王洪香 史秀花

[摘要] 目的 探究早期康復(fù)護(hù)理對(duì)老年糖尿病合并心肌梗死患者的臨床效果。方法 將2017年7月—2019年4月期間在該院接受住院治療的老年糖尿病合并心肌梗死患者作為研究對(duì)象，共計(jì)90例。將患者按照隨機(jī)數(shù)字表分組法，隨機(jī)分為對(duì)照組和實(shí)驗(yàn)組，每組45例，對(duì)照組患者采用常規(guī)護(hù)理，實(shí)驗(yàn)組患者則在常規(guī)護(hù)理上實(shí)施早期康復(fù)護(hù)理。對(duì)比兩組患者干預(yù)前后血糖值指標(biāo)以及生活質(zhì)量評(píng)分。結(jié)果 兩組患者護(hù)理前空腹血糖值、餐后2 h血糖值以及糖化血紅蛋白指標(biāo)差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）;護(hù)理后，實(shí)驗(yàn)組患者空腹血糖值、餐后2 h血糖值以及糖化血紅蛋白指標(biāo)，均明顯低于對(duì)照組（P<0.05）;實(shí)驗(yàn)組患者生活質(zhì)量評(píng)分明顯高于對(duì)照組，組間差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 早期康復(fù)護(hù)理可改善老年糖尿病合并心肌梗死患者生活質(zhì)量，護(hù)理效果顯著。

[關(guān)鍵詞] 早期康復(fù)護(hù)理;糖尿病;老年;心肌梗死;臨床效果

[中圖分類號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）08（a）-0081-03

[Abstract] Objective To explore the clinical effect of early rehabilitation nursing on elderly patients with diabetes mellitus complicated with myocardial infarction. Methods A total of 90 patients with senile diabetes mellitus complicated with myocardial infarction who were hospitalized in the hospital from July 2017 to April 2019 were enrolled. The patients were randomly divided into the control group and the experimental group according to the random number table method. The control group received routine care， and the experimental group performed early rehabilitation care on routine care. Blood glucose values? and quality of life scores were compared between the two groups before and after intervention. Results Before nursing there were no statistically significant differences in fasting blood glucose， postprandial blood glucose， and glycosylated hemoglobin between the two groups（P>0.05）. After nursing， the fasting blood glucose， postprandial blood glucose， and glycosylated hemoglobin in the experimental group were significantly lower than the control group（P<0.05）; the quality of life scores of the experimental group were significantly higher than that in the control group， and the difference between the groups was statistically significant（P<0.05）. Conclusion Early rehabilitation nursing can improve the quality of life of elderly patients with diabetes mellitus complicated with myocardial infarction， and the nursing effect is significant.

[Key words] Early rehabilitation nursing; Diabetes; Old age; Myocardial infarction; Clinical effect

糖尿病是一組以高血壓為特征的代謝性疾病[1]，而高血糖則是由于生物作用受損或胰島素分泌缺陷引起，還有可能兩者兼有[2]。糖尿病的主要臨床癥狀表現(xiàn)為疲乏無(wú)力、肥胖、多飲、多食、多尿以及消瘦[3]。由于糖尿病為慢性代謝性疾病，因此，早期多無(wú)明顯癥狀，而長(zhǎng)期的存在高血糖，則極易導(dǎo)致各種組織發(fā)生功能障礙，如腎、眼、血管以及心臟等功能受損，因此，極易合并冠心病[4]，使冠狀動(dòng)脈發(fā)生損傷，導(dǎo)致冠狀動(dòng)脈狹窄，甚至發(fā)生動(dòng)脈閉塞，且心肌梗死已成為糖尿病患者的主要合并癥之一。目前，臨床對(duì)糖尿病合并心肌梗死患者的治療方案尚已完善，但因治療后患者血糖容易反復(fù)，且術(shù)后患者恢復(fù)周期較長(zhǎng)，致使患者生活質(zhì)量受到嚴(yán)重影響[5]，因此，在對(duì)糖尿病合并心肌梗死患者實(shí)施治療時(shí)，還應(yīng)積極配合有效的護(hù)理干預(yù)，以促進(jìn)患者康復(fù)。早期康復(fù)護(hù)理是康復(fù)醫(yī)學(xué)和護(hù)理學(xué)相結(jié)合的專業(yè)技術(shù)，其護(hù)理目的主要為通過(guò)對(duì)患者實(shí)施有效的護(hù)理干預(yù)，達(dá)到快速促進(jìn)患者康復(fù)的目的，該次研究選取2017年7月—2019年4月期間在該院接受住院治療的老年糖尿病合并心肌梗死90例患者作為研究對(duì)象，探究早期康復(fù)護(hù)理對(duì)糖尿病合并心肌梗死患者血糖指標(biāo)及生活質(zhì)量的影響，現(xiàn)報(bào)道如下。