人性化护理干预对2型糖尿病合并肺结核患者依从性的影响分析

摘要

Objective To investigate the effect of humanized nursing intervention on the compliance of patients with type 2 diabetes mellitus (T2DM) complicated with pulmonary tuberculosis.Methods 93 cases of T2DM complicated with pulmonary tuberculosis in our hospital from January 2014 to June 2016 were selected and randomly divided into intervention group (48 cases) and control group (45 cases).Control group received conventional nursing intervention,and intervention group received humanized nursing intervention on the basis of control group.Compared the effect of two groups.Results There were no statistically significant differences in fasting blood glucose and 2-hour postprandial blood glucose between two groups before intervention (P＞0.05);those in both two groups significantly decreased after intervention (P＜0.05),and those in intervention group were significantly lower than those in control group (P＜0.05).The patients whose pleural effusion reduced or disappeared in intervention group accounted for 64.58％,and 42.22％ in control group;the patients whose tuberculous focus reduced or closed in intervention group accounted for 50％,and 28.89％ in control group;there were statistically significant differences between two groups (P＜0.05).The compliance in terms of medication,diet,and exercise in intervention group were better than those in control group (P＜0.05).The nursing satisfaction degree of patients in intervention group was significantly higher than that in control group (P＜0.05).Conclusions Humanized nursing intervention can improve the treatment compliance of patients with T2DM complicated with pulmonary tuberculosis,is helpful to the control of blood glucose of patients as well as the absorption of pleural effusion and tuberculosis lesions,and can significantly improve patients' satisfaction on nursing work,worthy of clinical application.%目的 探讨人性化护理干预对2型糖尿病合并肺结核患者依从性的影响.方法 选择2014年1月至2015年6月我院收治的2型糖尿病合并肺结核患者93例,随机分为干预组48例和对照组45例,对照组给予常规护理方案,干预组在对照组基础上给予人性化护理干预方案,比较两组患者干预后血糖控制情况、胸腔积液吸收情况、结核病灶变化情况、治疗依从性以及患者对护理满意度.结果 两组患者干预前空腹血糖以及餐后2h血糖均无统计学差异(P＞0.05),干预后两组空腹血糖、餐后2h血糖均显著降低(P＜0.05),且干预组空腹血糖、餐后2h血糖显著低于对照组(P＜0.05).干预组胸腔积液减少或消失患者占64.58％,对照组占42.22％;干预组结核病灶缩小或闭合患者占50.00％,对照组占28.89％,两组比较差异有统计学意义(P＜0.05).在用药、饮食以及运动依从性方面,干预组患者均优于对照组,差异有统计学意义(P＜0.05).干预组患者对护理满意程度显著优于对照组(P＜ 0.05).结论 人性化护理干预有利于提高2型糖尿病合并肺结核患者的治疗依从性,有助于患者血糖的控制以及胸腔积液、结核病灶的吸收,并能够显著提高患者对护理工作的满意度,值得临床推广运用.