Zhang Haiqin, Chu Hongmei, Qian Xiaoli, Zhang Yan, Wang Qiuping
Department of Critical Care Medicine, Hai'an People's Hospital, Nantong, Jiangsu 226600, China.
Nursing Department, Hai'an People's Hospital, Nantong, Jiangsu 226600, China.
Evid Based Complement Alternat Med. 2023 Feb 3;2023:1593651. doi: 10.1155/2023/1593651. eCollection 2023.
To investigate the application value of comprehensive nursing combined with comfort nursing for severe stroke patients with diabetes in the intensive care unit (ICU), as well as its effect on the incidence of pressure ulcers and aspiration.
Between March 2019 and March 2021, 123 severe stroke patients with diabetes who were treated at our hospital were randomly assigned to one of two groups: the control group ( = 61) or the study group ( = 62). The control group received normal care, but the research group received comprehensive nursing as well as comfort nursing. The two patient groups were compared in terms of the effects of the clinical application.
The two groups did not differ significantly in general data ( > 0.05). The shorter ICU monitoring and extubation times, the lower incidence of pressure ulcers, aspiration, and nosocomial infections, and higher self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores and a lower MOS 36-item short-form health survey (SF-36) score were all observed in the research group when compared to the control group ( < 0.05).
For severe stroke patients with diabetes in the ICU, comprehensive nursing combined with comfort nursing has a promising effect, significantly, lowering the risk of pressure ulcers, aspiration, and nosocomial infections, accelerating physical recovery, enhancing mental state, and ensuring a better prognosis, deserving general clinical promotion.
探讨综合护理联合舒适护理在重症监护病房（ICU）中对重症脑卒中合并糖尿病患者的应用价值，以及其对压疮和误吸发生率的影响。
选取2019年3月至2021年3月在我院接受治疗的123例重症脑卒中合并糖尿病患者，随机分为两组：对照组（n = 61）和研究组（n = 62）。对照组接受常规护理，而研究组接受综合护理以及舒适护理。比较两组患者临床应用的效果。
两组患者的一般资料比较，差异无统计学意义（P > 0.05）。与对照组相比，研究组的ICU监测时间和拔管时间更短，压疮、误吸和医院感染的发生率更低，且自评焦虑量表（SAS）和自评抑郁量表（SDS）评分更高，36条目简明健康调查量表（SF - 36）评分更低（P < 0.05）。
对于ICU中的重症脑卒中合并糖尿病患者，综合护理联合舒适护理具有良好的效果，能显著降低压疮、误吸和医院感染的风险，加速身体恢复，改善精神状态，确保更好的预后，值得临床推广应用。
