。 【关键词】老年糖尿病；低血糖；护理干预；预见性 [Abstract]objective to explore the predictive intervention to improve the effect of what is happening in elderly patients with diabetes low blood sugar.Methods from April 2015 to April 2016 were 48 cases of elderly diabetes patie nts as research object, accordi ng to the d iff ere nt method of n ursi ng，the two teams divided into research group and control group, control group adopts the traditional nursing intervention method, a total of 24 patients.The team in the control group based on nursing personalized nursing intervention methods, a total of 24 patients.To contrast the nursing effect of the two groups.Results after nursing，the team no hypoglycemia complications in diabetic patients，significantly lower than the control group 25.00%； Quality of life score in two groups, group psychological function (78.80 + 8.98), behavior (77.30 + 4.85) points, physical ability (81.23 + 4.89) points, classification of social function (70.14 + 5.25) score were higher than control group (P lt; 0.05) .Conclusion predictive nursing interventions used in the treatment of senile diabetes, helps to reduce the incidenee of complications in patients with hypoglycemia, also can improve the patients quality of life, rehabilitation of the patients with significant. [Key words]elderly diabetes； Low blood sugar； Nursing intervention； predictability 随着年龄的增大，老年人自身免疫系统及身体机能都在退化，药物代谢 半衰期增长，代谢功能也在下降，身体调节能力变差等状况发生低血糖的几率变 大⑴。资料显示，低血糖的主要诱因是人多数老年糖尿病患者都存在饮食不当 的情况，如进食太少或空腹服用降血糖药物等，此外，患者饮酒过度或体力劳动 过大，也会引发低血糖的发生，这严重损害心脑等脏器，甚至会导