细节护理在肝炎合并糖尿病护理中的应用

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Abstract Objective To evaluate the value of detailed nursing intervention in the nursing of hepatitis complicated with diabetes mellitus(DM).Methods A total of Sixty patients with hepatitis and DM who treated in Dalian Sixth People′Hospital,Liaoning Province from January 2015 to January 2019 were selected as the research subjects.They were divided into the control group and the experimental group by drawing lottery method,wit 30 cases in each group.In the control group,regular routine nursing was used,and in the experimental group,detailed nursing intervention with specific nursing measures was adopted.The blood glucose control and liver function indicators of the two groups were compared.Results The fasting blood glucose(FPG),2-hour postprandial blood glucose(2 h PG)and glycosylated hemoglobin(HbA1c)before nursing of the two groups were compared,the difference had no statistical significance(P＞0.05).The FPG of the experimental group after nursing was(6.2±1.4)mmol/L,the 2 h PG was(7.4±1.5)mmol/L,and the HbA1c was(5.9±1.0)%;the FPG of the control group after nursing was(8.2±1.6)mmol/L,2 h PG was(10.2±1.4)mmol/L,and HbA1c was(8.1±1.6)%.The FPG,2 h PG,and HbA1c of the experimental group after nursing were lower than those of the control group,and the differences were statistically significant(P＜0.05).The aspartate aminotransferase(AST),the alanine aminotransferase(ALT),total bilirubin(TBil),and albumin(ALB)before nursing of the two groups were compared,;the difference had no statistical significance(P＞0.05).After nursing,the AST of the experimental group was(52.2±18.3)U/L,ALT was(45.7±17.5)U/L,TBil was(20.6±9.9)μmol/L,and ALB was(43.3±4.4)g/L.After nursing,the AST of the control group was(77.7±17.6)U/L,ALT was(78.8±18.2)U/L,TBil was(38.7±9.6)μmol/L,and ALB was(40.2±4.8)g/L.After nursing,the AST,ALT and TBil of the experimental group were lower than those of the control group,and the ALB was higher than that of the control group,with statistical differences(P＜0.05).Conclusion In nursing hepatitis patients combining with DM,detailed nursing intervention can help control blood glucose,remarkably improve liver function as well as the quality of life,which can be widely used in clinical practice.

Key words： Detailed nursing Diabetes mellitus Hepatitis Blood glucose Quality of life

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	HE Ming-yi
	WANG Jun
	LIU Ying-ying

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HE Ming-yi,WANG Jun,LIU Ying-ying. Application of detailed nursing in hepatitis complicated with diabetes mellitus[J]. 中国当代医药, 2021, 28(14): 274-276.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I14/274

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