Luo Fan, Qi Jingrui, Zhao Li, Wang Yu, Yang Mei
Department of Geratology, Cangzhou Central Hospital, Cangzhou, China.
Department III of Ultrasound, Cangzhou Central Hospital, Cangzhou, China.
Evid Based Complement Alternat Med. 2022 Aug 17;2022:8770996. doi: 10.1155/2022/8770996. eCollection 2022.
To explore the effect of individual nursing combined with dietary management on blood glucose levels and quality of life in elderly patients with acute coronary syndrome with diabetes.
This study included 68 elderly patients who underwent acute coronary syndrome at Department of Emergency in our hospital from January 2018 to January 2020. And they were assigned to a control group ( = 34) treated with individual nursing and a research group ( = 34) treated with individual nursing and dietary management according to the random number table. A comparison of the changes in blood glucose levels, anxiety and depression, quality of life, and nursing satisfaction was made between groups before and after nursing.
Before nursing, the differences in blood glucose levels, SAS scores, and SDS scores between groups were not considered statistically significant ( > 0.05). After nursing, the blood glucose levels, SAS, and SDS levels of patients in both groups significantly decreased, and the research group presented a higher decrease when compared with the control group ( < 0.05). The short form health survey (SF-36) showed that the research group had higher scores in physical function (PF), general health (GH), vitality (VT), mental health (MH), social function (SF), role-physical (RP), bodily pain (BP), and role-emotional (RE) compared with the control group ( < 0.05). The satisfaction survey presented that the research group had a significantly higher total score than the control group [(91.40 ± 5.23) vs. (86.61 ± 7.14), < 0.05].
The combination of individual nursing and dietary management not only effectively reduces glycosylated hemoglobin levels and anxiety and depression but also wins better nursing satisfaction in the treatment of acute coronary syndrome in elderly patients. Moreover, their quality of life has been significantly improved after discharge.
探讨个体化护理联合饮食管理对老年急性冠脉综合征合并糖尿病患者血糖水平及生活质量的影响。
本研究纳入2018年1月至2020年1月在我院急诊科接受急性冠脉综合征治疗的68例老年患者。根据随机数字表将其分为对照组（n = 34），接受个体化护理；研究组（n = 34），接受个体化护理及饮食管理。比较两组护理前后血糖水平、焦虑抑郁情况、生活质量及护理满意度的变化。
护理前，两组血糖水平、SAS评分及SDS评分差异无统计学意义（P > 0.05）。护理后，两组患者血糖水平、SAS及SDS水平均显著下降，且研究组下降幅度高于对照组（P < 0.05）。健康调查简表（SF - 36）显示，研究组在生理功能（PF）、总体健康（GH）、活力（VT）、心理健康（MH）、社会功能（SF）、生理职能（RP）、躯体疼痛（BP）及情感职能（RE）方面的得分均高于对照组（P < 0.05）。满意度调查显示，研究组总得分显著高于对照组[（91.40 ± 5.23） vs. （86.61 ± 7.14），P < 0.05]。
个体化护理联合饮食管理在老年急性冠脉综合征治疗中不仅能有效降低糖化血红蛋白水平及焦虑抑郁程度，还能获得更高的护理满意度。此外，出院后患者生活质量也得到显著改善。
