护理干预对老年2型糖尿病患者血糖的影响

目的 探讨护理干预对老年2型糖尿病患者血糖的影响.方法 采用随机、单盲的方法,选择我院老年2型糖尿病患者92例,随机干预组和对照组,观察期间有5例脱落,实际87例.干预组（44例）：常规降糖治疗配合在服药、运动、饮食、心理等方面的护理干预;对照组（43例）：常规降糖治疗.随访1年.观察两组随访前后的空腹血糖、餐后2h血糖、糖化血红蛋白水平变化.结果 护理干预组前空腹血糖、餐后2h血糖和糖化血红蛋白水平分别与对照组入组前比较,差异均无统计学意义（P＞0.05）;随访1年后,干预组空腹血糖、餐后2h血糖和糖化血红蛋白水平分别与对照组及自身前后比较,差异均有统计学意义（P＜0.05）.结论 护理干预有利于老年2型糖尿病患者血糖控制,护理干预效果较好,值得借鉴.

Influence of nursing intervention on blood glucose in elderly patients with Type 2 Diabetes Mellitus

Objective To discuss the application of nursing intervention for elderly patients with Type 2 Diabetes Mellitus the influence of blood glucose. Methods A randomized, single-blind method was conducted. 92 elderly patients with Type 2 Diabetes Mellitus were randomly divided into 2 groups. During the observation period 5 cases fall off, 87 elderly patients with Type 2 Diabetes Mellitus were followed up. The intervention group was treated by conventional hypoglycemic therapy combined with nursing interventions in the medication, diet, exercise, psychology etc （n=44） , while the control group was given conventional hypoglycemic therapy alone （n=43） .All patients of the two groups were followed up for one year. The level of blood glucose and Glycated hemoglobin were observed and compared between the 2 groups. Results There was no significant difference of preoperative variables such as fasting glucose, postprandial 2h blood glucose and Glycosylated hemoglobin between the 2 groups before the follow-up（P〉0.05）.After the nursing intervention, the level of blood glucose and Glycosylated hemoglobin in the intervention group was significantly lower than that in the control group, there was statistical sign difference between the two groups（P〈0. 05）, the same to their own before and after. Conclusion Nursing intervention is beneficial to control the blood glucose in elderly patients with Type 2 Diabetes Mellitus, which is worth learning.