Effect of evidence-based nursing on blood glucose indexes in elderly patients with type 2 diabetes mellitus
循证护理对老年2型糖尿病患者血糖指标的效果

摘要

目的 研究对老年2型糖尿病患者实施循证护理方案，观察老年2型糖尿病患者血糖指标护理效果。方法 按照研究排除纳入要求选取本院2020年1月-2021年1月期间收治的老年2型糖尿病患者100例作为研究对象，根据护理模式的差异分为对照组（50例患者实施常规护理）,研究组（50例患者在常规护理的基础上实施循证护理干预）。比较两组老年2型糖尿病患者空腹血糖（FPG）、餐后2h血糖（2hPG）及糖化血红蛋白（HbAlc）改善情况。并分析两组患者经不同模式护理后的生活质量情况。结果 对照组与研究组两组患者护理后的FPG、2hPG及HbAlc水平相比两组患者护理前均明显降低，其中观察组患者护理后的改善情况显著优于对照组，差异有统计学意义（P＜0.05）。观察组患者生活质量平均得分明显高于对照组生活质量平均分，差距明显具有统计学意义（P＜0.05）。结论 对老年2型糖尿病患者采用循证护理模式的护理效果显著，能够有效改善2型老年糖尿病患者的血糖水平，并使其血糖水平得到长期的有效控制。这不仅提高了患者的生命安全，减少了质量缺陷、提高了护理水平，具有较强的应用价值，值得临床推广和进一步研究。

Abstract

Objective To study the implementation of evidence-based nursing program for elderly patients with type 2 diabetes and observe the nursing effect of blood glucose indicators in elderly patients with type 2 diabetes.
Methods in accordance with the requirements for excluding into selection in our hospital during January 2020-January 2021 elderly patients with type 2 diabetes treated 100 cases as the research object, according to the differences of the nursing mode is divided into control group (50 patients implement routine nursing), group (50 cases on the basis of conventional nursing implementation of evidence-based nursing intervention). The improve- ment of fasting blood glucose (FPG), 2 h postprandial blood glucose (2hPG) and glycosylated hemoglobin (HbAlc) in elderly type 2 diabetic patients was compared between the two groups. The quality of life of two groups of patients after different nursing mode was analyzed.
Results The levels of FPG, 2hPG and HbAlc in the control group and the research group after nursing were significantly lower than those before nursing, and the improvement of observation group after nursing was significantly better than that in the control group, with statistical signify- cance (P<0.05). The average score of quality of life in the observation group was significantly higher than that in the control group, with statistically significant difference (P<0.05).
Conclusion   Evidence-based nursing mode has significant nursing effect on elderly patients with type 2 diabetes, which can effectively improve the blood glucose level of elderly patients with type 2 diabetes and effectively control their blood glucose level for a long time. This not only improves the patient's life safety, reduces the quality defect, improves the nursing level, has a strong application value, worthy of clinical promotion and further research.