以循证支持为基础的综合护理对慢阻肺合并2型糖尿病患者预后的影响

目的探究以循证支持为基础的综合护理对慢阻肺合并2型糖尿病患者预后的影响。方法选取该院2018年3月—2019年3月收治的慢阻肺合并2型糖尿病患者88例,采用双盲法分为A组和B组,各44例。A组采用以循证支持为基础的综合护理,B组采用常规护理。护理2个月后观察效果,包括并发症发生率、呼吸功能评分及空腹血糖、餐后2 h血糖、糖化血红蛋白等指标。结果A组并发症发生率2.27%,低于B组的22.73%,对比差异有统计学意义(P<0.05)。A组呼吸功能评分(0.32±0.05)分,低于B组(1.05±0.12)分,对比差异有统计学意义(P<0.05)。A组空腹血糖、餐后2 h血糖、糖化血红蛋白等指标均低于B组,对比差异有统计学意义(P<0.05)。结论以循证支持为基础的综合护理在慢阻肺合并2型糖尿病患者中具有显著效果,可改善患者呼吸功能及血糖各指标,降低并发症发生风险,值得临床推广。

Impact of Comprehensive Nursing Based on Evidence-based Support on the Prognosis of Patients with COPD Complicated with Type 2 Diabetes

Objective To explore the effect of comprehensive nursing based on evidence-based support on the prognosis of patients with COPD complicated with type 2 diabetes.Methods 88 patients with COPD and type 2 diabetes treated in the hospital from March 2018 to March 2019 were selected and divided into group A and group B with 44 patients each by double-blind method.Group A used comprehensive nursing based on evidence-based support,and group B used routine nursing.The effects were observed after 2 months of nursing,including the incidence of complications,respiratory function scores and fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin and other indicators.Results The incidence of complications in group A was 2.27%,which was lower than 22.73%in group B,and the comparison was statistically significant(P<0.05).The respiratory function score of group A(0.32±0.05)points was lower than that of group B(1.05±0.12)points,and the comparison was statistically significant difference(P<0.05).Fasting blood glucose,2 h postprandial blood glucose,and glycated hemoglobin in group A were lower than those in group B,and the comparison was statistically significant difference(P<0.05).Conclusion Comprehensive nursing based on evidence-based support has significant effects in patients with COPD and type 2 diabetes,which can improve patients'respiratory function and blood glucose indexes,reduce the risk of complications,and is worthy of clinical promotion.