老年重症监护室糖尿病患者血糖难控制的原因及护理策略研究.docxVIP

老年重症监护室糖尿病患者血糖难控制的原因及护理策略研究 　　[摘要]目的以icu内老年糖尿病患者为研究对象，对其血糖难控制的因素与护理策略进行探究。方法按照随机抽取的方式，将2018年1月—2019年2月前往该院icu治疗的70例老年糖尿病患者划分为两个小组，每组均为35例，并对两组患者的基本状况以及观察组患者血糖难控制的原因进行分析，然后对观察组患者采取护理干预策略。结果造成老年icu糖尿病患者血糖居高不下的因素是多方面的，如代谢紊乱、年龄较高、存在创伤性疾病、apacheⅱ评分不理想等，但经过实施护理干预措施以后，观察组患者的血糖浓度、糖化血红蛋白（hba1c）与护理前相比得到了显著改变（p0.05），同时还产生了远高于对照组的护理满意度（p0.05）。结论针对老年icu糖尿病患者血糖难控制的主因采取适宜的护理干预措施，能够使老年重症监护室糖尿病患者的血糖水平得到有效控制，有助于获得良好的护理满意度。 　　[关键词]icu;老年糖尿病患者;血糖控制;护理干预策略 　　[中图分类号]r47[文献标识码]a[文章编号]1672-4062（2020）02（a）-0172-03 　　studyonthecausesofdifficultbloodglucosecontrolandnursingstrategiesfordiabeticpatientsinelderlyintensivecareunit 　　xiongju-hua 　　departmentofcriticalcaremedicine，quanzhoufirsthospital，quanzhou，fujianprovince，362000china 　　[abstract]objectivetoinvestigatethefactorsandnursingstrategiesofdifficultcontrolofbloodglucoseinelderlypatientswithdiabetesintheicu.methodsaccordingtoarandomsamplingmethod，70elderlydiabeticpatientswhoweretreatedintheicuofthehospitalfromjanuary2018tofebruary2019weredividedintotwogroups，eachgroupwas35，andthebasicconditionsofthetwogroupsofpatients，thereasonsforthedifficultyofbloodglucosecontrolintheobservationgroupwereanalyzed，andthennursinginterventionstrategieswereadoptedintheobservationgroup.resultstherearemanyfactorsthatcausehighbloodglucoseinelderlyicudiabeticpatients，suchasmetabolicdisorders，higherage，traumaticdiseases，poorapacheⅱscore，etc.，butaftertheimplementationofnursinginterventions，theobservationgroupofpatientsofthebloodglucoseconcentrationandglycatedhemoglobin（hba1c）weresignificantlychangedcomparedwithbeforenursing（p0.05），andatthesametime，thenursingsatisfactionwasmuchhigherthanthatofthecontrolgroup（p0.05）.conclusiontakingappropriatenursinginterventionsforthemaincausesofdifficultbloodglucosecontrolinelderlyicudiabeticpatientscaneffectivelycontrolthebloodglucoselevelsofdiabeticpatientsinelderlyintensivecareunitsandhelptoobtaingoodnursingsatisfaction. 　　[keywords]icu;elderlydiabeticpatients;bloodglucosecontrol;nursinginterv