门诊护理干预对糖尿病患者降糖治疗效果和心理状态的影响

目的探究门诊护理干预对糖尿病患者降糖治疗效果和心理状态的影响。方法选取该院2018年3月—2019年3月门诊收取的60例糖尿病患者作为分析对象,按照抛硬币的形式分成对照组、观察组,每组30例,对照组给予常规护理,观察组实施门诊护理干预。比较两组患者护理前后的血糖变化、护理满意度及不良心理状态。结果护理前对照组空腹血糖水平(9.57±1.23)mmol/L、餐后2 h血糖(15.24±2.67)mmol/L,与观察组空腹血糖水平(8.48±1.50)mmol/L、餐后2 h血糖(14.55±2.06)mmol/L比较,差异无统计学意义(P>0.05);护理后对照组空腹血糖水平(7.48±1.54)mmol/L、餐后2 h血糖(12.45±2.33)mmol/L显著高于观察组水平空腹血糖水平(5.15±1.13)mmol/L、餐后2 h血糖(8.54±2.34)mmol/L,两组数据差异有统计学意义(P<0.05);观察组患者的护理满意度93.3%显著高于对照组80.0%,差异有统计学意义(P<0.05);观察组患者焦虑评分(35.14±7.31)分、抑郁评分(33.15±6.27)分显著低于对照组焦虑评分(46.38±9.64)分、抑郁评分(45.28±7.67)分,差异有统计学意义(P<0.05)。结论在糖尿病患者中实施门诊护理干预不仅可提高患者的疾病知识知晓率,同时可辅助平稳降糖,进而提升患者的生活质量,值得在临床上进一步推广应用。

The Effect of Outpatient Nursing Intervention on the Effect of Hypoglycemic Treatment and Psychological State of Diabetic Patients

Objective To explore in detail the effect of outpatient nursing intervention on the effect of hypoglycemic treatment and psychological state of diabetic patients.Methods Selected 60 diabetic patients collected from the outpatient clinic of this hospital from March 2018 to March 2019 as the analysis objects,and divide them into the control group and observation group according to the form of coin toss.Each group had 30 cases.The control group was given routine care and observation group implemented outpatient nursing intervention.The blood glucose changes,nursing satisfaction and poor mental state of the two groups of patients before and after nursing were compared.Results Before nursing,the fasting blood glucose level of the control group(9.57±1.23)mmol/L,the 2 h postprandial blood glucose(15.24±2.67)mmol/L and the observation group fasting blood glucose level(8.48±1.50)mmol/L,the 2 h postprandial blood glucose(14.55±2.06)mmol/L had no statistically significant difference(P>0.05);the fasting blood glucose level of the control group after nursing(7.48±1.54)mmol/L and the blood glucose 2 h postprandial blood glucose(12.45±2.33)mmol/L were significantly higher than the observation group's fasting blood glucose level(5.15±1.13)mmol/L,2 h postprandial blood glucose(8.54±2.34)mmol/L,the difference was statistically significant(P<0.05);the observation group’s nursing satisfaction was 93.3%,significantly higher than 80.0%of the control group,the difference was statistically significant(P<0.05);the observation group patients'anxiety score(35.14±7.31)points,depression score(33.15±6.27)points were significantly lower than the anxiety score of the control group was(46.38±9.64)points and the depression score(45.28±7.67)points,the difference was statistically significant(P<0.05).Conclusion The implementation of outpatient nursing intervention in diabetic patients can not only increase the patient's awareness of disease knowledge,but also help to smoothly reduce blood glucose,thereby improving the quality of life of patients.It is worthy of further promotion and application in clinical practice.