優質護理對顱腦損傷合并糖尿病患者術后恢復效果的影響

[摘要] 目的 通過對顱腦損傷合并糖尿病患者實施不同護理方案，觀察其臨床應用特點。方法 從2017年1月—2019年2月到該院診治的顱腦損傷合并糖尿病患者中隨機抽取86例，分為對照組和觀察組，分別實施常規護理和優質護理，觀察兩組患者的智力狀態、生活自理能力評分、血糖水平。結果 觀察組患者干預后智力狀態評分為（8.84±1.26）分，生活自理能力評分為（11.85±2.38）分均高于對照組（P<0.05）;觀察組干預后空腹血糖水平為（6.16±2.18）mmol/L，餐后2 h血糖水平為（9.26±2.32）mmol/L均低于對照組（P<0.05）。結論 優質護理可有效提高顱腦損傷合并糖尿病患者的智力狀態評分和生活自理能力，降低血糖水平，值得臨床推廣應用。

[關鍵詞] 優質護理;糖尿病;顱腦損傷

[中圖分類號] R473? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（a）-0159-02

Effect of Quality Nursing on Postoperative Recovery of Patients with Craniocerebral Injury and Diabetes

JIANG Can

Department of General Surgery， Section Three， Tengnan Hospital， Zaozhuang Mining Group， Weishan， Shandong Province， 277600 China

[Abstract] Objective To observe the clinical application characteristics of patients with craniocerebral injury combined with diabetes by implementing different nursing schemes. Methods From January 2017 to February 2019， 86 patients with craniocerebral injury and diabetic patients diagnosed and treated in the hospital were randomly selected and divided into control group and observation group. Routine and high-quality care were performed respectively， and the intelligence， self-care score， blood glucose level of the two groups of patients was observed. Results After the intervention， the patients in the observation group had an intelligence score of （8.84±1.26）points. The score of self-care ability was（11.85±2.38）points， which were higher than those in the control group（P<0.05）. The fasting blood glucose level in the observation group after the intervention was（6.16±2.18）mmol/L. The 2 h postprandial blood glucose level was（9.26±2.32）mmol/L， which were lower than those in the control group（P<0.05）. Conclusion High-quality care can effectively improve the intelligence status score and self-care ability of patients with craniocerebral injury combined with diabetes， and reduce blood glucose levels， with clinical application.

[Key words] High-quality care; Diabetes; Craniocerebral injury

顱腦損傷在臨床較為常見，受到嚴重損傷，常因外界暴力所引起，該類疾病病情發展較為迅速，具有突變性、多變性等，危害患者生命健康，死亡率較高[1]。顱腦損傷患者常伴隨糖尿病等并發癥，在治療期間，不僅要治療顱腦損傷癥狀還要適當控制血糖水平，避免并發癥的發生[2]。從2017年1月—2019年2月到該院診治的顱腦損傷合并糖尿病患者中隨機抽取86例，分為兩組，分別實施常規護理和優質護理，獲得效果差異顯著。報道如下。

1? 資料與方法

1.1? 一般資料

從到該院診治的顱腦損傷合并糖尿病患者中隨機抽取86例，其中有女性40例，男性46例，年齡范圍在30～75歲，平均年齡為（50.26±4.26）歲。通過隨機數字法將86例患者隨機分為對照組43例：女性20例，男性23例，平均年齡為（51.64±4.84）歲;觀察組43例：其中有女性20例，男性23例，平均年齡為（51.36±4.85）歲。該研究經過該院倫理委員會同意并批準，獲得所有研究對象的知情同意書。兩組患者的基本資料統計分析結果為，差異無統計學意義（P>0.05），可以進行比較。