以循證支持為基礎的綜合護理對慢阻肺合并2型糖尿病患者預后的影響

[摘要] 目的 探究以循證支持為基礎的綜合護理對慢阻肺合并2型糖尿病患者預后的影響。方法 選取該院2018年3月—2019年3月收治的慢阻肺合并2型糖尿病患者88例，采用雙盲法分為A組和B組，各44例。A組采用以循證支持為基礎的綜合護理，B組采用常規護理。護理2個月后觀察效果，包括并發癥發生率、呼吸功能評分及空腹血糖、餐后2 h血糖、糖化血紅蛋白等指標。結果 A組并發癥發生率2.27%，低于B組的22.73%，對比差異有統計學意義（P<0.05）。A組呼吸功能評分（0.32±0.05）分，低于B組（1.05±0.12）分，對比差異有統計學意義（P<0.05）。A組空腹血糖、餐后2 h血糖、糖化血紅蛋白等指標均低于B組，對比差異有統計學意義（P<0.05）。結論 以循證支持為基礎的綜合護理在慢阻肺合并2型糖尿病患者中具有顯著效果，可改善患者呼吸功能及血糖各指標，降低并發癥發生風險，值得臨床推廣。

[關鍵詞] 循證支持;綜合護理;慢阻肺合并2型糖尿病;并發癥;呼吸功能評分

[中圖分類號] R473.5? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（a）-0163-02

Impact of Comprehensive Nursing Based on Evidence-based Support on the Prognosis of Patients with COPD Complicated with Type 2 Diabetes

ZHU Yan

Daqing Traditional Chinese Medicine Hospital of Heilongjiang Province， Daqing， Heilongjiang Province， 163311 China

[Abstract] Objective To explore the effect of comprehensive nursing based on evidence-based support on the prognosis of patients with COPD complicated with type 2 diabetes. Methods 88 patients with COPD and type 2 diabetes treated in the hospital from March 2018 to March 2019 were selected and divided into group A and group B with 44 patients each by double-blind method. Group A used comprehensive nursing based on evidence-based support， and group B used routine nursing. The effects were observed after 2 months of nursing， including the incidence of complications， respiratory function scores and fasting blood glucose， 2 h postprandial blood glucose， glycated hemoglobin and other indicators. Results The incidence of complications in group A was 2.27%， which was lower than 22.73% in group B， and the comparison was statistically significant（P<0.05）. The respiratory function score of group A （0.32±0.05）points was lower than that of group B （1.05±0.12）points， and the comparison was statistically significant difference（P<0.05）. Fasting blood glucose， 2 h postprandial blood glucose， and glycated hemoglobin in group A were lower than those in group B， and the comparison was statistically significant difference（P<0.05）. Conclusion Comprehensive nursing based on evidence-based support has significant effects in patients with COPD and type 2 diabetes， which can improve patients' respiratory function and blood glucose indexes， reduce the risk of complications， and is worthy of clinical promotion.

[Key words] Evidence-based support; Comprehensive nursing; COPD with type 2 diabetes; Complications; Respiratory function score

慢阻肺是臨床呼吸內科常見疾病，以氣流阻塞性特征為主要病理變化[1]。患病后，患者可出現咳嗽、氣喘及不同程度呼吸困難等臨床癥狀，如未能得到及時有效治療，便會持續對其呼吸道及肺功能造成損傷。目前臨床部分慢阻肺患者并發2型糖尿病，患者血糖持續處于較高水平，導致臨床治療難度增加;而由于糖尿病屬于終身性慢性代謝性疾病，患者極易受臨床癥狀影響和長期治療而出現不依從，導致治療效果下降[2]。該院圍繞2018年3月—2019年3月收治的88例慢阻肺合并2型糖尿病患者護理工作開展研究，整理報道如下。

1? 資料與方法

1.1? 一般資料

選取該院收治的慢阻肺合并2型糖尿病患者88例，采用雙盲法分為A組和B組，各44例。A組男25例，女19例，年齡52～86歲，平均年齡（69.3±1.4）歲，病程2～14年，平均病程（7.2±0.9）年;B組男24例，女20例，年齡51～86歲，平均年齡（69.4±1.3）歲，病程2-15年，平均病程（7.3±1.0）年;兩組一般資料可對比，差異無統計學意義（P>0.05）。