目的 分析协同护理模式应用于老年糖尿病护理中的效果观察.方法 选取在我院进行糖尿病治疗的老年患者40例作为观察组,对观察组病人使用协同护理模式,另外选取在我院进行糖尿病治疗的老年患者40例作为对照组,对照组的病人采用常规护理方法,对2组病患者的护理效果及血糖对比分析.结果 通过实验分析,观察组患者护理后的生活质量明显得到了提升,血糖也有所控制,差异具有统计学意义(P<0.05).结论 探究结果得协同护理模式在针对老年糖尿病有较佳的护理作用,不仅提高了患者的满意度,进而更好的配合医护人员的护理,使护理得到最佳的效果,而且提高了患者的生活品质,优于传统护理,是值得推广的护理路径.

目的 观察2型糖尿病胰岛素泵强化治疗效果.方法 该院2018年3月—2019年3月收治的74例2型糖尿病患者为该次研究对象,按照是否行胰岛素泵强化治疗将所有患者分为对照组(37例:未行胰岛素泵强化治疗)与实验组(37例:行胰岛素泵强化治疗),比较两组患者治疗效果.结果 实验组患者护理干预后症状自评表(SCL-90)以及依从性量表(Morisky)得分均优于对照组(P<0.05).实验组患者护理干预24 h后、1周后血糖达标率均优于同期对照组(P<0.05).实验组患者住院治疗过程中不良反应发生率明显低于对照组(P<0.05).结论 2型糖尿病患者胰岛素泵强化治疗效果明显优于未行胰岛素泵强化治疗效果.

Objective To investigate the influence of Wechat follow-up on the treatment compliance and quality of life for young adult patients with type 2 diabetes mellitus.Methods A total of 120 cases, who were able to use Wechat independently,were selected as the research objects from patients with type 2 diabetes mellitus during February 2015 to December 2015. They were randomly divided into control group (60 cases) and intervention group (60 cases). Patients in control group received routine nursing and health education,while patients in intervention group received knowledge about type 2 diabetes mellitus and nursing care through Wechat. Data of the patients in these two groups were obtained after 6 months. And the parameters including treatment compliance,blood glucose control,the incidence of complications,sleeping quality (PSQI), depression (SDS),and anxiety (SAS) of these patients were analyzed.Results After intervention,the score of treatment compliance in intervention group (12.7±1.5) was higher than (8.7±1.7) of control group (t=-3.056, P<0.05). The compliance of reasonable diet,standardized medication,moderate exercise,benign psychology and regular blood glucose monitoring for intervention group were significantly improved than that of control group (P<0.05). The infection,glycopenia,diabetic eye diseases,acute complications in the intervention group were lower than that of control group (P<0.05),but neuropathy and rate of nephropathy in intervention group were better than that of control group,but there were no statistical significance (P>0.05). Before intervention, there were no statistical significance between two groups in the levels of fasting blood glucose,postprandial 2 h plasma glucose and glycosylated hemoglobin,as well as PSQI,SDS and SAS (P>0.05). However,the levels of fasting blood glucose,postprandial 2h plasma glucose and glycosylated hemoglobin,as well as PSQI,SDS and SAS were significantly decreased compared with the control group with statistical significance (P<0.05). Conclusions Follow-up by Wechat can effectively improve the treatment compliance of young adult patients with type 2 diabetes mellitus,and improve the quality of life and patients' satisfaction.

Objective We tried to evaluate the effect of nursing intervention on the perinatal complications and pregnancy outcomes of gestational diabetes mellitus patients in order to supply reference for clinical nursing.Methods We searched PubMed,CNKI,VIP and Wanfang Data from January 2010 to July 2014.We identified randomized controlled trials (RCTs) of nursing interventions plus routine therapy versus simple routine therapy for gestational diabetes mellitus patients.The methodological quality of included studies was assessed and data was extracted and analyzed by using the Cochrane Collaboration's RevMan 5.2 software.Results In total,38 RCTs were included.The quality of the included trials was medium.Meta analysis showed that nursing interventions significantly reduced the incidence of perinatal complications (RR value was 0.30,0.19,0.24,0.28,0.28,0.56,0.33,0.30,0.24 and 0.17),improved pregnancy outcomes in patients with gestational diabetes mellitus(RR value was 0.28,0.29 and 0.22).Conclusions Nursing intervention can effectively reduce the occurrence of perinatal complications and improve pregnancy outcomes for gestational diabetes patients,which has positive effect on assistant of clinical treatment.