老年重度燒傷合并糖尿病患者的護(hù)理效果觀察

泮瑩飛　杜康

[摘要] 目的 探索對(duì)老年重度燒傷合并糖尿病患者實(shí)施護(hù)理產(chǎn)生的臨床效果。方法 在該院篩選出68例老年重度燒傷合并糖尿病患者，時(shí)間選為2016年5月—2018年5月，使用抽簽法對(duì)68例患者進(jìn)行分組，各34例。實(shí)施一般護(hù)理為對(duì)照組，在一般護(hù)理基礎(chǔ)上實(shí)施優(yōu)化護(hù)理為實(shí)驗(yàn)組，觀察兩組產(chǎn)生的護(hù)理效果，并對(duì)護(hù)理后老年日后生活質(zhì)量進(jìn)行評(píng)估。結(jié)果 對(duì)比兩組護(hù)理總有效率，實(shí)驗(yàn)組高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;對(duì)兩組護(hù)理前后生活質(zhì)量進(jìn)行分析，護(hù)理前兩組數(shù)據(jù)差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），護(hù)理后兩組都有顯著改善，但實(shí)驗(yàn)組優(yōu)于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 對(duì)老年重度燒傷并糖尿病患者實(shí)施優(yōu)化護(hù)理臨床效果更佳，可以促進(jìn)其早日恢復(fù)，提升了日后生活質(zhì)量，值得臨床推廣與應(yīng)用。

[關(guān)鍵詞] 重度燒傷;糖尿病;優(yōu)化護(hù)理;燒傷整形科

[中圖分類號(hào)] R97? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）02（a）-0015-03

Observation on Nursing Effect of Elderly Severe Burn Patients with Diabetes

PAN Ying-fei， DU Kang

Department of Burns and Plastic Surgery， the Chinese People's Liberation Army 73rd Group Hospital，Xiamen， Fujian Province，361003 China

[Abstract] Objective To explore the clinical effects of nursing for elderly patients with severe burns and diabetes. Methods Sixty-eight elderly patients with severe burns and diabetes were selected in the hospital. The time was selected from May 2016 to May 2018， and 68 patients were grouped by lot method， each with 34 patients. The general nursing was performed as the control group， and the optimized nursing was implemented as the experimental group based on the general nursing. The nursing effect produced by the two groups was observed， and the quality of life of the elderly after the nursing was evaluated. Results The total effective rate of nursing was compared between the two groups. The experimental group was higher than the control group with a statitically significant difference（P<0.05）. The quality of life before and after the two groups was analyzed. There was no difference statitically significant between the two groups before the nursing（P>0.05）. The latter two groups had significant improvement， but the experimental group was better than the control group with a statitically significant difference（P<0.05）. Conclusion Optimizing the clinical effect of optimizing nursing for elderly severely burned and diabetic patients can promote their early recovery and improve their quality of life in the future. It is worthy of clinical promotion and application.

[Key words] Severe burns; Diabetes; Optimized nursing; Burns and plastic surgery

老年人隨著年齡的增長(zhǎng)，身體各項(xiàng)機(jī)能逐漸退化，特別是心理以及生理上的退化，容易并存許多病癥。糖尿病是老年患者最常見的疾病。由于糖尿病是慢性疾病，加之老年人身體各項(xiàng)功能影響，病情較成年人來(lái)說(shuō)較為復(fù)雜，治療比較困難[1]。隨著我國(guó)人口的增多，老齡化日漸上升，獨(dú)居老人越來(lái)越多，導(dǎo)致老人在冬季取暖時(shí)會(huì)受到取暖設(shè)備燙傷的威脅，也會(huì)有因?yàn)闊疀]有拿穩(wěn)而被水壺燙傷的危險(xiǎn)。由于老人身體機(jī)能差，自身血液循環(huán)較慢，致使自身細(xì)胞再生能力較弱，影響老人恢復(fù)健康。該文對(duì)該院篩選出的于2016年5月—2018年5月期間收治的68例重度燒傷合并糖尿病老年患者作為實(shí)驗(yàn)對(duì)象，分析優(yōu)化護(hù)理對(duì)患者產(chǎn)生的臨床效果，現(xiàn)報(bào)道如下。

1? 資料與方式

1.1? 一般資料

使用抽簽法對(duì)該院篩選出68例重度燒傷合并糖尿病老年患者進(jìn)行分組，分為實(shí)驗(yàn)組與對(duì)照組，兩組均有34例。……