个性化护理干预对脑梗死合并糖尿病患者治疗依从性的影响

目的探究对脑梗死合并糖尿病患者实施人性化护理的临床效果。方法该次研究所有病例均为脑梗死合并糖尿病患者,共计120例,所有患者均选自该院2019年1月—2020年1月收治。应用随机数字表法对所有120例患者进行分组,分别为对照组和实验组,每组60例,两组患者分别接受一般护理干预和个性化护理干预,进行对照试验。对比两组患者护理前后的神经功能缺损评分(NIHSS)、空腹血糖(FPG)、餐后2 h血糖(2 hPG)和糖化血红蛋白(HbAlc)、治疗依从性、护理满意率。结果对照组患者护理前的NIHSS评分比较差异无统计学意义(P>0.05);对照组护理后的NIHSS评分高于实验组,组间差异有统计学意义(P<0.05);同时对照组患者护理后的FPG、2 hPG、HbA1c等临床指标均明显高于实验组,差异有统计学意义(P<0.05);在护理满意率和治疗依从优良率方面,对照组明显低于实验组,组间差异有统计学意义(P<0.05);实验组患者护理后Fugl—Meyer及Barthel评分与对照组相比更高,组间差异有统计学意义(P<0.05)。结论个性化护理干预能够有效提高脑梗死合并糖尿病患者的护理满意率和治疗依从性,同时对于改善患者血糖水平和神经缺损情况具有重要意义,具有在临床中广泛推广的应用价值。

The Influence of Personalized Nursing Intervention on the Treatment Compliance of Patients with Cerebral Infarction and Diabetes

Objective To explore the clinical effect of humanized nursing for patients with cerebral infarction and diabetes.Methods All cases in this study were cerebral infarction patients with diabetes,a total of 120 cases,and all patients were selected from the hospital from January 2019 to January 2020.All 120 patients were divided into control group and experimental group by random number table method,with 60 cases in each group.The two groups of patients received general nursing intervention and personalized nursing intervention respectively.There were 60 patients in the control group and 60 patients in the experimental group.Controlled test was carried out.The neurological impairment score(NIHSS),fasting blood glucose(FPG),postprandial 2 h blood glucose(2 hPG)and glycosylated hemoglobin(HbA1c)treatment compliance,and nursing satisfaction rate of the two groups of patients before and after nursing were compared.Results There was no statistically significant difference in the NIHSS scores of the patients in the control group before nursing and was not comparable(P>0.05);the NIHSS scores of the control group after nursing were higher than those of the experimental group,and the difference was statistically significant between the groups(P<0.05);the clinical indicators of FPG,2 hPG,HbA1c,etc.after nursing in the control group were significantly higher than those in the experimental group,and the difference was statistically significant(P<0.05);in terms of nursing satisfaction rate and treatment compliance rate,the control group were significantly lower than the experimental group.The difference was statistically significant(P<0.05);the Fugl-Meyer and Barthel scores of the experimental group were higher than those of the control group after nursing,and the difference was statistically significant(P<0.05).Conclusion Personalized nursing intervention can effectively improve the nursing satisfaction rate and treatment compliance of patients with cerebral infarction and diabetes.It is also of great significance for improving the blood glucose level and neurological deficit of patients,and has the application value of widespread clinical application.