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多样性护理对糖尿病合并冠心病护理效果以及遵医行为的影响(1)
http://www.100md.com 2019年8月15日 《糖尿病新世界》 2019年第16期
     [摘要] 目的 探讨多样性护理对糖尿病合并冠心病护理效果以及遵医行为的应用影响。 方法 选取该院2018年2月—2019年2月收治的糖尿病合并冠心病患者共88例,按照随机、平均分组原则分为观察组与对照组,每组44例患者,对照组给予常规护理,观察组给予多样性护理,对比分析两组患者遵医行为及依从性。结果 对照组在准时复诊、按时用药、合理运动、合理饮食、戒烟戒酒、定时自我监这几个方面遵医行为例数均显著低于观察组,组间比较,两组差异有统计学意義(P<0.05)。对照组的依从性(77.27%)明显低于观察组依从性(93.18%),组间比较,两组差异有统计学意义(P<0.05)。 结论 多样化护理对糖尿病合并冠心病护理疗效显著,有效改善患者的遵医行为,值得在临床上推广和运用。

    [关键词] 多样性护理;糖尿病合并冠心病;遵医行为;效果

    [中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2019)08(b)-0016-03

    [Abstract] Objective To explore the effect of diversity nursing on the nursing effect and compliance behavior of diabetes mellitus with coronary heart disease. Methods A total of 88 patients with diabetes mellitus complicated with coronary heart disease admitted to our hospital from February 2018 to February 2019 were enrolled. The patients were divided into observation group and control group according to the principle of randomization and average grouping. Each group had 44 patients, and the control group was given routine nursing, observation group gave diversity nursing, comparative analysis of two groups of patients compliance behavior and compliance was implemented. Results The number of follow-up behaviors in the control group on the time of on-time referral, on-time medication, reasonable exercise, reasonable diet, smoking cessation and alcohol withdrawal, and regular self-monitoring were significantly lower than the observation group, compared between two groups. The differences were statistically significant(P<0.05). The compliance of the control group (77.27%) was significantly lower than that of the observation group (93.18%), compared between the groups, and The difference between the two groups was statistically significant(P<0.05). Conclusion Diversified nursing has significant effect on the treatment of diabetes mellitus with coronary heart disease. Effectively improve the patient's compliance behavior, it is worth promoting and clinical use.

    [Key words] Diversity nursing; Diabetes complicated with coronary heart disease; Compliance with medical behavior; Effect

    冠心病目前主要治疗手段是介入治疗,但是介入治疗只能缓解当时的症状,不能影响疾病的发展。糖尿病合并冠心病会引起心绞痛和心功能的下降,严重可以引起心肌梗死或者猝死,所以需要高度重视。糖尿病合并冠心病特点主要是:①发生率高,起病比较隐匿;②血管病变比较严重,尤其以大血管、微血管为主。糖尿病是终身慢性疾病,心血管疾病是糖尿病最常见的并发症之一[1]。糖尿病合并冠心病发生率越来越多,要积极探索更有效的护理方法,提高患者的依从性,减少并发症的发生。该研究于2018年2月—2019年2月期间选取该院收治的88例糖尿病合并冠心病患者作为研究对象,采用多样性护理方法对糖尿病合并冠心病进行干预,现报道如下。

    1 资料与方法

    1.1 一般资料, 百拇医药(曹岩丽)
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