优质护理对慢性阻塞性肺疾病合并糖尿病预后及生存质量影响
2020-11-23翁克姬陈丹凤江发英
翁克姬 陈丹凤 江发英
[摘要] 目的 探讨临床所采取优质护理对COPD合并糖尿病预后及生存质量影响。 方法 对92例该院收治COPD合并糖尿病患者予以选取,时间2018年8月—2019年8月,随机分组,比较对照组46例(常规护理)与观察组46例(优质护理)肺功能指标、血糖指标、生存质量以及护理满意度。结果 观察组FEV1、FEV1/FVC、MVV检测指标、生存质量各维度评分以及护理满意度均高于对照组,FPG、2 hPG低于对照组,差异有统计学意义(P<0.05)。结论 优质护理在COPD合并糖尿病病患中的应用有益于其肺功能及血糖指标的改善,并可推动生存质量及护理满意度提升,颇具推广价值。
[关键词] 优质护理;慢性阻塞性肺疾病;糖尿病;生存质量
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)09(b)-0084-03
The Effect of Quality Nursing on the Prognosis and Quality of Life of Chronic Obstructive Pulmonary Disease Complicated with Diabetes
WENG Ke-ji, CHEN Dan-feng, JIANG Fa-ying
Fujian Provincial Geriatric Hospital, Fuzhou, Fujian Province, 350000 China
[Abstract] Objective To explore the impact of high-quality clinical care on the prognosis and quality of life of COPD complicated with diabetes. Methods A total of 92 patients with COPD and diabetes in the hospital were selected from August 2018 to August 2019. They were randomly divided into two groups and compared the pulmonary function indexes of 46 cases in the control group (routine care) and the observation group (high-quality care), blood glucose indicators, quality of life and nursing satisfaction. Results The FEV1, FEV1/FVC, MVV test indicators, quality of life scores and nursing satisfaction in the observation group were higher than those in the control group, and FPG and 2 hPG were lower than the control group, the difference was statistically significant(P<0.05). Conclusion The application of high-quality care in COPD patients with diabetes is beneficial to the improvement of their lung function and blood glucose indicators, and can promote the quality of life and nursing satisfaction, which is of great promotion value.
[Key words] Quality care; Chronic obstructive pulmonary disease; Diabetes; Quality of life
有研究称[1-2],慢性阻塞性肺疾病(COPD)易诱发糖尿病,且治疗中不可避免使用的糖皮质激素,可造成血糖升高。而血糖控制不佳的糖尿病患者,其高浓度血糖水平更易诱发肺部感染,造成肺部弥散、通气功能障碍,进一步损伤肺脏[3]。因此当上述两种对人类健康存在严重威胁的慢性疾病于同一患者身上并存时,需加强对该类病患的护理管理,以在一定程度上降低治疗难度,获取良好预后[4]。优质护理的实质即以“以患者为中心”护理原则为出发点,为其提供富含人文关怀,且科学、高效的优质护理服务,以使患者切实感知护理人员的关爱与照护,整体上提升医疗服务质量。该文即针对该院2018年8月—2019年8月收治的92例COPD合并糖尿病患者所采取优质护理具体措施及效果展开研究,现报道如下。
1 资料与方法
1.1 一般资料
對92例该院收治COPD合并糖尿病患者予以选取。均予确诊,且处于COPD稳定期,具备基本沟通及理解能力,签署该研究知情同意书。排除存在心、肝、肾脏器严重病变、恶性肿瘤、精神以及认知障碍者。获该院伦理委员会同意。随机分组,对照组46例,男性29例,女性17例;年龄40~78岁,平均年龄(59.4±3.2)岁;病程1~8年,平均病程(4.2±2.1)年。观察组46例,男性28例,女性18例;年龄41~76岁,平均年龄(59.7±3.6)岁。病程0.9~9年,平均病程(4.1±2.5)岁。组间资料均衡,差异无统计学意义(P>0.05),具有可比性。