神经内科护理对糖尿病合并脑卒中患者康复效果的分析及其对生活质量和负性情绪评分的影响。
Analysis of Rehabilitation Effect of Neurology Nursing on Stroke Patients with Diabetes Mellitus and Its Influence on Quality of Life and Negative Emotion Score.
机构信息
Second Department of Neurology, People's Hospital Affiliated to Shandong First Medical University, Jinan 271199, Shandong Province, China.
Second Department of Rehabilitation Medicine, People's Hospital Affiliated to Shandong First Medical University, Jinan 271199, Shandong Province, China.
出版信息
Dis Markers. 2022 Mar 10;2022:1579928. doi: 10.1155/2022/1579928. eCollection 2022.
OBJECTIVE
To explore and analyze the rehabilitation effect of neurology nursing on stroke patients with diabetes mellitus (DM) and its influence on quality of life and negative emotion score.
METHODS
In this experiment, 110 stroke patients with DM diagnosed and treated in our hospital from 2018 to 2020 were randomly selected and assigned to the study group (SG) and the control group (CG) according to different nursing methods, with 55 cases in each group. In SG, they were given neurology nursing. In CG, they were given routine nursing. The rehabilitation efficacy, quality of life, and negative emotion scores were compared between the two groups.
RESULTS
Compared with the CG, the levels of fasting blood glucose, 2 h postprandial blood glucose, and urinary microalbumin in SG were obviously better after treatment. In SG, the proportion of patients with basic recovery and significant improvement after treatment was higher, and the proportion of patients without treatment effect was significantly lower. Overall, the nursing effect of the SG after treatment was better than that of the CG. There was no striking difference in the quality of life and Morisky scores between the two groups before nursing intervention ( > 0.05), but the quality of life and Morisky scores of patients in SG were obviously higher than those in CG after nursing intervention. After nursing intervention, SAS and SDS scores of patients in SG were obviously lower than those of patients in CG, and patients in SG were less affected by negative emotions. Questionnaires were used to investigate the satisfaction of patients in both groups, and the results showed that the satisfaction of patients in SG was higher (all < 0.05).
CONCLUSION
Neurology nursing has better clinical efficacy for stroke patients with DM and has obvious rehabilitation effect. The quality of life and negative emotion score of patients are better, which is worthy of extensive clinical promotion and application.
目的
探讨分析神经内科护理对合并糖尿病（DM）的脑卒中患者的康复效果及对生活质量和负性情绪评分的影响。
方法
本实验选取我院 2018 年至 2020 年诊治的 110 例合并 DM 的脑卒中患者，随机分为研究组（SG）和对照组（CG），每组 55 例，SG 采用神经内科护理，CG 采用常规护理，比较两组康复效果、生活质量、负性情绪评分。
结果
与 CG 相比，SG 治疗后空腹血糖、餐后 2 h 血糖、尿微量白蛋白水平明显更好；SG 治疗后基本痊愈和显著进步患者比例更高，无治疗效果患者比例明显更低，整体治疗后 SG 的护理效果优于 CG；护理干预前两组生活质量和 Morisky 评分无显著差异（>0.05），但 SG 护理后生活质量和 Morisky 评分明显高于 CG；护理干预后 SG 患者 SAS 和 SDS 评分明显低于 CG，受负性情绪影响更小；采用问卷调查两组患者的满意度，结果显示 SG 患者满意度更高（均<0.05）。
结论
神经内科护理对合并 DM 的脑卒中患者具有更好的临床疗效，康复效果显著，患者生活质量和负性情绪评分更好，值得广泛临床推广应用。
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